Negative pressure wound therapy

Traditionally, Negative Pressure Wound Therapy (NPWT) has been used for chronic wounds, like non healing diabetic ulcerations or dehisced surgical incisions. NPWT is quite successful for these types of wounds, but recently there has been a trend to use NPWT for burn victims. This paper summarizes a case of 5 patients who were burned in a dust explosion in Taiwan in 2015 and NPWT was used, not only to treat the wounds, but also to facilitate the skin grafting. NPWT was first approved for use by the Food and Drug Administration in 1995. Over the years it has evolved into a few different variations like NPWT with instillation and even NWPT with heating or cooling pads. The basic items needed are: a porous open celled foam cut to fit inside the…

Wound management requires a skill and time in acquiring a fulfilling task. In fact, complicated wounds that are either acute or chronic can be seen in most surgical wards. Through the significance of the literature review, five articles will be explored in identifying their aims, relationship, differences and its relevance to the nursing standard. In Yao et al (2012), their retrospective cohort study was conducted to determine the efficacy of negative pressure wound therapy (NPWT) in comparison…

When hearing the phrase negative pressure wound therapy, one asks, what does it mean? This type of dressing is used for acute, chronic and burn wounds; it’s a closed system attached to pump which applies negative vacuum pressure to subtract fluid thereby increasing circulation to the tissue. (Wound Care Center, n.d.). This type of therapy is also referred to as VAC (vacuum assisted closure) therapy. According to the Wound Care Center, (n.d.) this vacuum dressing is used for the following: •…

Factor (NGF) Application In an animal model the topical application of NGF to wounds and ulcers leads to a statistically significant decrease in the wound perimeter (66%) vs. controls.[8, 23, 77, 120] Clinically, topical application of NGF leads to the repair of neurotrophic corneal ulcers, recovery of corneal surface sensitivity [36, 119] and diabetic foot ulcers.[73] Basic Fibroblast Growth Factor (bFGF) Topical application of bFGF enhances the healing for operative wounds, burns, chronic…

The equipment needed for the VAC dressing is a sterile, black foam, vacuum machine that delivers a maximum from 25 – 200 mmHg of negative pressure, a receptacle for the exudate, and a polyurethane dressing. The black foam is placed over the wound to prevent large particle from occluding the tubing connected to the vacuum machine. The foam is then covered with the polyurethane film dressing which makes it occlusive, machine is set per the prescribing physicians specifications and therapy is…

Background: Diabetic foot ulcers are a costly and devastating complication of diabetes mellitus due to its complexity in wound treatment and as a major reason for non-traumatic amputation. This is a major reason for prolong hospital stays, decreased quality of life, and amputations. The high cost on wound treatment and loss of self-care ability of amputee places heavy burden psychosocially and economically on patients, their family, health care system and the society. Effective measures in…

Homosexuals Conversion therapy is a therapy method that pressures homosexuals to extreme levels of stress and depression, which ultimately leads to suicide and/or mental disorder. Despite large, credible organizations and doctors, like the American Psychiatric Association, The National Association of Social Workers, the Human Rights Campaign, and many more condemn the use of conversion therapy. Those who exercise conversion therapy have no data to support their claim that it helps change…

Wound healing is a complex dynamic process which replacing damaged cells with cells of same origin or with connective tissue scar. Wound healing has four time dependent phases; hemostatic, inflammatory, proliferative, and remolding phase. In each phase, specific resident cells release growth factors and cytokines to move the healing process from one phase to the other till complete healing occurs. Chronic wound stack in or delayed in one of the healing phases commonly inflammatory phase.…

foreign objects present in the wound is also essential.14 Surgery should be avoided except in cases of chronic/ stage 4 osteomyelitis as surgery can further introduce pathogens to the bones and worsen the infection.12 It is very important to start treatment for osteomyelitis as early and as effective as possible in order to avoid complications such as bone necrosis, weakened bone, systemic infections, and sepsis as a result.12 Further infection of the bone may also occur in untreated…

chronic body pain, negative behavioral patterns that seem impossible to change, a pervasive underlying anxiety, a severely damaged self-concept, a fear of intimacy, and many other devastating results. There are three stages of recovery for an abused client establishing safety, remembrance and mourning, and reconnection. The goal of the first stage of recovery is to establish physical and psychological safety. The survivor learns how to take control of their body and to attend to their physical…