StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

The Concept of Silver Dressing Modality - Essay Example

Cite this document
Summary
The paper "The Concept of Silver Dressing Modality" discusses the modality of silver dressing on a patient diagnosed with a non-healing ulcer on the right foot and type II diabetes. The case was reviewed for three months to allow for an accurate follow-up of case…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER93.3% of users find it useful
The Concept of Silver Dressing Modality
Read Text Preview

Extract of sample "The Concept of Silver Dressing Modality"

? Evidence Based Silver Dressing Modality Evidence based Modality Introduction This paper aims at discussing modality of silver dressing on a patient diagnosed with a non-healing ulcer on the right foot and type II diabetes. The case was reviewed for a period of three months in order to allow for an accurate follow-up of the case. This was done under the permision of the clinical educator in a clinial placement session whose objective was to assess this modality. The assesment was based on sessions conducted by a district nurse. In this paper, a brief descriptionof the case study format as well as some of the key issues underlying the modality will be provided. Sequentially, this study will also seek to evaluate the efficacy of the modality based on some of the research conducted in this field. Moreover, the clinical applicability of the modality will also be highlighted. Background The patient, Mr. Y, was a 44 year old male diagnosed with Type II diabetes. He has a history of a non-healing ulcer for seven years. The ulcer is on the superior aspect of Medial malleoli on his right foot, which also had a singficantly high exudate levels. The ulcer was as a result of an injury he sustained after falling down. His blood sugar was also considerably high at 15 Hbl Ac. As such, Mr. Y was not only reluctant in complying to the treatment requirements, but also he refused to attend his clinical schedules as required. Indeed, his condition was made even worse since he opted for self dressing than being assisted by a qualified nurse. A foul odour emanated from the ulcer, which had started to produce a coloured exudatate. A swab of the exudate was taken for analysis for the determination of the the degree of infection. In Alridge et.al (2002) opinion, Mr. Y was made aware of outcomes of the assesment so as to involve him in deciding the next course of action. This entailed explaining to him the need for strict adherance to medical prescriptions or otherwise risk an amputation. Silver dressing was opted for as the suitable modality for stoping the exudation and overall treatment of the infection. Maillard (2006) in his research reported that ionic silver has expansive antimicrobial properties capable of treating a wide range of biopathogenic infections. Contreat foam is one of such dressers. According to Rogers and Patel (2000), contreet form is considered safe and perfoms well when used in the treatment of delayed-healing chronic venous leg ulcer. It combines effective antibacterial properties with excellent exudate management. Еvidеncе for efficacy of thе trеatmеnt Lansdown (2003) present that silver coated dressing is regarded as the most efficacious against a wide range of bacteria. Butcher (2010) compared a sliver dressing changed daily, with the standard procedure of wound care and covering wounds with gauze daily and found that silver dressing caused significantly less pain on removal and had substantially less infection. Moreover, with silver dressing, the ulcer would only require attention every 24 hours and could have been left for 48 hours, reducing dressing time and costs. Integration of silver ion in dressing offers the capacity to hydrate the wound (Graham 2006). In terms of silver dressing antimicrobial effects and toxicity, Herman (2006) expresses there is no common wound pathogen that has demonstrated resistance to pure silver. This therefore becomes effective for treatment of pathogens that are resistant to methilicin (Tioet, 2002). Those that have exhibited some form of resistance are mainly non-wound pathogens such as the Salmonella strain. Morison et.al (2004) further postulates that silver dressing is quite efficient due to the absence of allergy associated with the same. The modality also reduces the healing time as postulated by Lansdown (2002) attributable to silver dressing capability to attack multi-site bacterial infection. The multi-site attack of the silver is accredited to its ability to bind to the membranes of the pathogens thereby inducing rupture and their subsequent death. Furthermore, silver also possesses the ability to induce some alterations to the functional protein component of the microrganisms. This in turn hinders further growth or multiplication of the pathogens (Lansdown 2002). In this way, Rogers et.al (2000) articulates that silver dressing has the potential to cut bacterial infestation on a wound by nearly 60%, whereas a single application of silver-based cream to the wound reduces the same by almost 10% on a single application to the dressing.. According to the National Healing Corporation, dressing using silver-release has been used and continues to be used in the treatment of a wide range of diseases and infections. They further conceive that the pure silver dressings have been shown to have potent antimicrobial activity as well as pro-healing and anti-inflammatory properties. Sustained release of silver is deemed critical to cutting down the bacterial burden from wounds. Leaper (2006) presents that when silver sulfadiazine cream was applied on a cancerous wound once to twice daily; it reacted with serous exudates to form a scar, which must be removed before application of the cream. On the negative note, when hyperosmolar creams that have a short period of silver activity were applied on a patient, it was established that they can also cause surface desiccation of wound (Leaper 2006). Nevertheless, Herman (2010) posits that evidence-based wound care modality is normally hampered by the fact that it is practically impossible to carry out double-blind trials, which in turn makes it difficult to carry out grade A studies. Relevance In the study, it is evident that the colour as well as the variation of the levels of exudation provide a means of assesing the degree of infection and in turn the efficacy of the modality, an idea that Jones et.al (2005) supports. In fact, Mr. Y’s ulcer significantly improved within five weeks especially with the continual use of Contreet foam. Karlsmark et.al (2003) Contreet foam is a sustained silver releasing dressing that combines antibacterial activity with effective exudate handling. Its antiseptic property is due to the preferential silver uptake by susceptible pathogenic organisms. In contreet foam, silver is an integral part of the mixture and is thus recommended for use on wound with high bacterial burden. The foam controls the mositure content of the wound bed and also releases silver ions regarded as promoters of epithelial generation. Conclusion As therefore seen, silver dressing is widely preferred due to a number of reasons; its little allergy effects, little resistance shown to it by most pathogens and its high potential of reducinh healing time. Research on related literature indicates that unique antimicrobial activity of silver enhances wound healing. For many silver-containng dressings, preclinical proof of antimicrobial efficacy has been established. References Armstrong, D.G. (2002) ‘The use of silver as a antimicribial. Alpha & Omega Worldwide. New Jersey: Somerset Aldridge, R., Jamali, M., Guffey, J. S., Yates, D. A. & Ward, M. (2002) Patient compliance: its relevance to the management of a patient with Charcot’s foot. The International Journal of Lower Extremity wound. 1(3), pp.179-183. Boulton, A. M. J., Vileikyte, L., Ragnarson-Tenvall, G. & Apelgvist, J. (2005) The global burden of diabetic foot disease. Lancet. 366, pp.1719-1724. Falanga, V. (2005) Wound healing and its impairment in the diabetic foot. Lancet. 366. pp.1736-1743. Graham, C. (2005) ‘The role of silver in wound healing.’ British Journal of Nursing. 14(19), pp.22-28. Hermans, M. H. (2010). Silver Containing Dressing and the Need for Evidence. Advances in skin and Wound care, 30(3), 166-173. Jones. S., Philip, G., Bowler, M. & Walker, M. (2005) ‘Antimicrobial activity of silver-containing dressings is influenced by dressing conformability with a wound surface.’ Wounds. 17(9), pp.263-270. Lansdown, A. (2002) ‘Silver 1: Its antibacterial properties and mechanism of action.’ Journal of Wound Care. 11(14), pp.125-9. Lansdown, A. B. G. (2003) ‘Contreet foam & Contreet Hydrocolloid: an insight into two new silver-containing dressings.’ Journal of Wound Care. 12, pp.205-210. Leaper, D. (2006) Silver dressings: their role in wound management. International Wound Journal. 3(4), pp.282-29. Luzio, P. R., Dunseath, G., Pauvaday, V., Mustafa, N. & Owens, D. R. (2006) Relationship between HbA1c and indices of glucose tolerance derived from a standardized meal test in newly diagnosed treatment naive subjects with type 2 diabetes. Diabetic Medicine, 23(9), pp.990-995. Karlsmark, T., Agerslev, H. T., Bendz, H., Larsen, R., & Andersen, E. K. (2003, October). Cinical Perfomance of New Silver Dressing;. Journal of Wound management, Contreet Foam, for chronic exuding venous led ulcers, 12(9). Maillard, J. Y. (2006) Focus on Silver. World Wide Wounds [Online]. www.worldwidewounds.com/2006/may/maillard/focus-on-silver.html. (accessed on 2nd January 2010). Morgan, D. (2002) ‘Wounds – what should a dressing formulary include?’ Hospital Pharmacist. 9, pp.261-66. Morison, M. J., Ovington, L. G. & Wilkie, K. (2004) Chronic Wound Care A Problem-Based Learning Approach. Elsevier: China. Rogers, R. S., Patel, M & Alvarez, O. M . (2000). ‘Effect of a Silver Ion containing wound dressing on the bacterial burden of chronic venous ulcers.’ 13th Annual Symposium on Advanced Wound Care, Dallas,Texas. Retrieved from http://www.medline.com/wound-skin-care/arglaes/lit/Case%20Study%20-%20Arglaes-Effect%20of%20Silver%20Ion.pdf Strohal, R., Schelling, M., Takacs, M., Jurecka, W., Gruber, U. & Boffner, F. (2005) ‘Nanocrystalline silver dressings as an efficient anti MRSA barrier: a new solution to an increasing problem.’ Journal of Hospital Infection. 60, pp.226-230. Stephen-Haynes, J. & Toner, L. (2007) Assessment and management of wound infection: the role of silver. Wound Care. (supplement pp S6-12). Teot, L., Maggio, G & Barrett, S. (2002) The management of wounds using silvercel hydroalginate, wounds UK. 770-77. Retrieved from http://www.wounds-uk.com/pdf/content_9015.pdf Winter, G. D. (1962) ‘Formation of scab and rate of epithelialization of superficial wounds in the skin of the young domestic pig.’ Nature. 193, pp.293-294. Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“SIlver dressings modality Essay Example | Topics and Well Written Essays - 1000 words”, n.d.)
SIlver dressings modality Essay Example | Topics and Well Written Essays - 1000 words. Retrieved from https://studentshare.org/health-sciences-medicine/1438130-silver-dressings-modality
(SIlver Dressings Modality Essay Example | Topics and Well Written Essays - 1000 Words)
SIlver Dressings Modality Essay Example | Topics and Well Written Essays - 1000 Words. https://studentshare.org/health-sciences-medicine/1438130-silver-dressings-modality.
“SIlver Dressings Modality Essay Example | Topics and Well Written Essays - 1000 Words”, n.d. https://studentshare.org/health-sciences-medicine/1438130-silver-dressings-modality.
  • Cited: 0 times

CHECK THESE SAMPLES OF The Concept of Silver Dressing Modality

In Focus: The Nurse to Patient Ratio at USC Medical Center in Los Angeles County

concept Map Nurses employed in hospitals that practice a higher nurse to patient ratio most likely generates job dissatisfaction and burnout.... The problem that the researcher chose to address is the nurse-to-patient ratio in the USC Medical Center.... The organisation that the researcher chose is the USC Medical Center in Los Angeles County, located in California, USA....
10 Pages (2500 words) Assignment

Transnational Geographies

This paper ''Transnational Geographies'' tells us that transnational migration is one of the vital aspects influencing the demographic statistics of a region.... People from time immemorial have migrated from one place to another crossing geographical boundaries in search of a better life.... ... ...
14 Pages (3500 words) Essay

Are silver dressings helping in the treatment of diabetic foot ulcers

The antimicrobial properties of silver are well documented since ancient times.... Even as early as 750AD, silver vessels were used to store water in recognition of silver's medicinal properties.... Crede is credited for producing the first scientific papers in 1881, on the use of silver for preventing eye infection in neonates.... ommonly used vehicles for delivery of silver include foams, alginates, films, sheets and hydrocolloids....
18 Pages (4500 words) Essay

How Addressing a Patients Pain Improves Concordance

studies a patient diagnosed to have bilateral varicose vein leg ulcer when she was in the hospital during the admission and the patient was referred to the nurse for the management of pain, dressing, and wound healing.... X to take prescribed meds on time and just half an hour before the dressing change ... applied barrier cream cavilon cream to the surrounding area, then anti microbial silver-impregnated dressing (equal) to the wound bed....
2 Pages (500 words) Essay

Diabetic Foot Ulcers

There does not seem to be any wound dressing recommended.... This paper "Diabetic Foot Ulcers" discusses diabetic foot ulcers that are poor healing and a burden to the patient that has them.... Conservative treatment consists of such things as wound debridement, pressure relief, and wound dressings....
9 Pages (2250 words) Literature review

Home Health Care at Saudi Arabia

The paper "Home Health Care at Saudi Arabia" is a good example of a literature review on nursing.... Swanson and Nies define home health care (HHC) as a comprehensive and comfortable alternative to nursing homes.... ... ... ... The paper "Home Health Care at Saudi Arabia" is a good example of a literature review on nursing....
21 Pages (5250 words) Literature review

Managing Pressure Ulcer

Hence in addition to an exceptional wound dressing, health and diet factors come in handy in order to cater to Miss Pickles' hypertension as well as kidney disorders.... Many regards open wounds as challenging particularly when linked by some underlying factors as in the case with Miss Pickles' however with proper bed preparation accompanied by the well-managed wound dressing it is possible to come up with great and satisfactory results....
11 Pages (2750 words) Case Study

Sulfonamide Type Antimicrobial

The paper "Sulfonamide Type Antimicrobial" discusses that a different justification for the parabolic connection was suggested by Cowles who indicated that the –ve ion responsible for bacteriostatic activity penetrates with hardship to the action's site within the cell.... ... ... ... The sulfonamides' least inhibitory concentrations (MIC) against Actinobacillus pleuropneumonia, a veterinary pathogen that is gram-negative, were used....
10 Pages (2500 words) Report
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us