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| An Unstageable pressure ulcer is covered with eschar or slough which prohibits complete assessment of the wound. |
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| Goals of Care: Protect viable tissue, remove necrotic tissue so that wound assessment and staging may be accomplished. |
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| Wound and Skin Care Objectives:
Protect intact periwound skin, debride wound, and manage wound odor. |
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| Note: Heel ulcers may be left undebrided with pressure relief provided. Dressings may be used alone or in combination with mechanical and sharp debridement. |
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| NECROTIC TISSUE COVERING ALL OR MOST OF THE WOUND? 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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Debride wound:
- Dry: transparent film, hydrogel, moist saline gauze, hydrating impregnated gauze
- Moist/wet: hydrocolloid, foam, calcium alginate, absorptive gauze
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| Manage wound odor: Wound cleanser, odor absorbent dressing, room deodorizer, more frequent dressing changes |
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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
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Wound Care
- Restore Wound Cleanser
- Restore Extra Thin Hydrocolloid
- Restore Cx Hydrocolloid
- Restore Plus Hydrocolloid
- Restore Hydrogel (gel, sponge, packing strip)
- Hollister Odor-Absorbent Dressing
- Hollister Deodorizer Germicide
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