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Maintenance of a moist wound healing environment is widely accepted as the ‘ideal’ environment for wounds to heal.
Excessive wound fluid can inhibit wound healing and can lead to maceration of the peri-wound skin, further breakdown, and excoriation and skin sensitivities if inappropriately managed as it can be corrosive in nature. Wound Infection is caused by multiplying pathogenic bacteria which cause a reaction in the patient.
The use of skin barrier preparations such as LBF should be considered to protect the delicate peri-wound area. Infection can be systemic, causing the patient to become ill or local, only affecting the wound bed and surrounding tissues.
Kerraped is the first off-loading shoe available on prescription.
It locks exudate away even under moderate compression reducing maceration.
A delicate balance to keep the correct amount of fluid at the wound interface needs to be achieved.
This can be done by the use of modern dressing materials which either lock the exudate within the body of the dressing or allow the safe passage of exudate through the dressing by means of its MVTR (moisture vapour transmission rate).
The process of transudatation is due to increased pressure in the veins and capillaries pressure forcing fluid through the vessel walls or low levels of protein in the serum.
BY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC What exactly is wound exudate?