By Roger William Babcock; Raymond Walton; American Society of Civil Engineers.; Environmental and Water Resources Institute (U.S.)
Read Online or Download Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi PDF
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Additional resources for Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi
The gel is more tenacious than just exudate or the gel from hydrogel dressings. The sheet form of the dressing is the one most frequently used. It provides a thermally insulated moist environment that is impermeable to gas, bacteria and fluid. These dressings can be used on partial or full thickness wounds with clean or necrotic bases. Such wounds would include pressure wounds, minor burns, abrasions, or graft donor sites. Hydrocolloids can be used in the inflammatory and repair stages of healing.
The dressings maintain a moist wound environment which enhances autolytic debridement. They promote granulation tissue formation and epithelialization. Thus, the dressings can Table 2-1. Advantages of Moisture-Retentive Dressings (MRDs)* • Prevention of wound dessication and excessive whole-body evaporative fluid losses from the wound surface (full thickness burns and large wounds) • Maintenance of wound normothermia to improve cellular metabolism • Provides barrier to urine and other liquids • Provides barrier to bacteria • Lower oxygen tension promotes lower pH and enhances collagen synthesis angiogenesis, and leukocyte chemotaxis, and inhibits bacterial growth • Improved autolytic debridement due to improved leukocyte chemotaxis and retention, and maintenance of wound hydration and normothermia • Higher concentration of systemically administered antibiotics via improved wound perfusion • Comfortable for the patient when in place and less uncomfortable to remove compared to adhesive dressings • Decreased frequency of bandage changes and reduced cost • Reduced aerosolization of bacteria during bandage changes compared to wet-to-dry bandages • Decreased scarring Source: Campbell BG.
Scissors cutting a slit in folded-over pad. C. Fingers enlarging the slit to a round hole. D. Pad placed over the calcaneal tuberosity to be held in place with secondary bandage wrap. Figure 2-6. A. Steps for putting on a pipe insulation bandage: 1) place a body bandage behind the front limbs; 2) transfer tape from the body bandage onto the limb; 3) split two pieces of pipe insulation; 4) cut holes in the pipe insulation to go over the elbow ulcer and stack the pipe insulation; 5) tape the pipe insulations together and place them over the olecranon wound; 6) put cast padding in front of the elbow area.
Ahupuaʻa [electronic resource] : World Environmental and Water Resources Congress 2008, May 12-16, 2008, Honolulu, Hawaiʻi by Roger William Babcock; Raymond Walton; American Society of Civil Engineers.; Environmental and Water Resources Institute (U.S.)