Rabu, 25 Januari 2017

Over granulating wound

Over-Granulating Wound

Description 
Granulation tissue which is raised above the level of the surrounding skin. 

Treatment Aim 
• To reduce further development of granulation tissue
• To promote epithelialisation.  

Treatment  Primary Dressing 
• Polyurethane foam film, to provide uniform downwards pressure against the granulation  

Secondary Dressing 
• Only required if primary dressing is non-adherent  

 Considerations 
• Look for signs and symptoms of infection. Hyper-granulation can be encouraged by a bacterial   load.
• Trialling an antimicrobial applied with a secondary dressing that will provide uniform  downward pressure, as tolerated, on the wound may be of assistance.
• Topical steroids may be of use. Discuss with medical staff or nurse specialists in  your area.                                                               

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