Wound care treatment involves dressings that are applied directly to the wound. These are very important, in this section on modern wound healing we have discussed that simply putting moistened gauze or band-aid on the area is totally inappropriate. That fails to allow the cells in the body to work the way they are designed to work. Any of the dressings which are considered “modern” are based in scientific research and they facilitate a wound environment, which allows more rapid healing. What I mean by that is the pH level, the moisture balance, the temperature of the area, and other local factors are imperative if the bodies healing cells can do their job properly. They all work in a very narrow environmental margin. If the wound bed is too cold or too dry or the pH is wrong these cells cannot operate efficiently. That is why allowing them to stay in the area by decreasing the number of dressing changes and using dressings that protects the environment of the area will lead to the most rapid healing.
There are primary dressings, secondary dressings, and a possibly compression wraps. The primary dressings are the ones that go directly against the wound. This maybe something like a hydro gel, which adds a little bit of moisture if the wound bed is too dry. Or another option might be and alginate which is a more fibrous material meant to absorb some of the fluid if the wound is too moist. Several of these also have impact on the healing cells such as collagen synthesis and other details that we can discuss later. There are many types of primary dressings including ones that contain ionic silver. These would be used in the event have an infection. Even a low-grade infection will delay healing because of its impact on the local environment. It increases inflammation to the area, which changes the cells’ ability to renew themselves properly. Diabetic foot problems make your skin difficult to heal. But it can be done!
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