Part 3_Dressing: Aplikasi Dressing pada Luka Tekan

Summary

This instructional video focuses on the process of applying a solid case or dressing to a patient with a pressure sore. It outlines step-by-step procedures, including preparing tools, cleaning the wound area, selecting appropriate dressings, and applying them to prevent infection and promote healing. The script emphasizes the importance of technique and precautions when handling sensitive skin, and highlights the need for consistent care, with recommendations for adjusting dressing changes based on the patient's condition. The guide provides practical tips for ensuring the patient's comfort and optimal recovery.

Takeaways

• 😀 Pressure sores require careful wound care, including the use of appropriate dressings to manage moisture and prevent further damage.
• 😀 The first step in treating pressure sores involves washing the surrounding skin using gentle circular motions with mineral water or saline (NaCl).
• 😀 Always clean the skin around the wound before the wound itself to avoid cross-contamination during washing.
• 😀 Transparent films can be used for wounds that are just reddened, but for wounds with abrasions, more advanced dressings like hydrocolloids are recommended.
• 😀 A tilted position of the patient is ideal for cleaning and dressing pressure sores, with the affected side usually being worked on first.
• 😀 For effective wound healing, ensure the wound is free of dead tissue (necrosis), and stimulate granulation in areas of concern.
• 😀 A moisture-retentive dressing (like ointment-based or gel-based) should be used to maintain a moist healing environment.
• 😀 When applying dressings, ensure that no air pockets are trapped, as these can promote infection. Proper technique in sealing dressings is critical.
• 😀 The use of sterile scissors and antimicrobial serums is crucial when preparing and applying dressings, especially to fill cavities or undermine areas.
• 😀 Always cover areas near sensitive regions like the anus with a transparent film to prevent contamination, ensuring that only the edges are sealed with waterproof material.
• 😀 Dressing changes should be done regularly, typically three times a week, or more often if there is an odor or seepage, to prevent skin irritation and ensure proper wound care.

Q & A

What is the recommended dressing material for a patient with a pressure sore?

The recommended dressing material for a pressure sore is a resin-based dressing, which provides both a protective and waterproof function. If no waterproof function is needed, other types of dressings can be used depending on the condition.

Why is it important to use a transparent film around a wound?

A transparent film is used to protect the surrounding skin when the wound area is red or has no abrasions. It creates a barrier that protects the skin while allowing for observation of the wound.

How should a pressure sore be cleaned before applying a dressing?

The area around the wound should be cleaned first, followed by cleaning the wound itself. This should be done gently with a circular motion using mineral water or NaCl. It is essential to start cleaning from the cleanest area to prevent contaminating the wound.

What is the purpose of using ointments or gels in wound care?

Ointments or gels are used to maintain moisture at the wound site, which helps to promote healing. They can also assist in stimulating granulation and tissue growth in the wound area.

What is the significance of measuring the wound size before dressing it?

Measuring the wound size ensures that the dressing is appropriately sized to cover the wound entirely. This helps to prevent any exposed areas that could become susceptible to infection or further injury.

How should necrotic tissue be treated in a pressure sore?

Necrotic tissue should be treated with care by applying a thicker layer of dressing or ointment in the affected area. The goal is to protect the area and encourage the removal of dead tissue, helping to prevent infection.

Why is it important to fill cavities in the wound?

Filling cavities in the wound helps prevent the formation of empty spaces where exudate could accumulate, creating a breeding ground for germs and potentially deepening the wound.

What is the V technique used for in wound dressing?

The V technique is used to apply the dressing in a way that ensures it adheres securely to the skin, especially around folds and sensitive areas. This method helps prevent the dressing from peeling off prematurely.

How often should a pressure sore dressing be changed?

Typically, a pressure sore dressing should be changed three times a week. However, if there is an odor or seepage before the scheduled change, it should be replaced immediately to prevent irritation to the surrounding skin.

When is it acceptable to reduce the frequency of dressing changes for a pressure sore?

If the wound shows signs of improvement, such as reduced exudate or no odor, the frequency of dressing changes can be reduced. Dressing changes may occur once every 4-5 days or twice a week, depending on the patient's condition.