The Mölnlycke O.R. blog
Managing the real challenges of high viscosity wounds
Wound exudate, essential as it is to wound healing, is one aspect of wound care that influences a patient’s quality of life1. While different types of exudate play a role in the healing journey, one of the biggest challenges a patient faces is with highly viscous exudate. Normal healing generates normal, clear and thin exudate, and healing is promoted by having just the right balance of moisture, and this can be addressed with care and the right dressing choice.
The difficulty arises when the inflammatory phase that generates exudate is prolonged and healing is delayed. This often produces highly viscous exudate, which can be difficult to manage and can make management of the wound more difficult. In practice, the aim is to achieve a balance between selecting a dressing that helps to maintain an ideal healing environment while also containing exudate, limiting leakage and preventing patient discomfort.
A recent study published in Wounds International1 explains these concerns within the scope of optimizing healing factors while taking an in-depth look at types of exudate. The study provides an evidentiary basis for what clinicians experience in practice.
In recent interviews with wound care nurses in several hospitals in Germany, we learned that traditional care approaches have often considered the wound as it is in the immediate moment – when the patient visits the clinician. More modern approaches are holistic, and take lifestyle factors and systemic wound causes into account.
Watch nurses Susanne Binarsch-Jaroslawsky and Melissa Nowak, who specialists in wound care, explain the challenges of high viscosity wounds.