By contactus
March 10, 2012
Category: Uncategorized
Tags: Untagged

 

Dear Mrs. Smith,

The Agency for Healthcare Research and Quality (AHRQ), a division of the U.S. Department of Health & Human Services (HHS), reviews, accepts and publishes guidelines that become standards of care for various conditions. In 2011, the National Guideline Clearinghouse published on the Internet the Association for the Advancement of Wound Care (AAWC) guidelines for pressure ulcers. In this guideline, they state that “using wet-to-dry gauze is considered sub-standard practice.”

The wet-to-dry (WTD) dressing has been used for almost a century because it was the most basic form of dressing to cover a wound. Whether in a battlefield or a motor vehicle accident, it provides a basic covering to a wound at very little cost. It has also been referred to as a “moist gauze dressing,” but there is a substantial difference between the two types of dressings.

The WTD dressing went from a basic wound covering to a method of mechanical debridement. Gauze saturated with saline or water is applied to a wound and left in place for 24 hours which allows enough time for the gauze to dry out and stick to the wound. After 24 hours, the dry gauze is literally ripped off the wound, taking necrotic tissue and some healthy bleeding tissue along with the gauze. After 2 or 3 WTD dressing changes, there is very little necrotic tissue left on the wound, leaving viable healthy tissue to be ripped away. This is far more painful than a bikini wax or ripping tape off a hairy arm. Some patients were given “bite-blocks” to bite down on when the dressing was ripped away from their body. Screaming during the process can easily be heard down a hallway. Using the WTD dressing as a form of mechanical debridement is a barbaric method that some refer to as inhumane or even torture.

The AAWC Guidelines for Pressure Ulcers 2010 are referring to the use of WTD dressing for the purpose of mechanical debridement. The entire statement reads: “Mechanical debridement using wet-to-dry gauze is considered substandard practice. (Evidence Level = C).” It is possible for this guideline to be cited for non-pressure ulcers and not just relating to mechanical debridement, as a “moist gauze” dressing has be shown to be identical or clearly similar. With so many dressing options to choose from today, hopefully the WTD dressing for debridement purposes will fade away into history.

From your friends at Amerx Health Care www.amerigel.com/

Comments:





Archive:

Arizona AFO, Inc. is the home of the original, patented Arizona AFO®. Located in Mesa, AZ, we are the exclusive central fabrication facility for all Arizona AFO, Inc. products. Our extensive product line can meet the needs of a variety of patients. These products are all custom made utilizing the finest leathers and materials. For more information please visit our website at www.arizonaafo.com or call toll free 1-877-780-8382.

BioMedix Vascular Solutions, Inc. provides the only integrated suite of hardware, software and online services designed to cost-effectively detect Peripheral Arterial Disease (P.A.D.) and Chronic Venous Insufficiency (CVI). Vascular specialists, primary care and podiatric physicians, hospitals and health systems use our products to identify these patients. Our devices and Health Information Technology (HIT) software reduce mistakes, provide data for sound analysis, build practice revenue and streamline reimbursement while providing a platform that supports the continuum of care and increased quality outcomes.

Amerx Health Care Corporation is the manufacturer of Amerigel Skin and Wound Care products. Exclusive to the Amerigel® product line, the ingredient Oakin™ is proven to heal wounds and skin conditions and improve patient outcomes. This unique formulation and the company's commitment to quality, consistency and service has earned Amerigel® Wound Dressing the #1 rating for the past 6 years in the podiatric profession. For more information on the Amerigel products, please visit our website: www.amerigel.com or call toll free: 1-800-448-9599.

Bako Pathology Services www.bakopathology.com is a physician-owned provider of a wide array of pathology services ranging from histopathologic examination of bone, soft tissue, and skin/nail unit, to microbiology and epidermal nerve fiber density testing. We pride ourselves on providing the best available customer service, concise reports with therapeutic options, photomicrographic imaging, compliant and patient-friendly billing policies, internet-based report access, and a client/patient comes-first business model.

At Bako Pathology Services, we're not just providing a premium pathology service; we're dedicated to the advancement of this great profession through Education, Research, and Financial Support.

"SafeStep Does DME" and is the podiatrist's complete source for diabetic shoes, prefabricated and custom AFO's and ready-made inserts. Featuring footwear from Aetrex, OrthoFeet, New Balance, Pedors, Crocs, Brooks, Hush Puppies and others. AFO's from Ossur, Aircast, Swede-O, DJO, Darco and more. SafeStep is the exclusive podiatric distributor of the Arizona AFO. SafeStep exclusively offers free electronic billing to Medicare and private insurance companies.

Click here to access marketing material related to Mrs. Smith.

Since 2002, Officite has been a leading national provider of customized Web sites and marketing solutions for dental and medical practices. More than 3,500 doctors have grown their practices with our state-of-the-art online capabilities and marketing materials. Our staff of web developers, writers, designers and programmers stays on the cutting edge of technology and marketing to ensure that every Officite Web site produces results. Let Officite be your partner for online marketing success.