Wound treatment
The wound treatment or wound management is assessing, cleaning and care of wounds . Wound management is increasingly being practiced in both outpatient and inpatient facilities by health and nursing staff and geriatric nurses who have completed specialist training as certified wound managers, wound diagnosticians or wound therapists.
Goals of wound treatment
- Prevention of wound infection
- rapid, functional regeneration of the destroyed tissue.
Importance of wound treatment
A distinction is made between dry and moist wound treatment . The latter is used, for example, in the permanent care of chronic wounds , especially in secondary wound healing . Of these, pressure ulcers , diabetic foot syndrome and vascular leg ulcers are the most common. Dry wound treatment is used, for example, on surgically closed wounds (sutures, staples - goal: primary healing ) or in terminal necroses (e.g. in necrotic toes) up to surgical repair or in the palliative phase in the dying to alleviate and the Not to burden patients unnecessarily with excessive measures. In Germany, this affects around three to four million people (around 300,000–400,000 in Austria and Switzerland). The annual cost of treating chronic wounds was estimated at 2.15 to 3.25 billion euros in 1997, and around five billion euros in 2008. Due to the progressive aging of the population and the simultaneous increase in obesity and diabetes mellitus , further burdens are to be expected in the coming years.
Interdisciplinary and interprofessional approach
In order to achieve healing or the best possible results and to limit the burden on patients, helpers, relatives and the health system , all persons and institutions involved must work together (interdisciplinary - trans-sectoral - intradisciplinary) . In order to take into account not only the wound, but also the individual needs of the patient, his lifestyle and previous and concomitant illnesses, the patient, relatives, doctors and nurses coordinate with each other in order to develop an individual therapy concept. Regular checks (including home visits ) with detailed wound documentation enable successes and therapeutic errors to be identified more quickly.
Experimental approaches
Nowadays there are experimental therapies and a large number of special apparatus-based methods that are available for wound treatment.
Examples are:
- the use of cold plasma
- low level laser therapy
- polarized light
- ultrasound-associated wound cleaning
- vacuum therapy alias negative pressure
therapy alias negative pressure
- water jet
therapy
See also
- Moist wound treatment
- Dry wound treatment
- Debridement
- Wound dressing
- German Society for Wound Healing and Wound Treatment
Individual evidence
- ↑ Klaus-Jürgen Bauknecht, Joachim Boese-Landgraf: Wounds, wound healing, wound healing disorders, wound treatment, tetanus prophylaxis. In: Rudolf Häring, Hans Zilch (Hrsg.): Textbook surgery with revision course. (Berlin 1986) 2nd, revised edition. Walter de Gruyter, Berlin / New York 1988, ISBN 3-11-011280-9 , pp. 7-17, here: pp. 14-16.
- ↑ RE Horch, D. Nord et al. : Economic aspects in surgical wound treatment . In: The surgeon . 79, No. 6, 2008, pp. 518-525. doi : 10.1007 / s00104-008-1500-3 .
- ↑ Disinfecting and healing with cold plasma ( Memento of the original from October 8, 2017 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. Article on www.weltderphysik.de from December 3, 2009
literature
- Anette Vasel-Biergans, Wiltrud Probst: wound care for nursing. A practice book. 2nd edition, Wissenschaftliche Verlagsgesellschaft Stuttgart 2011, ISBN 978-3-8047-2798-4
- Kerstin Protz: Modern wound care. Practical knowledge, standards and documentation. 6th edition, Urban & Fischer, Munich 2011, ISBN 978-3-437-27883-9
Web links
- S1 guideline for wounds and wound treatment in childhood of the German Society for Pediatric Surgery. In: AWMF online (as of 2011)