Microsoft powerpoint - newsletter jan feb 2013 ltc final

Skin Deep
January/February 2013
An Advanced Tissue newsletter written by Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS  Ask Carolyn:
Possible Alternative
Q: I am a new treatment nurse in Utah and have a question. Our Medical Director
for Silvadene Cream
is ordering Silvadene Cream for all chronic wounds. Would you describe this A: Silvadene C
a burn is SilvaSorb Gel.
treatment of wound infection in patients with second- and third-degree burns.
Before using Silvadene, obtain a medical history specifically including: •Allergy to silver sulfadiazine or another sulfa antibiotic (such as sulfamethoxazole) Various products may interact with Silvadene, including: •Phenytoin (Dilantin),skin products containing sodium sulfacetamide •Enzymes used to remove dead tissue such as collagenase (Santyl)Have a question for Carolyn? E-mail . What is the difference
Weight Loss:
between Slough
Indicator for
delayed healing
Adequate nourishment is critical to healthy skin and isn’t it all dead tissue?
wound healing. Literature suggests that weight loss is a Injury or lack of blood flow to the skin results in significant predictor of pressure ulcer development and a necrotic or dead tissue. As the tissue dies, it strong indicator of delayed healing. The dietician should changes color and consistency and adheres to the be consulted regarding significant weight loss as a wound bed. Necrotic tissue is called either slough or eschar.
Slough is hydrated (moist) necrotic tissue. The
Variations in Normal Healing
color of slough varies, including: yellow, gray, tan The events associated with wound healing do not always and brown. Slough is soft and thin, fibrinous or proceed smoothly. Two deviations in healing may occur even with optimal care: Exuberant granulation, or proud Eschar is dry
y (no moisture) necrotic tissue; it has a flesh, results from the formation of excessive granulation firm, dry, leather, black-to-brown appearance. As tissue that may protrude above the margins of the eschar is moistened, it slowly turns to slough. The presence of slough or eschar indicates full Keloids are large, bulging, scars
thickness tissue damage and effective treatment collagen present in the connective tissue. Consult the physician for treatment orders.
For more information about Advanced Tissue, please call 866‐217‐9900 or go to We recommend you copy our newsletter and post for your clinicians to read. After all clinicians have initialed--file in an education binder. During survey, this binder will document multiple educational opportunities you have provided.



Your PreventiveRxSM Drug List: Expanded Plan PreventiveRx covers drugs that help keep you healthy because they prevent illness and other health conditions. You can get the products on this list at low or no cost to you. This list includes only prescription products. Brand-name drugs are listed with a first capital letter. Non-brand drugs (generics) are in lowercase letters. Birth control

Convencion para prevenir y sancionar los actos de terrorismo configurados en delitos contra las personas y la extorsion conexa cuando estos tengan trascendencia internacional

Firma: 2 de Febrero, 1971 Normativa Dominicana: Resolución No. 316. Fecha 18 de Marzo, 1976 Gaceta Oficial: No. 9395. Fecha 3 de Marzo, 1976, Pág. 276 Colección de Leyes: Año 1976, Pág. 276 Suscrita en el Tercer Período Extraordinario de Sesiones de la AsambleaGeneral, celebrada en Washington, DC, el 2 de febrero de 1971LOS ESTADOS MIEMBROS DE LA ORGANIZACIÓN DE ESTADO

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