Wound field concept ad
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Transcript of Wound field concept ad
Wound Field Wound Field ConceptConcept
Dr Clare FenwickDr Clare Fenwick
Fatima College Health SciencesFatima College Health Sciences
Griffith UniversityGriffith University
20102010
Dr Clare Fenwick 2010
TerminologyTerminology
Wound ColonisationWound Colonisation Wound ContaminationWound Contamination Wound InfectionWound Infection
Dr Clare Fenwick 2010
Existence of bacteria with no obvious host reaction Existence of bacteria with no obvious host reaction All wounds are colonisedAll wounds are colonised
WOUND COLONISATIONWOUND COLONISATION
Dr Clare Fenwick 2010
Introduction of micro-organisms into the wound or the presence of Introduction of micro-organisms into the wound or the presence of non-replicating micro-organisms on the wound surfacenon-replicating micro-organisms on the wound surface
Re-introduction of the patient’s own microbes back into the wound Re-introduction of the patient’s own microbes back into the wound is NOT contaminationis NOT contamination
WOUND CONTAMINATIONWOUND CONTAMINATION
Dr Clare Fenwick 2010
Invasion and multiplication of micro-organisms Invasion and multiplication of micro-organisms causing local and systemic effectscausing local and systemic effects
WOUND INFECTIONWOUND INFECTION
Dr Clare Fenwick 2010
ContaminationContamination Host resistanceHost resistance
Patients immune system, limited controlPatients immune system, limited control Environmental virulenceEnvironmental virulence
What we carry on our bodies, innate objects, limited What we carry on our bodies, innate objects, limited controlcontrol
EndogenousEndogenous Patient’s own flora and bacteriaPatient’s own flora and bacteria
Exogenous Exogenous (most common cause)(most common cause) Foreign matter – hair, wool fibres Foreign matter – hair, wool fibres Nurses hands are the worst offenderNurses hands are the worst offender
If it is wet and not yours, protect yourselfIf it is wet and not yours, protect yourself Watch what you discard and whereWatch what you discard and where
Dr Clare Fenwick 2010
Things to considerThings to consider
Acknowledge colonisation as Acknowledge colonisation as normalnormal
Prevent/minimise contaminationPrevent/minimise contamination Identify and treat infectionIdentify and treat infection
Dr Clare Fenwick 2010
Wound Bed PreparationWound Bed Preparation
Cleansing techniquesCleansing techniques DebridementDebridement
Sharp Sharp
AutolyticAutolytic
EnzymaticEnzymatic
MechanicalMechanical
SurgicalSurgical
Biodebridement (maggots)Biodebridement (maggots)
Dr Clare Fenwick 2010
Cleansing TechniqueCleansing Technique
Clean versus sterile techniqueClean versus sterile technique Normal saline and tap water (safe Normal saline and tap water (safe
enough to drink)enough to drink) Hand washing is essential to Hand washing is essential to
reduce infection reduce infection Dirty hand & clean handDirty hand & clean hand Wound field conceptWound field concept
Dr Clare Fenwick 2010
Reading SourcesReading Sources Ellis, T.,Beckmann, A. (1997) Wound Field Concept Primary
Intention 5, (2)
Ellis, T. (2004). CPD: Understanding the act of contamination in wound dressing procedure. Collegian, 11(3), 39-42.
Fenwick, C. (2006) Wound fields and the undergraduate nurse. Australian Nursing Journal 13, (11) pp 41
Gillespie, B. & Fenwick, C. (2009) Comparison of the two leading approaches to attending wound care dressings. Wound Practice and Research 17 (2) pp 62-67