wound bed preparation
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WOUND BED PREPARATION
Ns. SUKURNI, S. Kep, WOC(ET)N
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TUJUAN
Menghilangkan faktor yang menghambat penyembuhan luka
Mempersiapkan luka dengan secara maximal untuk dapat menggunakan advanced product
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PRINCIPLES = TIME
Framework terms Application to practice
T Tissue management Removal of nonviable tissue
I Inflammation and infection control
Control of bacterial load / burden
M Moisture balance Management and control of exudates
E Epithelial advancement / edge
Promotion of a healthy wound edge
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T Tissue management
Removal of nonviable tissue
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TISSUE MANAGEMENT = DEBRIDEMANG
Debridement / Debridemang :Membuang jaringan nekrosis dari permukaan luka
Necrosis: Kematian sel yang disebabkan oleh penurunan proses enzymatic tubuh
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PENYEBAB TERJADINYA JARINGAN NEKROTIK
ALIRAN DARAH YANG BURUK
INFEKSI
• ISKHEMIA
• TRAUMA / HEMATOMA
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METODE DEBRIDEMANG
Surgical / sharp AUTOLYTIC Mechanical Chemical / Enzymatic agents Biological / Magots - larvae
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SURGICAL DEBRIDEMANG
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MEKANIKAL DEBRIDEMANG
DENGAN PINSET DENGAN KASA KERING
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AUTOLYTIC DEBRIDEMANG
Merupakan proses alami tubuh dalam melakukan peluruhan jaringan nekrotik dan benda asing / debridemang
Proteolytic enzymes from cells
Selective / hanya jaringan nekrosis
Membutuhkan lingkungan yang lembab
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ZAT KIMIA / ENZYM
• Hydrogen peroxide• EUSOL (Edinburgh University Solution of Lime)• Salicylic acid• Malic acid• Benzoic acid• Hypochlorites
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BIOKEMIKAL / MAGOTS
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AUTOLYSIS MIX WITH SURGICAL DEBRIDMENT
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I Inflammation and infection control
Control of bacterial load / burden
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M Moisture balance
Management and control of exudates
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E Epithelial advancement / edge
Promotion of a healthy wound edge
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Etiology : Cancer = TIM
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Etiology : DM = TIME
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Etiology : DM = ME
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Etiology :
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Etiology :
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Etiology :
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Etiology :
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Etiology :
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Sekian&
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