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| A full-thickness wound extends into deeper tissues which may involve subcutaneous tissue, muscle, bone, or other supporting structures. |
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| Goals of Care: Restore skin integrity and avoid infection. |
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| Wound and Skin Care Objectives:
Protect intact periwound skin, cleanse wound, manage
wound exudate, debride wound, hydrate wound, manage wound
odour, and fill in dead space. |
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| Note: Cautious use of moisture-retentive dressings and close monitoring is recommended with ischaemic wounds. When peripheral pulses are absent, do not use occlusive dressings. Examples of non-occlusive dressings include hydrogels in amorphous or sheet forms, calcium alginates, or impregnated gauze sponges. Examples of non-occlusive cover dressings include composite dressings or gauze. |
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| Note: Debridement may not be
recommended. Consult with wound care specialist. |
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| EXUDATE? DRY WOUND? NECROTIC? ODOUR? DEPTH OR UNDERMINING? PERIWOUND SKIN AT RISK OR IMPAIRED? |
| Protect intact skin: Skin protectant,
skin sealant, skin cleanser, transparent film, thin hydrocolloid,
heel and elbow protectors |
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| Cleanse wound: Wound cleanser |
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Manage wound exudate:
- Minimal: transparent film, thin hydrocolloid, thin foam, absorptive gauze
- Moderate: hydrocolloid, foam, calcium alginate, absorptive gauze
- Heavy: calcium alginate, foam, absorptive gauze, combinations of dressings, wound beads, pastes or powders
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Debride wound:
- Dry: transparent film, hydrogel, moist saline gauze, hydrating impregnated gauze
- Moist/wet: hydrocolloid, foam, calcium alginate, absorptive gauze
- Hydrate wound: Hydrogel, hydrating impregnated gauze, moist saline gauze
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| Manage wound odour: Wound cleanser, odour absorbent dressing, room deodoriser, more frequent dressing changes, antimicrobial topical agent |
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| Fill in dead space: Calcium alginate, hydrating or absorptive gauze, moist saline gauze, wound beads, pastes or powders, collagen |
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| HOLLISTER PRODUCTS FOR IMPROVED OUTCOMES |
Skin Care
- Restore Cleanser & Moisturizer*
- Hollister Skin Cleanser
- Restore DimethiCreme*
- Hollister Skin Conditioning Creme
- Hollister Moisture Barrier Ointment*
- Hollister Skin Gel
- EpiFlex Heel and Elbow Protectors*
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Wound Care
- Restore Wound Cleanser*
- Restore Plus Hydrocolloid
- Restore Hydrogel (gel, sponge, packing strip)*
- Restore CalciCare Calcium Alginate
- Odour-Absorbent Dressing*
- Hollister deodoriser Germicide (NZ only)
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| * Not available in Australia or New Zealand |
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