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wound care | wound mattress supplyShop by product category
What products can help my with wound care? Need a cushion for a wound? Need a mattress for a wound? Vienna Medical understands how important wound care products can be. There are different types of wound care beds, alternating air pressure and turning mattresses, low air loss mattresses, wound care cushions, and gel overlays that can help. We have Roho wound care cushions, Invacare Airflo and infiniti cushions, coccyx cushions, cutout cushions, pummel cushions, donut cushions and many others. Call our wound care experts today to find out how we can help you treat wounds. Learn how to prevent wounds, fix a coccyx wound or heel wound. We are located near Orlando Florida Wound Care Center. PRESSURE RELIEf - group 1
pressure relief - group 2
LYMPHEDEMA PUMPS (COMPRESSION PUMPS)
wound care suppliesvienna medical insurances acceptedVienna Medical works with most primary insurances. Below you will find our main contracted insurance companies. For all insurances and workers compensation companies click here.
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Stage 1 2 or 3 wound care prevention or treatment. travel Medical Oxygen Hospital beds for wound care can help. Air beds to help with decubitus's that work. Decubitus air or treatment beds for options.
TREATMENT OF
PRESSURE ULCERS
(decubitus
ulcers, bed
sores)
First,
debride if
necessary
(often under
utilized).
Types:
Surgical
- most rapid,
recommend if
large necrotic
areas or thick
eschar present.
Mechanical
-
hydrotherapy,
dextranomers,
wound
irrigation
(correct
pressure
obtained using
35 ml syringe
with #19 gauge
angiocatheter).
Enzymatic
- eg:
collagenase
(eg: Santyl),
too slow if
infection
present.
Autolytic
- via
enzymes in
wound fluid
(very slow).
Then stage the ulcer - part of a comprehensive assessment of the individual:
Stage I
: Non
blanchable
erythema of
intact skin,
the heralding
lesion of skin
ulceration.
Stage II
: Partial
thickness skin
loss involving
epidermis,
dermis or both.
The ulcer is
superficial and
presents as an
abrasion,
shallow crater
or blister.
Stage III
: Full
thickness skin
loss involving
damage to or
necrosis of
subcutaneous
tissue that may
extend down to,
but not
through,
underlying
fascia. The
ulcer presents
clinically as a
deep crater
with or without
undermining of
adjacent
tissue.
Stage IV
: Full
thickness skin
loss with
extensive
destruction,
tissue
necrosis, or
damage to
muscle, bone or
supporting
structures (eg:
tendon, joint
capsule).
Undermining and
sinus tracts
also may be
associated with
Stage IV
pressure
ulcers.
Pick a Dressing (must provide "moist wound healing"):
Options:
Transparent
semipermeable
films (eg:
Opsite,
Tegaderm)
- for Stage I &
II ulcers
Hydrocolloids
(eg:
DuoDerm,
Comfeel,
Restore)
- for non
infected Stage
II or III
ulcers
- stay intact
on average of
32 days
Saline
soaked gauze
(covered by
occlusive wrap)
- Stage II - IV
ulcers, gently
pack dead
space,
inexpensive,
frequent
changes
required to
keep moist.
Alignates
- (eg:
CalciCare,
Kaltostat) for
+++ exudate.
Others
- for special
problems
contact an
enterostomal
therapist.
- irrigate
ulcer with
saline (use 35
ml syringe with
#19 gauge
angiocath)
between
dressing
changes.
Pick a support surface:
If turning
is feasible,
use a static
surface
(ie: air or
water mattress
or foam
overlay).
For multiple
ulcers, large
Stage III, IV
or recalcitant
ulcers use a
dynamic surface
(eg:
alternating air
mattress,
low-air-loss or
air fluidized
bed).
- discourage
elevating the
head of the bed
(
shear
forces)
- donut or ring
devices are
contraindicated
(impair
circulation).
A turning schedule: (usually q2h, keep patient off the ulcer if possible).
Basic skin care: avoid maceratron, friction, shear, and harsh chemicals.
Improve
nutrition:
if possible.
calories
and protein,
vitamin and
mineral
supplements
(especially
Vit. C and
zinc) if
deficiencies
are suspected.
Watch for infection and treat if present.
Consider
surgical
repair
(usually
musculocutaneous
flap)
- non infected
Stage III or IV
ulcers, not
healing, if
patient a
surgical
candidate.
Consider
the
patient's goals
- weigh the
benefits and
burdens of
treatment.
- it may not be
reasonable to
attempt to heal
all ulcers in
the terminally
ill.