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Achieve the optimal moisture balance

A wound that is too dry or too wet can prevent healing. Therefore it is important moisture balance is adjusted to create an equilibrium of moisture in the wound.

There is a range of dressings which preserve moisture level or absorb excessive exudate to reach an optimal moisture balance.

Treatment options include:

  • Wound gels to add moisture
  • Alginates, hydrofibers, foams and superabsorbers absorb exudate and other fluids 
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Oxygen deficiency can have a negative impact on many chronic wounds

It is recognised that oxygen aids the body’s metabolic processes, including the complex process of wound healing. Oxygen deficiency can have a negative impact on many chronic wounds.

Restoring oxygen to the correct level is a critical element to support all phases of healing.

Treatment options include:

  • Haemoglobin spray, hyperbaric or normobaric oxygenation 
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Manage infection risk

Infection is as an ever-present risk and serious potential complication of chronic wounds. It causes patients additional pain and discomfort, can delay wound healing and lead to hospital re-admittance. 

Constant vigilance can help prevent infection and early intervention may stop problems from escalating. Multi-resistant pathogens can be eliminated and local infections managed with topical antiseptics or antimicrobial dressings.

Treatment options include:

  • Antiseptics, medicinal honey, Dialkylcarbomoyl chloride (DACC)- coated dressings, silver coated dressings 
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Re-balance conditions within the wound to stimulate healing

When the treatment of problematic wounds do not heal as expected, strategies to rebalance the environment inside the wound bed can get healing back on track.

A range of therapeutic and treatment choices are available to stimulate healing:

  • Control and bind excessive MMPs, optimise pH conditions, protect growth factors, control pro-inflammatory mediators, collagen dressings
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Clean and prepare the wound bed

A healthy wound bed is essential to the wound healing process. Cleaning and preparing the wound bed by removing dead cells and tissue canbe achieved through different types of debridement. 

Specialised dressings or physical therapies like negative pressure wound therapy, electrical stimulation or ultrasound can enhance the effects of debridement.

Treatment options include:

  • Cleanse the wound with normal saline (9%); Ringer’s solution; preserved solution
  • Debride the wound through autolytic, biosurgical, surgical, enzymatic and mechanical methods and therapies
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