Home' Australian Pharmacist : Australian Pharmacist March 2015 Contents Australian Pharmacist March 2015 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
COUNSELLING IN PRACTICE
need follow-up. Abrasions remove the
epidermis and expose small surface
nerve endings so they can be quite
It is important to ask him
about pain relief.
Once you are satisfied that Michael’s
only injury is the abrasion to his knee
and inner thigh you can assess the
wound and recommend a dressing.
Firstly you note that the wound is
contaminated by dirt so will need
cleaning and an antiseptic. The wound
appears superficial and you cannot
see any layers of fat or tissue. There is
minimal bleeding so a dressing
suitable for a low-exudating wound is
The position of Michael’s abrasion
affects your choice of dressing.
Many dressings can be applied to the
thigh but a conformable dressing is
required for the knee. A practical point
to consider is the amount of body hair;
some hair may need to be trimmed with
scissors to allow the dressing to adhere
to the surface.
You explain the cleaning process to
Michael and provide him with a few
plastic vials of sterile saline, a pack
of sterile gauze swabs and some
povidone-iodine. It is important to
emphasise that he must wash off the
povidone-iodine. You decide that a
film dressing would be suitable for
application to the abrasions on his knee
and his thigh. You advise him to monitor
the wounds and change the dressing
if any exudate leaks; otherwise the
dressing may stay in place for several
days. Give him instructions on how to
remove the dressing so that he doesn’t
disrupt the healing process. Alert him to
watch for signs of infection and advise
him to see a doctor if this occurs.
• Use a wound dressing that creates
and maintains a moist environment.
• Antiseptics should not be used on a
simple clean wound.
• Choose a dressing that is able to
absorb any exudate from the wound.
1. Sansom LN, ed. Australian pharmaceutical formulary and
handbook. 23rd edn. Canberra: Pharmaceutical Society of
2. Pharmaceutical Society of Australia. Wound care in
practice. Canberra: PSA; 2013.
3. Better Health Channel: Wounds – how to care for them.
2012. At: www.betterhealth.vic.gov.au/bhcv2/bhcarticles.
4. Better Health Channel: Skin cuts and abrasions. 2014.
5. Dressings.org. Alphabetical list of dressings data cards.
2009. At: www.dressings.org/dressings-datacards-by-
6. ConvaTec Australia: AQUACEL Hydrofiber dressing. 2015.
7. ConvaTec Australia: DuoDERM dressing range. 2015. At:
8. Smith & Nephew Australia: Product types. 2015. At:
9. Coloplast: Wound care solutions. 2015. At: www.coloplast.
10. About.com: Skin abrasions and road rash treatment.
2014. At: http://sportsmedicine.about.com/cs/injuries/a/
1. Which of the following is not an
c) Surgical incision.
d) Pressure sore.
e) Dog bite.
2. A person should be referred to a
doctor in each situation EXCEPT:
a) The wound is a cat bite.
b) The wound is a lightly bleeding gravel
c) The wound healed but has now
d) The wound shows signs of infection.
e) The wound is a burn covering over 10%
of a child’s body surface area.
3. Factors which promote wound
a) Allowing a scab to form.
b) Smoking and obesity.
c) Having diabetes.
d) Foreign matter in the wound.
e) Adequate levels of vitamin C, zinc, iron
copper and protein.
4. Moist wound healing:
a) Occurs when gauze dressings are used.
b) Allows a scab to form.
c) Should not be used on skin tears.
d) Promotes re-epithelialisation.
e) Is not best practice.
5. The following are examples of film
a) Opsite, Tegaderm.
b) Melolin, Telfa.
c) Jelonet, Unitulle.
d) Kaltostat, Allevyn Ag.
e) Cutinova hydro.
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