Non-healing wound care


A number of external influences (traumas, chemical and biological effects, local disproportionate shear stress, friction and pressure, etc.) may lead to the deterioration of skin cover integrity, followed by impaired tissue repair and ulceration. A non-healing wound must always be seen as a symptom of another serious, often chronic, disease. The formation of the wound and its healing process is modified by several factors such as physiological skin againg, associated diseases, nutritional condition, pharmacotherapy, age and other. All these attributes are fulfilled with an algorithm for the prevention and treatment of decubitus ulcers.The algorithm published on the web portal www.akutne.cz represents an innovative educational material for healthcare professionals who are not primarily established specialists in the care of non-healing wounds. It helps to better understand the context of decubitus ulcers formation, which is needed not only for its treatment but also as prevention. I believe that this algorithm will be frequently visited and used by the web portal users.

2019
chronic wound
risk factors
wound healing management
nursing care
Published at: 21.5.2019

Review

Jan Stryja, MD, PhD
Physician, Center of Vascular and Mini-Invasive Surgery Podlesí a.s., Třinec, Czech Republic

Sources

KALVACH, Z., ČELEDOVÁ, L., HOLMEROVÁ, I., et al. Fragile patient and primary care. 1. ed. Prague: Grada Publishing, a.s., 2012. 400 p. ISBN 798-80-247-7628-6.

MIKŠOVÁ, Z., FROŇKOVÁ, M., HERNOVÁ, R., et al. Chapters from nursing care I. 1. ed. Prague: Grada Publishing, a.s., 2006. 248 p. ISBN 978-80-247-1442-4.

MIKULA, J., MÜLLEROVÁ, N. Prevention of pressure sores. 1. ed. Prague: Grada Publishing, a.s., 2008. 104 p. ISBN 978-80-247-6397-2.

PEJZNOCHOVÁ, I. Local treatment of wounds and skin defects. 1. ed. Prague: Grada Publishing, a.s., 2010. 80 p. ISBN 978-80-247-7302-5.

POKORNÁ, A., MRÁZOVÁ, R. Compendium of wound healing for nurses. 1. ed. Prague: Grada Publishing, a.s., 2012. 191 p. ISBN 978-80-247-3371-5.

POKORNÁ, A., KOMÍNKOVÁ, A., SIKOROVÁ, N. Evidence-based nursing procedures – 2 part. 1. ed. Brno: Masaryk University, 2014. 171 p. ISBN 978-80-210-7415-6.

VYTEJČKOVÁ, R., SEDLÁŘOVÁ, P., WIRTHOVÁ, V., et al. Nursing Procedures in Patient Care III: Special section. 1. ed. Prague: Grada Publishing, a.s., 2015. 308 p. ISBN 978-80-247-9742-7.

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