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    Wound Bed Preparation

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    Ganyang Penghalang
    Wound bed preparation is a dynamic process of removing barriers to healing like non-viable tissue, infection, moisture imbalance, and non-advancing wound edges. The key steps are debridement to remove necrotic tissue, managing local infection, maintaining a moist wound environment, addressing excess exudate, and promoting epithelial migration across the wound surface. The overall goal is to accelerate endogenous healing or facilitate other therapies through ongoing assessment and application of appropriate dressings and wound management strategies.

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    Wound Bed Preparation

    Uploaded by

    Ganyang Penghalang
    10 views26 pages
    Wound bed preparation is a dynamic process of removing barriers to healing like non-viable tissue, infection, moisture imbalance, and non-advancing wound edges. The key steps are debridement to remove necrotic tissue, managing local infection, maintaining a moist wound environment, addressing excess exudate, and promoting epithelial migration across the wound surface. The overall goal is to accelerate endogenous healing or facilitate other therapies through ongoing assessment and application of appropriate dressings and wound management strategies.

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    WOUND BED PREPARATION

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    Wound bed preparation is a dynamic process of removing barriers to healing like non-viable tissue, infection, moisture imbalance, and non-advancing wound edges. The key steps are debridement to remove necrotic tissue, managing local infection, maintaining a moist wound environment, addressing excess exudate, and promoting epithelial migration across the wound surface. The overall goal is to accelerate endogenous healing or facilitate other therapies through ongoing assessment and application of appropriate dressings and wound management strategies.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    10 views26 pages

    Wound Bed Preparation

    Uploaded by

    Ganyang Penghalang
    Wound bed preparation is a dynamic process of removing barriers to healing like non-viable tissue, infection, moisture imbalance, and non-advancing wound edges. The key steps are debridement to remove necrotic tissue, managing local infection, maintaining a moist wound environment, addressing excess exudate, and promoting epithelial migration across the wound surface. The overall goal is to accelerate endogenous healing or facilitate other therapies through ongoing assessment and application of appropriate dressings and wound management strategies.

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    of 26

    WOUND BED PREPARATION

    (WBP)

    THERESIA WIDYASTUTI, S.Kep.Ns.,S.Psi


    WBP

    ‘Wound bed preparation is the management of the


    wound to accelerate endogenous healing or to
    facilitate the effectiveness of the other
    therapeutic measure.’
    (SCHULTZ ET AL, 2003)
    WBP IS A DYNAMIC PROCESS
    HOW ???

    REMOVE ALL THE BARRIERS!


    HILANGKAN SEMUA PENGHALANG!
    TIME
    Tissue Non Viable

    Infection/ Inflamation

    Moisture Imbalance

    Edge Non Advancing


    T= TISSUE NON VIABLE
    4 GAMBARAN KLINIS LUKA

    Nekrotik Slogh

    Epitelisasi Granulasi
    Manajemen jaringan mati:
    DEBRIDEMENT
    • Autolitik debridement
    • Mechanical debridement
    • Sharp debridement
    • Biological debridement
    • Enzimatik debridement
    Infection / Inflamation
    ‘All
    chronic wounds contain bacteria, and Their presence in
    the wound does not Necessarily indicate that infection has
    Occurred or lead to impairment of wound Healing’
    (Kerstein 1997; dow et al 1999)
    Manajemen lokal luka terinfeksi

    • Pembersihan
    • Debridment*
    • Pemakaian topikal terapi: antimikrobial
    Antiseptic -Antibiotic role

    • Penggunaan antibiotik dalam jangka waktu yang lama


    mudah menimbulkan resistensi dibanding antiseptik.
    • Gunakan antibiotik dengan spektrum sesempit mungkin.
    • Slow release antimicrobial (nanocristalin silver, cadexomer
    iodine) lebih aman untuk kemungkian terjadinya resistensi.
    MOISTURE IMBALANCE
    Kering-
    Basah-Absorbsi
    Hidrasi

    Moist
    (Lembab)
    Absorben Moist Hydrate
    maintain
    • Gauze • Hidrocoloid • Hidrogel
    • Hidrofiber • Transparant
    • Alginate film
    • Foam
    • Low
    Adherent
    Dressing
    EXUDATE MANAGEMENT

    NPWT

    Parcel Dressing

    Absorben
    Dressing
    ABSORBEN DRESSING
    PARCEL DRESSING
    Edge Non Avancing

    Tidak terjadi migrasi/


    Penyeberangan sel-sel
    Epitel pada permukaan
    Luka
    • Re-assess
    • Make it acute
    • Advanced therapy: tissue enginering, growth factors, etc
    Offloading Pad

    DARCO walker me

    Podomed Half shoe


    PASIEN TENTUKAN
    BARU PENYEBAB

    No

    PENCEGAHAN Ya SEMBUH?
    PENGKAJIAN
    TIME

    APLIKASI
    &
    EVALUASI

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