/*moduli blog stessa altezza*/

Jul 4, 2023

Management of the Peri Wound Skin

The skin surrounding the injury is called ‘Periwound’. it can become macerated which is vulnerable to breakdown, leading to a possible increase in the size of the wound. In such a situation, ‘Periwound Skin Management’ plays an imperative role.

An injury which is too moist can be as deleterious to the injury healing process as a wound that is too dry. The skin surrounding the injury is called ‘Periwound’, especially when the wound is too moist. And, it can become macerated which is vulnerable to breakdown, leading to a possible increase in the size of the wound. In such a situation, ‘Periwound Skin Management’ plays an imperative role. Its primary goal is to maintain an optimal moist whilst preventing skin infection & breakdown. It’s one of the major culprits that delay wound healing and at the same time, increase pain. 

Therefore, for proper Management of the Periwound Skin, it’s crucial to identify current conditions and essential factors in wound assessment to prevent the risks of wound progress declination. This includes the periwound as well as epidermis around it, extending 4cm from the injury bed. In a thorough wound evaluation, assessing its shape, colour, location, and edges is extremely important. Among these, margins are good indicators for determining the wound infection, type, and moisture balance in order to manage the care plan. 

Pivotal periwound characteristics terms: 

  • Abscess: As a result of a chronic and acute localized infection, it’s a collection of fluid within the tissue.  
  • Epibole: It’s an edge of injuries which is thickened & rolled under. 
  • Erosion: It’s the loss of a few or all of the dermis. 
  • Induration: It’s the firmness of the tissues.
  • Pitting edema: It means fluid in the tissue which can be indented.

Periwound Skin Breakdown Prevention & Management:

Any break in the epidermis is at risk for periwound complications and breakdown. Prevention, treatment with an appropriate dressing, and managing the injury regularly will ensure wound healing is in progress and moving towards the aim of wound closure. There is an array of strategies that help you prevent & manage the periwound and its surrounding skin:  

  • Utilize skin sealant dressings (spray or liquor) on the periwound and its surrounding area to lessen friction forces. 
  • Use larger foam dressings in order to maximize absorption.
  • Avoid repeated application as well as the removal of adhesive bandages and tapes since it can damage the injury.
  • Remove adhesive bandages properly. It can be done most effectively by simply pressing down on the dermis near the edge of the dressing whilst lifting adhesive.
  • Employ barrier ointments and creams to prevent the skin from moisture.
  • Most importantly, moisture balance is of paramount significance. For instance, utilize the right absorptive dressing in order to maintain a balance in moisture as well as avoid maceration.

To sum up, for the Management of the Periwound Skin, paying attention to all these significant tactics is undoubtedly important.