Wound hygiene in the care of patients with lower limb ulceration. A description of three clinical cases

Paulina Mościcka; Justyna Cwajda-Białasik; Arkadiusz Jawień; Maria T. Szewczyk

doi:10.5114/lr.2021.107150

eISSN: 1733-7607
ISSN: 1733-4101

Leczenie Ran

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2/2021
vol. 18

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abstract:

Case report

Wound hygiene in the care of patients with lower limb ulceration. A description of three clinical cases

Paulina Mościcka

^{1, 2}

,

Justyna Cwajda-Białasik

^{1, 2}

,

Arkadiusz Jawień

³

,

Maria T. Szewczyk

^{1, 2}

Katedra Pielęgniarstwa Zabiegowego, Zakład Pielęgniarstwa Chirurgicznego i Leczenia Ran Przewlekłych, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
Poradnia Leczenia Ran Przewlekłych, Szpital Uniwersytecki nr 1 im. dr. A. Jurasza w Bydgoszczy, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
Katedra i Klinika Chirurgii Naczyniowej i Angiologii, Szpital Uniwersytecki nr 1 im. dr. A. Jurasza w Bydgoszczy, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu

LECZENIE RAN 2021; 18 (2): 57–64

DOI: https://doi.org/10.5114/lr.2021.107150

Online publish date: 2021/06/28

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Current guidelines and recommendations for the management of chronic wounds provide invaluable guidance in the care of patients with ulceration. They state that before implementing topical treatment, a thorough diagnosis should be performed, which provides the basis for causal treatment. The next step is to apply the appropriate topical wound treatment according to the current TIMERS strategy (T – tissue debridement, I – infection and inflammation control, M – moisture balance, E – epidermization stimulation, R – repair and regeneration, S – social- and individual-related factors). In order to increase the effectiveness of topical treatment, the concept of Wound Hygiene was developed. It postulates that attention should be paid to washing both the wound and the surrounding skin and cleansing the skin, removing biofilm, taking care of the wound edges, and choosing a dressing. This paper presents three case reports of patients with lower limb ulceration in whom measures consistent with Wound Hygiene were implemented.

keywords:

Wound hygiene in the care of patients with lower limb ulceration. A description of three clinical cases

Paulina Mościcka 1, 2 , Justyna Cwajda-Białasik 1, 2 , Arkadiusz Jawień 3 , Maria T. Szewczyk 1, 2

lower limb ulceration, healing process, wound hygiene

Paulina Mościcka

^{1, 2}

,

Justyna Cwajda-Białasik

^{1, 2}

,

Arkadiusz Jawień

³

,

Maria T. Szewczyk

^{1, 2}