How To Dress A Macerated Wound
macerated wallpaperCheck the wound every four hours. In addition be sure to apply a moisture barrier like skin prep around the wound edges to prevent maceration.
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The goal is to have the dressing absorb the exudate and thereby prevent the skin around the wound from absorbing it without drying out the wound site.
How to dress a macerated wound. Treatment for mild maceration includes exposing the affected area to air to dry out the skin. Treatment for macerated skin usually depends on the main cause and severity of maceration. Treatments for more serious maceration with periwound skin include occlusive dressings and Hydrofiber dressings.
Apply the prescribed antiseptic anesthetic or spray on the affected wound and cover to make the wound moist but not wet. Cover the wound with a clean bandage that is breathable. Even if the skin is broken allowing the free circulation of air around the wound is usually better than keeping it tightly bandaged once a scab has formed.
For a wound with a large volume of exudate choose a highly absorbent dressing such as a hydrofiber. Do not squeeze the tube directly over the wound. Macerated skin can be treated in numerous ways depending on the state of your condition.
Mild cases of maceration are often reversed by simply exposing the affected skin area to air. Make your own saline solution by mixing together 1 to 2 tablespoons 15 to 30 ml salt in 1 cup 240 ml water. Most cases of skin maceration require nothing more than a little fresh air to help dry the skin.
Moisture-retentive dressings are used to achieve a moist but not wet wound environment. The gauze that you use should allow air to circulate. There are 2 types of dressing used for macerated wounds occlusive and hydro fiber dressings.
These are nonabsorbent and wax-coated making them both airtight. Re-bandage the wound using a bandage that is breathable. After the wound has been stitched up the nurse may cover the wound with a dressing made of gauze and tape.
Clean the area with sterile water and keep it dry. Treatments for macerated skin caused by wounds include specific types of bandages and dressings including. Once the wound is dry apply small amount of antibacterial ointment and cover it with sterile gauze.
If the wounds condition deteriorates seek medical assistance. Re-cover the wound with a breathable bandage. Instead apply it with a cotton swab which will give you better control of the application.
Every four hours recheck the wound replacing the bandage and cleaning up any additional pus or ooze. Flush the wound with a saline solution. 1 For a wound with a lower volume of exudate a less absorbent dressing may be appropriate.
The correct way to use hydrogel is to keep it confined to the wound bed. Replace the bandage soak up any new exudate and check the progress of the maceration. Remove the dead skin to make the way for growth of healthy skin around the wound.
During the first day is better not to take off the dressing and to keep it in place until 24 hours has passed if you have not exposed the dressing to dirt. There is both an art and a science to choosing the correct wound dressing one that will maintain just the right amount of moisture in the wound bed without allowing the periwound to become macerated. Apply just a small amount of Bacitracin Neosporin or a similar antisepticanesthetic cream or spray covering but not smothering the wound.
Use a pre-made saline solution to gently rinse the wound to remove any bacteria or germs. Macerated skin is often associated with wounds particularly wound dressings that are not regularly changed.