Negative Pressure Wound Therapy Essay

Improved Essays
When hearing the phrase negative pressure wound therapy, one asks, what does it mean? This type of dressing is used for acute, chronic and burn wounds; it’s a closed system attached to pump which applies negative vacuum pressure to subtract fluid thereby increasing circulation to the tissue. (Wound Care Center, n.d.). This type of therapy is also referred to as VAC (vacuum assisted closure) therapy. According to the Wound Care Center, (n.d.) this vacuum dressing is used for the following:
• Ulcer due to being diabetic, or caused by venous, arterial, or pressure.
• First and second-degree burns.
• Non- healing wounds, classified as chronic in nature.
• Large exudate producing wounds.
• Surgical and acute wounds. When dealing with indications, one has to also address when negative pressure wound therapy is not indicated. This type of dressing is never placed over blood vessels; organs or anastomotic incisions; necrotic areas need to the debrided first; and
…show more content…
The black foam is placed over the wound to prevent large particle from occluding the tubing connected to the vacuum machine. The foam is then covered with the polyurethane film dressing which makes it occlusive, machine is set per the prescribing physicians specifications and therapy is commenced. (Thomas, 2001, p. 1). What type of dressing is VAC replacing? Conventional wet to dry dressing is used for debridement of a wound bed. Once the saline soaked gauze dries, it is pulled and the dead along with healthy tissue is removed, causing pain to the patient. Wet to dry dressings are contraindicated because of allowing bacteria to penetrate. Fleck, 2009, indicates that bacterial can cross 64 layers of gauze. So why still use it? It is a good question, which will be addressed at a later

Related Documents

  • Decent Essays

    Reason for Visit: Puncture Wound Follow Up S: TM started on Cipro 500 mg BID yesterday for his left arm puncture wound yesterday. TM reports the redness and edema has improved and minimal pain with palpation to his left FA; 2/10. TM denies any issues at this time to his left FA. TM reports tenderness to his tetanus IM injection site; right shoulder. O: minimal redness to left FA puncture wound; harden area, radius of 2 cm; no warmth palpated; no s/s of infection noted, Left arm NVS intact, no impairment of movement in Left arm.…

    • 139 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The pressure ulcer prevention plan, pressure sore avoidance plan and wound care plan is the second target. Recommendations from other studies including use of amino acid supplements in patients with pressure sores, hydrocolloid or foam dressings in patients with pressure ulcers, and electrical stimulation for enhancing the wound healing can be applied here (Qaseem, Humphrey, Forciea, Starkey & Denberg, 2015). The third is using an electronic pressure ulcer risk assessment tool by leveling low, medium, and high. According to these data a pressure ulcer prevention competency can be created which will give knowledge to the staff about preventing pressure sores. In the immersion phase, the staff will change the work environment with preventive approach.…

    • 1150 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Using Silver and Carbon in Wound Care Malodor, or odors that come from wounds, can be a challenge for both the patient and the care giver. The malodor can be quite unpleasant and may make the patient feel uncomfortable or embarrassed from it, causing them to isolate themselves and possibly delay much needed treatments. Delay of treatment can either prolong the healing process or make the wound worse. The odor usually comes from anaerobic bacteria that colonizes dead and dying tissues of wounds.…

    • 481 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    After assisting with assessing the patient, he seemed to be responding well to Metropolol as evidence of heart rate decreasing to 140. His body temperature was still low. Therefore, we decided to cover him with many blankets and a bear hugger to help increase his body temperature. Then we moved on to changing his sacral pressure dressing because it had become soiled with his feces. According to Patient.info “Reduce risk of infection and enhance wound healing by hand…

    • 689 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    A review of the literature regarding the prevention of hospital acquired pressure ulcer was conducted using the following electronic databases: Pubmed, CINAHL, Health & MedicalComplete- Proquest. The search terms used were as follows: systematic review, Hospital Acquired Pressure Ulcer (HAPU), soft silicone foam border dressing, prevention, pressure ulcer and ICU patient, risk assessment ,positioning schedule, risk factors.…

    • 57 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    The other wound had an open weeping area that needed skin barrier cream on the surrounding tissue, an alginate pad and a silicon protection over the open area. In our lab, we had discussed and practiced different wound care, but it was helpful to see a real wound and what techniques the nurses used to dress it. I was also able to perform several immunization injections, such as shingles, flu and hepatitis A on a teenager and on an older adult. This was my first opportunity to give intramuscular injections as I had only done subcutaneous insulin injections before. I was so able to observe as the nurse performed allergy shots.…

    • 1547 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    Closing the Incision(s) The incisions are closed using staples or sutures. 9. Applying Surgical Dressings Surgical dressings are applied to the incision(s) to assist with the healing process.…

    • 685 Words
    • 3 Pages
    Great Essays
  • Improved Essays

    Pressure ulcers are defined as local injuries to the skin and/or underlying tissue that usually occurs over bony prominence as a result of pressure. Hospital-acquired pressure ulcer is a major concern because it can lead to increase morbidity, mortality, increase healthcare cost and impact a patient’s quality of life. CMS classifies hospital-acquired pressure ulcers as “never events” the Leapfrog Group defines never events as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability. " CMS considers stage three and four pressure ulcers preventable conditions affecting over 1 million patients annually and thus CMS has taken a stand on payment to hospitals that have led to these poor patient outcomes. “As part of an effort to…

    • 617 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Traditionally, Negative Pressure Wound Therapy (NPWT) has been used for chronic wounds, like non healing diabetic ulcerations or dehisced surgical incisions. NPWT is quite successful for these types of wounds, but recently there has been a trend to use NPWT for burn victims. This paper summarizes a case of 5 patients who were burned in a dust explosion in Taiwan in 2015 and NPWT was used, not only to treat the wounds, but also to facilitate the skin grafting. NPWT was first approved for use by the Food and Drug Administration in 1995. Over the years it has evolved into a few different variations like NPWT with instillation and even NWPT with heating or cooling pads.…

    • 724 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Non Surgical Debridement

    • 381 Words
    • 2 Pages

    Depending on the wound, this treatment may be used along with another technique to remove dead tissue (debridement), such as: Surgical debridement. Autolytic debridement. This means using your body's own fluids to remove dead tissue. Tell a health care provider about: Any allergies you have.…

    • 381 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Pressure area care was one of the priorities, so we used special pressure relieving equipment like the gel pads, Inco pads, and gam gees in areas that are vulnerable to pressure ulcers such as the ankles, the bottom and shoulders to ensure patient comfort during the operation. Patient was strapped to avoid her from falling from the operating bed. Mal-positioning of the patient has important implications in terms of associated problems of pressure sores, nerve compressions, deep vein thrombosis and compartment syndrome, and should be avoided (Adedeji et al., 2010).Mrs A was covered with blanket so as to protect her dignity throughout her…

    • 2140 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    Dr. Malik was happy with the progress of the wound. The dressing will be Bacitracin and gauze daily. The right arm weeps occasionally and is very fluid filled. The right leg was wrapped in gauze due to drainage. This will continue as needed.…

    • 449 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Background Each year, more than 2.5 million people in the United States develop pressure ulcers (Berlowitz, 2014). “Skin lesions bring pain, infection risk, and increased health care utilization. Moreover, Centers for Medicare and Medicaid no longer provides reimbursement to hospitals to care for a patient who has acquired a pressure ulcer while under the hospital’s care” (Berlowitz, 2014, p. 1). Thus, pressure ulcer prevention has become a priority in hospitals.…

    • 640 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Introduction What is noninvasive ventilation? If you are a person who googles everything, then you will be redirected to the article Noninvasive Ventilation written by Guy Soo Hoo that states “Noninvasive ventilation (NIV) refers to the administration of ventilatory support without using an invasive artificial airway (endotracheal tube or tracheostomy tube).” Now if you are a person that likes to look at books to get the answer, then David W. Chang wrote in Clinical Application of Mechanical Ventilation that “noninvasive positive pressure ventilation is a technique of providing ventilation without the use of an artificial airway.” Wherever you want to get the definition from, the purpose is all the same: to help the ventilation of the patient…

    • 1565 Words
    • 7 Pages
    Great Essays
  • Great Essays

    The overall role of the wound care nurse is to treat acute and chronic wounds, but is also under their job description to treat ostomies, stomas, and urinary and fecal incontinence (graduate). Those WOCs that specialize only in wounds their scope of practice includes treating skin reactions, preventing skin breakdown, treating and managing vascular ulcers, pressure ulcers, and diabetic ulcers. It is also, important for wound care nurses to take preventative measure such as reducing causative factors, controlling odors, and assessing nutritional needs. The last thing that is very important for wocn to do is to educate the patient and patient’s family preventative and also treatment measures. When providing care to acute and chronic wounds the nurse has to go through a process to adequately take care of the wound.…

    • 1457 Words
    • 6 Pages
    Great Essays