Features: reduces the risk of infection, kills bacteria. Wound care management - SlideShare Should the body decide to separate the eschar from the tissue below it, the eschar then usually provides a well-demarcated edge from which to work. After participating in this educational activity, the participant will: 1. 8. World Health Organization. Wound care - SlideShare Basic Wound Care - PowerPoint PPT Presentation - PowerShow Learn solutions to wound care claim issues Agenda Wounds vs. Ulcers Acute vs. Adherence to long-term therapies: evidence for action. Synthesize the principles of motivational interviewing to best encourage patients to adhere to prescribed wound healing recommendations. The skin is the body's largest organ and is responsible for protection, sensation, thermoregulation, metabolism, excretion and cosmetic. Mesorb, The principles of effective wound care Caring for a person with a wound must be based on a complete assessment of the resident and the wound, considering both intrinsic and extrinsic factors. Among providers, barriers include anticipated patient nonadherence, perceived lack of education effectiveness, insufficient training in patient-centered education techniques,1,7 and time constraints within the clinical environment.1 Many providers are also hesitant to discuss patients personal behaviors for fear of provoking defensiveness or damaging rapport.2,7 Application of theoretical frameworks assists providers in selecting communication techniques that incorporate patients perspectives to overcome barriers to quality wound care. 26. in order to achieve healing. Wound Care: A Guide to Practice for Healthcare Professionals - Ausmed Treatment outcomes for neuropathic ulcers are also heavily dependent on patients adherence to nutrition recommendations, blood glucose monitoring, physical activity, and weight management.27 Patient education that includes explicit steps for diet and exercise is more likely to achieve success than generic recommendations.27, Self-management is influenced by patients cognitive understanding, motivation level, and ability to troubleshoot problems and barriers.27 In patients with diabetes, low perceived severity of illness and its consequences may be influenced by family history and assumptions that diabetes is a natural part of genetics and/or aging.27 These assumptions can reduce outcome expectations and self-efficacy by creating the impression that diabetes and its consequences are unavoidable.27 Patients and providers should discuss these perceptions and promote skills that enhance self-care, including the ability to troubleshoot unanticipated problems and barriers.27 Other barriers to adherence may include the lack of measurable results for patients who are adherent yet still experience disease progression.27 These barriers can be mitigated by social-environmental support from family, friends, and community resources.28, From a cognitive perspective, the ability to record and interpret glucose measurements, calculate medication doses, and read nutrition labels requires a certain level of literacy and mathematical skill.27 Providers should also assist patients in understanding the difference between test results that show immediate glycemic control (plasma glucose level) versus long-range control (hemoglobin A1c; Table 1).27.
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