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A nursing care of chronic wounds from a nursing perspective
Kolandová, Martina ; Kordulová, Pavla (advisor) ; Bohuslavová, Monika (referee)
The introduction to problematics: Nowadays there is opened gates for choosing individual medical devices. It's our goal to ensure and mediate the best therapy and comfortability in nursing care. I can't forget to the appreciation of the profit at individual departments for the right therapy of chronic wounds. Moreover, the erudition of general nurses in this problematic and searching for new trends is also very important. Methodology: The target of this thesis is to find out the level of awareness of general nurses working at intensive and resuscitation departments about actually recommended procedures in prevention, therapy and care connected with the healing of chronic wounds. One of the partial targets was to find out, which materials and methods are used by general nurses during the care of chronic wound. The second partial target was to find out, which are the barriers for general nurses during implementation of modern trends in prevention and case of healing chronic wounds. I have chosen quantitative research method for my investigation. All the information was picked up via my own anonymous questionnaire. The sample of research was based on the answers of general nurses working at resuscitation department and acute intensive care department in tree medical compartments in Central Bohemia...
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Cytototoxic effects of antiseptics in devices for chronic wound healing
Kejzlarová, Leona ; Pavlík, Vojtěch (advisor) ; Hrdý, Jiří (referee)
Chronic wounds are often colonized by pathogens bacteria. The occurrence of infection on the surface results in an injured and delayed healing process. Therefore, the use of antimicrobial agents that eliminate microbiological stress and prevent infection is required for the treatment of chronic wounds. Microbial agents include antibiotics, but pathogens are able to develop resistance to them. Antiseptic agents are therefore used, which act non-selectively. Antiseptics may be cytotoxic to human tissue cells and cause a delay in wound healing. A certain balance needs to be struck between antimicrobial activity and cytotoxicity. The most commonly used active substances with microbicidal properties in antiseptic preparations are: silver, iodine, chlorine, octenidine, polyhexanide, and chlorhexidine. This work describes the mechanisms of action of these agents and compares the clinical and laboratory knowledge of their effectiveness in chronic wound healing and cytotoxicity against cells involved in this process. Keywords: Chronic wounds, antiseptic, cytotoxicity, octenidine, chlorhexidine, polyhexamethylen, PHMB, iodine, silver, chlor
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