Part 2_Dressing: Aplikasi Dressing pada Luka DM

Summary

This video provides a detailed guide on wound care, specifically for diabetic and pressure sores. It covers the necessary preparations, tools, and techniques for washing, assessing, and dressing wounds. The process includes immersion and irrigation methods for cleaning, followed by the application of appropriate dressings such as hydrocolloid and hydrogel. Emphasis is placed on proper hygiene, patient education, and documentation. The video also explores the use of various treatments like debridement and the importance of moisture retention for wound healing, making it an informative resource for healthcare professionals in wound care.

Takeaways

• 😀 Proper preparation is essential for wound care, including gloves, aprons, masks, and goggles, especially when working in the Red Zone.
• 😀 Thoroughly assess the patient's wound, including color, size, and signs of infection, before proceeding with any treatment.
• 😀 Use an appropriate washing technique such as immersion or irrigation to clean the wound before dressing it.
• 😀 Always document the wound condition and take clear photos for tracking the healing process.
• 😀 When applying dressings, ensure the surrounding skin is protected with materials like 3D dressings or transfer films.
• 😀 Use suitable wound dressings such as hydrocolloid, hydrogel, or other materials based on the condition of the wound.
• 😀 Secure the dressing properly with elastic bandages or other fixation methods to prevent it from coming off.
• 😀 Educate the patient on the importance of keeping the wound dry and avoiding contact with water for at least two days after dressing.
• 😀 Regularly change the dressing, typically every two days for infectious wounds, to support proper healing.
• 😀 After wound care, dispose of medical waste, including gloves and other materials, according to proper protocols to reduce environmental impact.
• 😀 When managing wounds, avoid excessive manipulation and prioritize comfort and gentle debridement techniques to reduce pain and promote healing.

Q & A

What should be done before applying dressing to a wound?

Before applying the dressing, ensure that the necessary tools and equipment are prepared, including gloves, aprons, trash plastic, gauze, serums, transfer film, and other related materials. It is important to assess the wound, wash it properly using techniques like immersion or irrigation, and perform a thorough evaluation of the wound's condition.

Why is it important to wear a mask and goggles in the Red Zone?

Wearing a mask and goggles in the Red Zone is essential for protection. The Red Zone refers to an area where there is a higher risk of exposure to infectious agents or contaminants, so wearing these protective items helps to prevent direct contact and contamination.

What is the purpose of wound assessment during care?

Wound assessment helps to understand the current condition of the wound. This includes evaluating the color, the presence of infection, signs of vascular issues, and other factors. It is also important to measure the wound, take photographs for documentation, and monitor the healing process over time.

How should the wound be washed during the first visit?

The wound should be washed using either the immersion technique or irrigation technique, depending on the location and the patient’s condition. For patients with diabetic wounds or wounds located on the foot, immersion is often used to soften tissue and promote healing.

What is the importance of using gloves during wound care?

Gloves should be used to prevent direct contact with the wound and to maintain hygiene. They help avoid the introduction of infection-causing bacteria and ensure the safety of both the healthcare provider and the patient.

What is the significance of using serums and transfer films in wound care?

Serums help to cleanse the wound, while transfer films are used to protect the surrounding skin and prevent further irritation. These materials help maintain an optimal moist environment for the wound to heal and support the process of autolytic debridement.

How should wounds be documented during care?

Wounds should be documented by measuring the wound size using a ruler, noting its color and condition, and taking clear photographs from appropriate angles (front, side, and at a distance of 20-30 cm). This helps to monitor the wound’s progress over time and ensures accurate records are maintained.

Why is it important to protect the surrounding skin during wound care?

Protecting the surrounding skin is crucial because it helps prevent additional irritation and damage. Using materials like 3D film or ointments ensures that the skin around the wound is safeguarded, especially when the wound is in a sensitive phase, such as swelling or redness.

What is autolytic debridement, and how is it supported during care?

Autolytic debridement is the process by which the body naturally removes dead tissue from the wound site. It is supported by maintaining a moist wound environment using dressings and serums, which allow the body's enzymes to break down and clear the necrotic tissue.

What should be done if the wound condition changes or worsens?

If the wound condition changes or worsens, it may require additional care, such as more frequent dressing changes, the use of different wound care products, or further debridement. For wounds showing signs of infection or deep tissue damage, consulting with specialists or adjusting the treatment approach is crucial.