Moist wound treatment
The moist wound treatment is also humid than ideal, modern, active (interactive, hydro active between active) wound treatment called and is particularly effective in secondary healing wounds (mostly hospital care), chronic wounds (mostly outpatient care supplies) are used.
Aims and process of moist wound treatment
The aim of moist wound treatment is to create an ideal wound healing environment by protecting the wound from drying out, cooling down and invading germs, as well as ensuring an unhindered exchange of gases and water vapor. Any wound treatment is preceded by the identification, treatment and - as far as possible - the elimination of the underlying causes, such as a possible underlying disease. Wound treatment begins with cleaning the wound, followed by the provision of appropriate wound dressings. The documentation of the activities completed completes the work process.
Wound dressings for moist wound treatment
In traditional dry wound treatment , some materials can serve as carriers for medication. In modern moist wound treatment, on the other hand , the wound dressings themselves act as a therapeutic agent in that they maintain and regulate the desired moist environment of the wound. Some of the products in this form of care go beyond this requirement by directly influencing healing.
Active wound dressings
Active wound dressings promote wound healing, for example, by introducing or stimulating the body's own production of collagen or growth factors, or by combating inflammatory processes - for example with the silver they contain. Some of the dressing materials used in moist wound care work through the medicinal products they contain and are therefore not to be assessed as medical products but - at least in part - as medicinal products . The manufacturer's assessments and information are decisive for this. With regard to the protection of patients, the practice of placing products with a substantial proportion of pharmaceuticals on the market in accordance with the less strict provisions of the Medical Devices Act is viewed critically.
Product selection
The selection of the wound dressing is based on several factors, for example the wound phase , so dressing materials for dry wound care can also be used. Wound dressings that are typically used in moist wound treatment are:
- Hydroactive wound dressings such as alginates , hydrocolloids , gels , polymers and semipermeable wound films
- Interactive wound dressings , such as wound dressings containing collagen and gelatin and wound therapeutics with hyaluronic acid
- Wound dressings that work against odor and bacteria , such as polyhexanide , silver and carbon-containing, as well as hydrophobic wound dressings
Moist wound treatment in the past
In the Middle Ages and the early modern period, warm, moist compresses (as "moist flatus", Latin embrocatio or fomentum ) were used as wound dressings and for the treatment of inflammatory eye diseases. The Middle High German term baehen means: “warm up with envelopes”.
See also
literature
- Kerstin Protz: Modern wound care, practical knowledge, standards and documentation . 6th edition. Urban & Fischer, Munich 2011, ISBN 978-3-437-27883-9 .
- Anette Vasel-Biergans, Wiltrud Probst: Wound Care for Nursing - A Practice Book . 2nd Edition. Wissenschaftliche Verlagsgesellschaft, Stuttgart 2011, ISBN 978-3-8047-2798-4 .
Remarks
- ↑ a b Vasel beer goose, Probst; P. 94.
- ↑ a b Protz; P. 15.
- ↑ Vasel-Biergans, Probst; P. 92.
- ↑ Vasel-Biergans, Probst; P. 93.
- ↑ Dietlinde Goltz. Medieval pharmacy and medicine. Depicted on the history and content of the Antidotarium Nicolai. With a reprint of the print version from 1471. Wiss. Verl. Ges., Stuttgart 1976, pp. 205 f., And Willem Frans Daems : drug forms. In: Lexicon of the Middle Ages . Volume 1, Col. 1094-1096.
- ↑ Jürgen Martin: The 'Ulmer Wundarznei'. Introduction - Text - Glossary on a monument to German specialist prose from the 15th century. Königshausen & Neumann, Würzburg 1991 (= Würzburg medical-historical research. Volume 52), ISBN 3-88479-801-4 (also medical dissertation Würzburg 1990), p. 114.
