The Specialist Forum Volume 13 No 11 November 2013 | Page 9

SAMED dermal pads designed to distribute pressure more evenly, to more advanced technologies including pressure-relieving surfaces. These technologies have the potential to reduce the incidence of pressure ulcers and many have been shown to be highly cost-effective interventions that can reduce the total cost of care, often without large up-front investments. Modern wound dressings The majority of modern wound dressings and treatments (such as negative pressure wound therapy) seek to provide an optimal woundhealing environment to promote primary closure of a wound. In practice, the availability of many modern dressings and treatments remains limited, often due to concerns about their cost. As a result, many patients continue to be treated with traditional dressings such as gauze secured by tape. However, adopting dressings and treatments on the basis of cost can often be a false economy. Modern dressings have been designed to have improved exudate handling abilities, meaning that the frequency of dressing changes and the associated nursing time can be dramatically reduced. Several studies have shown that the frequency of dressing changes can be reduced from daily to every two to three days, thereby reducing the number of dressings and nurse visits required. Furthermore, modern dressing are intended to provide an optimal wound-healing environment which, when compared with gauze dressings, has been shown to lead to the closure of more wounds in a shorter time. While it may be tempting to choose dressings on the basis of cost, particularly when budgets are under ?\??\?K?[????\?Z?[H?]?HH\??\??HY??X???\??[??[YH[???][\?][?????][?[\?][????][\?Y\???YX?H?\H?????\??[?????B?H?[]]?[H?X[\????[??\?H????[?Y?[??HX\????H?\??[???X^HX?X[H[??X\?H?\??H[???][??????][?[\?][????][\?Y\???YX?HH?[X?\???[Z[\??\??[???]?Z[X?H??[?H?]?[??HHY?[???X]Y[????????]\?[???? ???[?X[KH?X]\?Y??X?Y[??H?Z[???[??HX?Y]?Y??Y??Y??X?]?H?Z[?[??[?YX?][??[?]?YX[?[????Y[???[???\?K?H??X?\?Y???[[YH??Z[?[?????X?][?\??[????Y[????[??\?K?\?Y?H?\??X?X?H??????\??X[?[?X[???YX?HH?\?X][?[??X?X?H[?[\??H]Y[??]??Y\???[?[K]8?&\?[\?[???[Y[X?\?H??H?H]Y[?[?X[?Y?[??Z\???[? ?\?X^H[????HY\?[????ZY[??H?????]?[??\??\?H[XY?K??X?[?^\?[????[????H?\?\??\?H?H\?H?Y?[??]?H?X]Y[???X?\???[?Y[????]?][?[Y?X?K?\?[?[???]Y[??^X?][??X??]Z\???[? ???Y[??\???X]H?X]Y[?[??X\?H?][??H?\???X?[]Y\??H]Y[??[?[[?[Z]H[\X??H??[??]Y[???[ X?Z[???[HX?Y]?[??[??[X[?[?X?[?]??YK??[???\?Y???Y?][?Y[X[???[?X?K\?\?Y[??X\??]?X??\??]?Z] ??\]?Y?[??Y??[???[??[???SQQ?X?\?\?\?X?K??\?Y]Y\?X?H?\??\X\?Y[???X?X?[]Y[??\?K????[X?\? ? L?\??YK??????????][X[?Y?[Y[? ??] ?X?X?][????\??YKX\??]?K??Y?\?[??\?]?Z[X?H??\]Y\? ?? ?????\??X?[?]H[??X?[???\??X?[?]H[??X?[?????\?\?H?\?[??X?\?X[???\?][???H?\??X?[??[?[?\?H\?[X]Y?Y??X?\??[? IH?]Y[???]?HH?\??X?[???Y\?K??[?\?H?[??HX[?Y?Y?[]]?[HX\?[H?]?X?[[?X?[?X????]?\?[?[?H^?[YH?\?\??\?H?[??\?[[??Y?Y?X?[?[??Y]Y\????^[\KYYX\?[?]\?????[???\?XX??\??\?H???[?^Y[]\??X?[??X?[???[??\?[[?^[?Y??][?^\??KZ??][\?][??[?]?[??\X]??\??\?K??HX[?Y?[Y[?????X???[??[?HX???[????\??[X][H ?H?[X[?\??X?H^[?]\?H[?HR?X[?H?\?B?[??X?[???[??HX\?[H?]?[?Y??Y?H??X?[?][???[?\?]]?H[?\?K[?\?]]?H??[X?X?YX\?\?\?[?[\??Y??? [?\?]]?HX[?Y?[Y[??H?\??X?[?]K???[\K[???\X?]Y[?K[ZX??X[[??? [?\?]]?H?\??[??][\??HH?\?X?[]H?H??[? ?[H]H?[YH[YH??Y[??\???X]H??X?[?]?H?Y[????????X?]H??YX?[??[?H[??Y[??H??\??X?[?]H[??X?[??[?X[?H[??[??\??\?H?\??[???\?H[?]?Z[X?H?H??[???Z\?????[]]?B??[?H?Y][?[?\??X?[?\??[??????]?\????Y\?Y[???^ \?H?\??[???\X?[HX???[????H??X?[??H?[????H???Y\?H?H?[?X[??\X?][??]?Y[\?\??\??H??[?\?\?HH?X??\???HXZ???\??X?[????Y\?H???[???\?[????[??[??Y??[YH[?X]?H\?B??H][\[????]?HH]H[?^H??\??[???Y]\?\??X?\?[B??]\[??[?X[?H?\?\???[\??[????[??\?HY??X?Y[??B?][\??[\??H??[??\?HY??X?Y[??H[?????\???H?X?X[\???[H??[X?\? ? L?B??Y?HB??