Useful Rules for Examining and Dressing Wounds.
NEVER give the patient more pain from the mole of handling and dressing the wound than is necessary for his present good or future safety. Never distress him by probing, squeezing, etc., to find things that will be of no use when learned.
Make all examinations as soon after the accident as possible; for before inflammation and swelling take place, the probe or finger inflicts much less pain.
In changing the dressing of a wound, let all the fresh ones be ready before the removing of the old. The sponge, warm water, adhesive plaster, lint, ointment, lotions, bandages, etc., should all be at hand, and not have to be looked after when the wound is exposed.
Put the patient in the most easy position, that he may not be needlessly fatigued during the dressing.
If the bandage, plaster, and other dressings, have become hard, and glued together, and to the skin, by blood or matter, soften them with warm boiled water, which is to be pressed out of a sponge, a basin being held below the part to catch the water as it falls from the dressing.
The strips of adhesive plaster are to be removed by pulling gently at one end, and then the other, each to be drawn towards the wound, so as not to pull its lips apart.
In large wounds, take off one, or at most, two strips of plaster at a time. Cleanse, wipe dry, and again support this part of the wound with new strips of plaster, before any more are taken off. This will prevent the wound being torn open by the weight of its parts.
If the wound be large and deep, its sides should be supported by an assistant while changing the dressings.
If there are several wounds, dress but one at a time, that there may be no needless exposure to the air.
Pay the utmost attention to cleanliness, asepsis and dryness.
The frequency of the dressing must depend on the amount and quality of the discharge, the situation of the injury, the climate and season of the year, the effect produced by the dressing, and by the feelings of the patient.
Remember that the one great desideratum is to keep away all germs from the wound and its vicinity.
Any statements made on this site have not been evaluated by the FDA
and are not intended to diagnose, treat or cure any disease or condition.
Always consult your professional health care provider.
copyright 2005, J. Crow Company, New Ipswich NH 03071