Chronic Wounds - Englische Ausgabe

Diagnostics – Therapy – Health Care

1st Edition - April 5, 2021
Editors: Joachim Dissemond, Knut Kröger, Initiative Chronische Wunden e.V.
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 6 7 6 2 - 4
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 6 7 6 3 - 1

This book offers health care professionals practically everything they need to know about treating chronic wounds. It focuses on what is really important in practice, giving… Read more

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This book offers health care professionals practically everything they need to know about treating chronic wounds. It focuses on what is really important in practice, giving up-to-date clinical evidence for each case. Numerous colour photos and illustrations show representative cases from daily clinical practice and ensure optimum clarity. The well-known publishers and authors from Initiative Chronische Wunden (ICW) share their expert knowledge and show the reader what to look out for. Included in the contents: - The basics and pathophysiology of wound-healing - Wounds in diabetes, CVI, PAOD, pressure ulcers, burns, etc. - Factors which inhibit wound-healing - Factors which support wound-healing - Pain therapy - Prophylactic measures and relapse prevention - Living with the wound - Management and documentation of wounds

Cover
Title page
Contents
Copyright
Foreword
Preface
Editors
Authors
Abbreviations
Illustration credits
I: The basics
Chapter 1: History of the treatment of chronic wounds
1.1. Introduction
1.2. Venous leg ulcers
Chapter 2: Current definitions and spellings for the treatment of chronic wounds
2.1. Introduction
2.2. Definitions
2.3. Conclusion
Chapter 3: Epidemiology
3.1. Introduction
3.2. Prevalence estimation
3.3. Costs and outlook
3.4. Conclusion
Chapter 4: Evidence and guidelines
4.1. Introduction
4.2. Guidelines
4.3. Evidence in wound medicine
4.4. Randomised controlled trials in wound-healing
4.5. Conclusion
Chapter 5: Ethical aspects
5.1. Introduction ethics
5.2. Medical ethics
5.3. Practical ethics for the treatment of people with chronic wounds
Chapter 6: Hygiene
6.1. Introduction
6.2. Infection of wounds
6.3. Hygiene in wound care
6.4. Basic hygiene during patient treatment
6.5. Risk assessment as basis for hygiene measures
6.6. Hygienic surgical debridement
6.7. Hygienic requirements for the changing of wound dressings
6.8. Wound care in the case of infected patients
6.9. Conclusion
Chapter 7: Physiology and pathology of wound-healing
7.1. Efficient complexity of wound-healing
7.2. pH value and wound-healing
II: Disease patterns
Chapter 8: Systematic diagnosis of chronic wounds: the ABCDE rule
8.1. Introduction
8.2. Definitions
8.3. Conclusion
Chapter 9: Disease patterns of peripheral artery disease (PAD)
9.1. Introduction
9.2. Definition
9.3. Epidemiology
9.4. Diagnosis of PAD
9.5. Therapy of PAD
9.6. Therapy of claudication
9.7. Therapy of chronic critical limb ischaemia
9.8. Conclusion
Chapter 10: Disease patterns in diabetes mellitus
10.1. Introduction
10.2. Epidemiology
10.3. Pathophysiology and pathogenesis
10.4. Classification of DFS
10.5. Localisation of diabetic ulcers
10.6. Treatment of DFS
10.7. Follow-up care, relapse prevention
10.8. Conclusion
Chapter 11: Disease patterns in chronic venous insufficiency (CVI)
11.1. Introduction
11.2. Definition
11.3. Epidemiology
11.4. Diagnostics of chronic venous diseases
11.5. Therapy of chronic venous diseases
11.6. Conclusion
Chapter 12: Disease patterns in pressure ulcers
12.1. Pressure ulcer aetiology and pathogenesis
12.2. Pressure ulcer risk
12.3. Pressure ulcer diagnosis and classification
12.4. Therapy of pressure ulcers
12.5. Conclusion
Chapter 13: Disease patterns in burns
13.1. Introduction
13.2. Definition and classification
13.3. Epidemiology, genesis and pathophysiology
13.4. Preclinical care and admission to a burn centre
13.5. Treatment for a burn wound
13.6. Treatment of infected burn wounds
13.7. Burn consequences
13.8. Conclusion
Chapter 14: Rare causes of chronic wounds
14.1. Introduction
14.2. Clinical pictures
14.3. Conclusion
Chapter 15: Pathological skin changes
15.1. Wound or no wound?
15.2. Incontinence-associated dermatitis
Chapter 16: Pathological scars
16.1. Introduction
16.2. Pathological scars
16.3. Pathophysiology
16.4. Prevention of pathological scars
16.5. Scar therapy
16.6. Conclusion
Chapter 17: Cooling down and wound-healing
17.1. Introduction
17.2. Blood circulation
17.3. Enzyme activity
17.4. Cell division
17.5. Conclusion
III: Factors which inhibit wound-healing
Chapter 18: Nutrition for patients with chronic wounds
18.1. Introduction
18.2. What is malnutrition?
18.3. Causes of malnutrition
18.4. Diagnostics of malnutrition
18.5. Energy demand assessment
18.6. Food composition
18.7. Oral food – enteral nutrition – parenteral nutrition
18.8. Conclusion
Chapter 19: Disease patterns in oedema, lymphoedema, and lipoedema
19.1. Systematics of oedema
19.2. Lymphoedema
19.3. Lipoedema
Chapter 20: Obesity-associated wound treatment
20.1. Introduction
20.2. Influence of obesity on chronic wounds
20.3. Algorithm of wound treatment in obese patients
20.4. Special features of wound management in obese patients
20.5. Nutrition and possibilities of weight reduction contribute to the healing of chronic wounds
20.6. Networks
Chapter 21: Wound care for patients with dementia
21.1. Introduction
21.2. Dementia
21.3. Epidemiology of pressure ulcers in patients with dementia
21.4. Assessment
21.5. Special features of therapy for patients with dementia
21.6. Conclusion
Chapter 22: Systematics of wound treatment – the M.O.I.S.T. concept
22.1. Introduction
22.2. The M.O.I.S.T. concept
22.3. Conclusion
IV: Factors which support wound-healing
Chapter 23: Systematic wound treatment – the WundUhr®
23.1. Introduction
23.2. Causal treatment
23.3. Debridement and edge protection
23.4. Phases of wound-healing
23.5. Individualised therapy
Chapter 24: Systematics of debridement
24.1. Introduction
24.2. Autolytic debridement
24.3. Proteolytic debridement
24.4. Osmotic debridement
24.5. Mechanical debridement
24.6. Surgical debridement
24.7. Biosurgical debridement
24.8. Debridement with ultrasound or hydrotherapies
24.9. Discussion
24.10. Conclusion
Chapter 25: Systematics of infection control
25.1. Introduction
25.2. Infection of wounds
25.3. Host disposition
25.4. Laboratory diagnostics
25.5. Wound-cleaning and disinfection
25.6. Therapy of wound infections
25.7. Conclusion
Chapter 26: Systematics of wound therapeutics
26.1. Wound dressings
26.2. Active wound therapeutics
Chapter 27: Systematics of surgical treatment
27.1. Introduction
27.2. Operational procedure
27.3. Conclusion
Chapter 28: Systematics of physical wound treatment
28.1. Physical wound treatment options
28.2. Negative pressure wound therapy
28.3. Cold atmospheric plasma
28.4. Electrostimulation
Chapter 29: Systematics of compression therapy
29.1. Definition and important basic terms
29.2. Mode of operation
29.3. Indications and contraindications
29.4. Materials
29.5. Choosing the right material
29.6. Side effects, risks and their avoidance
Chapter 30: Systematics of pressure relief
30.1. Pressure relief in diabetic foot syndrome
30.2. Pressure relief for pressure ulcers
Chapter 31: Systematics of oxygen therapy in wound treatment
31.1. Role of oxygen in wound-healing
31.2. Oxygen wound treatment
31.3. Conclusion
Chapter 32: Systematics of physiotherapy
32.1. Introduction
32.2. Complete decongestive therapy (CDT)
32.3. Manual lymph drainage (MLD)
32.4. Decongestive respiratory and exercise therapy
32.5. Intermittent pneumatic compression (IPC)
Chapter 33: Skin substitutes
33.1. Introduction
33.2. Classification of available skin substitutes
33.3. Special features of the burn wound
33.4. Development of keratinocyte cultures
33.5. Cultured epidermal autografts (CEA)
33.6. Cell suspensions
33.7. Cultured cells and biological or mixed synthetic- biological carriers
33.8. Outlook
Chapter 34: Systematics of drug therapy
34.1. Introduction
34.2. Calcium channel blockers
34.3. Beta receptor blockers
34.4. Angiotensin-converting enzyme (ACE) inhibitors
34.5. Antiaggregants, e. g. acetylsalicylic acid, clopidogrel
34.6. Non-steroidal anti-inflammatory drugs, e. g. diclofenac, ibuprofen
34.7. Anticoagulants, e. g. heparins, vitamin K antagonists
34.8. Doxycyclin
34.9. Simvastatin
34.10. Conclusion
Chapter 35: Special aspects of palliative medicine
35.1. Introduction
35.2. Situation of the health care professionals
35.3. Non-malignant wounds in palliative medicine
35.4. Pain
35.5. Odour
35.6. Exudate management
35.7. Infection management
35.8. Bleeding
35.9. Skincare
35.10. Conclusion
Chapter 36: Wound therapy for split skin grafts
36.1. Introduction
36.2. Properties of split skin
36.3. Practical implementation
36.4. Postoperative wound care of the split skin donor site
36.5. Conclusion
V: Prophylactic measures
Chapter 37: Periwound skin
37.1. Introduction
37.2. Symptoms
37.3. Conclusion
Chapter 38: Skincare
38.1. Introduction
38.2. Basics of the epidermal barrier
38.3. Risk factors
38.4. Protection measures
38.5. Measures for regeneration
Chapter 39: Allergy
39.1. Introduction
39.2. Contact sensitisation in patients with chronic wounds
39.3. Procedure in case of suspected contact dermatitis
39.4. Contact allergies to modern wound dressings
39.5. Conclusion
Chapter 40: Podiatry in patients with foot diseases
40.1. Introduction
40.2. Taking care of one’s own feet
40.3. Treatment of nail changes
40.4. Prevention of pressure points
40.5. Treatment of cornifications
40.6. Nail correction clips
40.7. Orthoses
Chapter 41: Pain therapy
41.1. Introduction
41.2. Causes of pain
41.3. Detection of pain
41.4. Acute pain – chronic pain
41.5. Pain therapy
41.6. Special features of patients with chronic wounds
41.7. Conclusion
Chapter 42: Placebo
42.1. Introduction
42.2. Placebo effect
42.3. Placebo in wound-healing
42.4. Conclusion
VI: Living with a wound
Chapter 43: Body perception
43.1. Introduction
43.2. The perceived body
43.3. Chronic wounds and their health care professionals
43.4. Classical psychological interpretations of body perception by the psyche
43.5. Physical body and perceived body
43.6. Consequences for the doctor-patient relationship
43.7. HSAN and BID
43.8. Conclusion
Chapter 44: Health-related quality of life
44.1. What is health-related quality of life?
44.2. Why is it important in wound care to measure quality of life?
44.3. How can quality of life in wound care be measured?
Chapter 45: Secondary illness gain
45.1. Introduction
45.2. Definitions
45.3. Epidemiology of artefact syndromes
45.4. Cutaneous artefacts
45.5. Secondary illness gain: a synopsis for wound care therapists
VII: Structures
Chapter 46: Wound documentation
46.1. Wound anamnesis and assessment
46.2. Wound photograph(y)
46.3. Electronic Data Processing (EDP)-supported wound documentation
Chapter 47: Requirements in wound management
47.1. Requirements for a wound team
47.2. Requirements for discharge management and structured outpatient wound care
Chapter 48: Health economics and people-centred wound care
48.1. Costs and care situation of chronic wounds
48.2. Methods
48.3. Results
48.4. Conclusion
Index