Wound Care Supplies

 

*The information provided in this blog is not medical advice and is not intended to, and does not, replace the advice provided by your health care professional. Always seek advice from your licensed healthcare professional in regards to your healthcare needs.

 

Since we launched EB Resource over four years ago, we’ve set out to provide readers a forum where they could share stories through our blogs, interact with others on our Facebook and Twitter pages and learn across a myriad of different topics that may be of concern and interest to EB patients and their families. But for whatever reason our online community members keep coming back to this site, there is one thing that all EB families have in common, a critical component that is inevitable once a family receives a diagnosis of epidermolysis bullosa. And that is wound care.

 

As both a member of the Hollister Wound Care team as well as President of the Board of Directors for DebRA of America and the lead person coordinating DebRA’s New Family Program, I help families try to better understand their wound care needs on a daily basis.

 

From time to time, we have featured different basic wound care dressings that make up the Hollister Wound Care family as they have been released and updated over the years but I thought perhaps it might be helpful to have a brief look at all of the main wound care materials within one blog. You can find additional information about each of them on the Hollister wound site and each item described below includes a link to that specific wound dressing’s information page on the site.

 

Endoform Dermal Template

Designed to deliver the strength of a dermal template with the simplicity of a collagen-based dressing, it is derived from an ovine (sheep) source and composed of 90% collagen and 10% intact, native extracellular matrix (ECM). The endoform dermal template demonstrates broad spectrum matrix metalloproteinases (MMP) reduction which may contribute to better wound healing. For more information about this wound care option, click here.

 

Restore Foam Dressings and LITE Foam Dressings

These super-absorbent dressings, which feature TRIACT ADVANCED Technology, may be helpful for patients facing chronic wounds with light to heavy exudates (LITE Foam dressings) and moderate to heavy exudates (standard Foam Dressings), as well as wounds with fragile surrounding skin. As exudates passes through a contact layer into the foam pad, the wound drains vertically and surrounding skin is protected from excessive softening. For more information about this wound care option, click here to learn about standard Foam Dressings and click here to learn about LITE Foam Dressings.

 

Restore Contact Layer FLEX Dressings

These dressings feature a flexible mesh and gentle tack to make it easier to apply them to hard-to-wrap areas. The dressings incorporate TRIACT® Technology and are highly conformable, non-adherent and ultra flexible, maintaining a moist wound interface. For more information about this wound care option, click here.

 

Restore Contact Layer Dressings and Contact Layer Dressings with Silver

These dressings can be best used with low to moderate exuding wounds. Because of its TRIACT technology and non-adhesive, non-greasy nature, the dressings can be removed easily and virtually pain-free, which makes them suitable for wounds with fragile surrounding skin. An alternative featuring silver may be useful for reducing infection for wounds with low to moderate exudates as silver releases while the dressing absorbs the exudates. While early research indicates that continuous silver release may sustain antibacterial activity for up to seven days, patients should check with their doctor before using any product which contains silver sulfate. For more information about this wound care option, click here.

 

Restore Calcium Alginate Dressings and Restore Calcium Alginate Silver Dressings

These unique dressings offer high absorbency and less residue than other calcium alginate dressings, leaving a cleaner surface area when removed than similar dressings available. Because of their advanced fiber makeup, they require less frequent changing, though patients should consult with their physician for guidelines. An optional version is available containing ionic silver complex which releases silver ions in the presence of wound fluid to fight odor and bacteria. For more information about this wound care option, click here.

 

Deciphering Dressings

*The information provided in this blog is not medical advice and is not intended to, and does not replace, the advice provided by your healthcare professional. Always seek advice from your licensed healthcare professional in regards to your healthcare needs.

How do you know if you’ve picked the absolutely best wound dressing alternative? Sometimes, it can be difficult to choose medical supplies and know exactly which material is right for you. We’ve shared before criteria you may wish to use when selecting a wound dressing, but you may not be aware of the variety of dressing options available to you, just through the Hollister Wound Care family of products alone.

We’ve put together a quick and easy reference guide to our wound care products most commonly used by EB families. If you’d like to learn more about a particular dressing, just click on the name’s link for more details. 

Restore Contact Layer FLEX Dressings
Some of our most recently released dressings, they feature a flexible mesh and gentle tack to make it easier to apply them to hard-to-wrap areas. The dressings, which incorporate TRIACT® Technology, are highly conformable, non-adherent and ultra flexible, and they maintain a moist wound interface.

Restore Contact Layer Dressings
Contact Layer Dressings can be best used with low to moderate exuding wounds, and though most EB families change dressings daily or every other day, these particular dressings may be worn for up to seven days. It is always recommended that you follow the guidance of your physician with regard to frequency of dressing changes. Because of its TRIACT technology and non-adhesive, non-greasy nature, the dressings can be removed easily and virtually pain-free, which makes them suitable for wounds with fragile surrounding skin. An alternative dressing, Restore Contact Layer with Silver, may be useful for reducing infection for wounds with low to moderate exudates as silver releases while the dressing absorbs the exudates. Early research shows that continuous silver release may sustain antibacterial activity for up to seven days. However, patients should check with their doctor before using a product like this, which contains silver sulfate, to prevent any adverse reaction due to sensitivity or allergy.

Restore Foam Dressings and LITE Foam Dressings
These super-absorbent dressings, which now feature TRIACT ADVANCED Technology, may be helpful for patients facing chronic wounds with light to heavy exudate (LITE Foam Dressings.) and moderate to heavy exudate (standard Foam Dressings), as well as wounds with fragile surrounding skin. As exudate passes through a contact layer into the foam pad, the wound drains vertically and surrounding skin is protected from excessive softening. Unlike some other dressings that may need changing daily or every other day, these may be left in place up to 7 days depending on the nature of the wound and its healing status. Again, you should always consult your physician with regard to appropriate frequency of wound dressing changes. Another foam dressing alternative is the Restore Foam Dressing with Silver which may help reduce infection in wounds with moderate to heavy exudates. (As the exudate is absorbed into the dressing, silver is released. In vitro studies indicate that continuous silver release may sustain antibacterial activity for up to a week.) Individuals should not use if they are sensitive or could have an allergic reaction to a silver-lined dressing. 

Restore Calcium Alginate Dressings
These unique dressings offer high absorbency and less residue than other calcium alginate dressings, leaving a cleaner surface area when removed than similar dressings available. Because of their advanced fiber makeup, they require less frequent changing, though patients and caregivers should follow their physician’s guidelines. An optional dressing, Restore Calcium Alginate Silver, is also available and contains an ionic silver complex, which releases silver ions in the presence of wound fluid to fight odor and bacteria; however, individuals must use caution if they may be sensitive to or have an allergic reaction to this dressing with silver.

If you have any questions about these Hollister Wound Care products or about selecting a wound dressing in general, I’m always happy to help. Just email me at leslie.rader@hollisterwoundcare.com.

What to Know about Restore® Contact Layer FLEX dressing with TRIACT® Technology

* The information provided in this blog is not medical advice and is not intended to, and does not, replace the advice provided by your health care professional. Always seek advice from your licensed healthcare professional in regards to your healthcare needs.

Hollister Wound Care recently announced the arrival of Restore Contact Layer FLEX dressing to its TRIACT Technology family of products. The new ultra-conformable contact layer features more flexible mesh and a gentle tack intended to improve the ability of the dressing to stay in place, especially in hard-to-wrap areas.

TRIACT Technology is a scientific formulation used in select Restore wound care dressings. These advanced dressings are designed to form an ideal moist wound-healing environment, with Restore Contact Layer FLEX dressings frequently being used for the treatment of many chronic and acute wounds, including wounds associated with EB.

Restore Contact Layer FLEX dressings have the following benefits:

  • Non-Adherent
    Virtually pain-free dressing removal for enhanced patient comfort.
     
  • Maintains a Moist Wound Interface
    Forms a gel in the presence of exudate.
     
  • Ultra-Flexible
    Comfortable for the patient during application and while in place.
     
  • Highly Conformable
    Can be shaped to fit contours of deep or irregular wounds and in difficult anatomical locations.
     
  • Easy to Apply
    Gentle tack of dressing helps keep it in place over the wound.

In a clinical study of use of a new flexible lipidocolloid dressing on acute wounds and chronic wounds cited by S. Meaume in the Journal of Wound Care (April 2010), Restore Contact Layer FLEX dressing was compared to the original Restore Contact Layer dressing. In most cases, Restore Contact Layer FLEX dressing was reported to be: more conformable, easier to apply on awkward locations, and more comfortable.

Anyone who has watched a child trying to cope with the pain of EB knows how heart-wrenching it can be. Wound dressings like Restore Contact Layer FLEX dressing with TRIACT Technology have been designed to offer the same benefits of the original Restore Contact Layer dressings – non-adherence for virtually pain-free removal – but with a flexible mesh that offers additional conformability and comfort and a gentle tack to help secure the dressing in place. It is ideal for use on wounds with fragile surrounding skin, and is therefore a good choice for EB families and caregivers.

If you would like more information about Restore Contact Layer FLEX dressing, please contact me at leslie.rader@hollisterwoundcare.com.

Sources:
EB Dressing Products, Hollister Wound Care
Meaume, S., et al, Use of a new, flexible lipidocolloid dressing on acute wounds and chronic wounds: results of a clinical study; J of Wound Care, 20(4), April 2010, 180, 182-185.

Related Posts:
What to Know When Using Restore® Foam Dressings
What to Know When Using Restore® Contact Layer Dressings
What to Know When Using Restore® Contact Layer Dressings with Silver
Using Restore© Calcium Alginate Dressings
What to Know When Using Restore® Duo Dressings
Using Restore® and Restore Lite Foam Dressings

Picking a Wound Dressing: TRIACT Technology

*The information provided in this blog is not medical advice and is not intended to, and does not, replace the advice provided by your health care professional. Always seek advice from your licensed healthcare professional in regards to your healthcare needs.

There are several properties to consider when choosing a wound dressing, but it can be difficult sometimes to tell them apart. When selecting, it can be helpful to keep the following four questions in mind:

· Is the dressing easy to use?
· Is it virtually pain-free to remove?
· Does the dressing maintain a moist wound healing environment?
· Does it reduce trauma to delicate tissue?

Hollister Wound Care’s line of wound dressing products features TRIACT technology, while many other dressings on the market use silicone technology. TRIACT technology is a scientific formulation used in select RESTORE wound care dressings. These advanced dressings are designed to form an ideal moist wound healing environment. RESTORE contact layer dressings can be used for the treatment of many chronic and acute wounds, including wounds associated with EB.

TRIACT and TRIACT Advanced technology help provide the following benefits:

  • Moist Wound Interface
    The lipido-colloid matrix contains CMC particles that form a gel in the presence of exudate, providing a moist healing interface between the wound and the dressing.
  • Potential to Minimize Pain
    Upon contact with exudate, a protective gel forms, which may minimize patient pain during dressing changes.
  • Reduced Trauma to Delicate Tissue
    The lipido-colloid formulation helps prevent the dressing from adhering to delicate tissue, minimizing trauma upon removal or disruption of the healing process.
  • Effectiveness
    The 100% non-occlusive fine polyester mesh helps avoid maceration and allows exudate to pass through into outer absorbent layers without sticking.

· Comfort
Dressings do not adhere to wounds, therefore minimizing pain at dressing changes. In a comprehensive survey by S. Meaume, 95% of patients with acute wounds said RESTORE Contact Layer dressings with TRIACT technology were less painful than other dressings.

  • Versatility
    Flexible filaments allow the dressing to conform to a variety of wound types and body contours. Plus, dressings with TRIACT technology are non-greasy and easy to apply and remove.

Hollister Wound Care dressings made with TRIACT and TRIACT Advanced technology create a protective gel and may help minimize pain during dressing changes, prevent dressing adherence, and provide a moist healing interface between the wound and the dressing.

One popular type of dressing that is sometimes used instead of TRIACT and TRIACT Advanced technology is silicone-based dressings. These provide a non-adhering foundation, which can minimize trauma for some to the wound bed upon removal. However, unlike dressings with TRIACT technology, silicone in a dressing is inert, meaning it does not change properties and cannot use the moisture from the wound bed to help provide a moist wound healing environment. Silicone dressings float over the wound bed, without the same ability to provide a moist healing interface as TRIACT and TRIACT Advanced technology does.

Before making your selection, be certain to gather all of the information you can about the dressing you choose before putting them to use. It is important to educate yourself and your family and get your questions answered early on in the process.

Sources:
Hollister Wound Care

Meaume, S., et al, “Use of a new, flexible lipidocolloid dressing on acute wounds and chronic wounds: results of a clinical study;” J of Wound Care, 20(4), April 2010, 180-185.

Related Posts:
What to Know When Using Restore® Foam Dressings
What to Know When Using Restore® Contact Layer Dressings
What to Know When Using Restore® Contact Layer Dressings with Silver
Using Restore© Calcium Alginate Dressings
What to Know When Using Restore® Duo Dressings
Using Restore® and Restore Lite Foam Dressings

What to Know When Using Restore DUO Dressings

*Seek advice from your licensed healthcare professional in regards to your healthcare needs

It’s time again to examine another wound dressing option to offer additional product information, help educate caregivers and provide an opportunity for users to pose any questions they might have about the product. This time around, we look at Hollister Wound Care‘s Restore® DUO Absorbent Dressings, non-adhesive.

Here are a few things that you should know about DUO dressings before using them:

· Ideal for Low Exuding Acute and Chronic Wounds.
The layers of DUO dressing are as absorbent as using 2-3 gauze pads. Having all of that absorbency compacted into one wound dressing enables you to change dressings less frequently (every 1-3 days), which can reduce overall dressing time and pain associated with some types of dressings for the patient.

· The Material’s Flexibility Allows for Conformability.
DUO dressings are flexible and conform to the wound bed and body contours, enabling safe contact with the wound and surrounding tissue without creating any additional damage to the skin. By not disrupting or aggravating wounds that are in the process of healing, the dressing supports the patient’s recovery process.

· Super Absorbency in a Comfortable Package.
Restore DUO dressing offer so much absorbency and flexibility, yet its layers are assembled in a thin, soft package that doesn’t feel heavy or cumbersome to the patient yet still provides solid, compact support of the wound healing process.

· Dressings Feature TRIACT Technology.
TRIACT Technology is made up of a lipido-colloid matrix that forms a gel when exudate is present, which provides a moist healing interface between the wound and the dressing. The non-occlusive fine mesh reduces the potential for microfibers to shed in the wound, which in turn means a lesser chance of damaging newly formed skin near the wound and less pain for the patient throughout the process. DUO dressings are especially helpful when the periwound skin is too delicate to risk exposure to any kind of adhesive dressing.

· Counterindications.
Restore DUO dressings should not be used on individuals who are sensitive to or who have had an allergic reaction to the dressing or one of its components.

If you have any questions about Restore DUO absorbent dressings or use of them, please contact EB Coordinator Leslie Rader at 1-888-EBAID4U or by email at leslie.rader@hollisterwoundcare.com.

What to Know When Using Restore® Foam Dressings

*Seek advice from your licensed healthcare professional in regards to your healthcare needs

In an effort to provide information to EB patients and their caregivers about the different options for wound dressing, we take a closer look at one of Hollister Wound Care’s signature products, its Restore Foam Dressings.

Here is some helpful information you should know about this particular dressing alternative:

  • Foam dressings are best used for moderate to heavily exuding wounds.
    Patients who generally benefit most from this dressing option are those who experience chronic wounds such as pressure ulcers, leg ulcers or diabetic foot ulcers, as well as patients with acute wounds such as partial thickness burns, dermabrasions, traumatic wounds and post-operative wounds. Restore Foam Dressings also can be used underneath compression bandaging.

  • Like Restore Contact Layer Dressings, Restore Foam Dressings are designed using TRIACT® Technology.
    Through TRIACT Technology, a gel forms when exudate is present and helps prevent sticking and disruption to the wound bed when dressings are removed.

  • Restore Foam Dressings enable absorption of exudates to shield skin from maceration with a virtually pain-free solution.
    With Restore Foam Dressings, exudate passes through a contact layer into a super-absorbent foam pad that enables vertical drainage, protecting the lesion’s surrounding skin from excessive softening. Because dressings with TRIACT technology are non-adhesive and not greasy, they’re easy to apply and remove without sticking to the wound. With the dressing’s pliability and soft, conforming backing, it easily shapes itself to the contours of the wound.. Restore Foam Dressings are especially effective for use on wounds with fragile surrounding skin.
  • Restore Foam Dressings allow for more convenience with fewer changes required.
    Unlike other dressings which may need to be changed every day or every other day, Restore Foam Dressings may be changed every 3-4 days, depending on the nature of the wound and its healing status.
  • An optional Restore Foam Dressing with Silver continuously releases silver to fight bacteria such as MRSA.
    In Restore Foam Dressings with Silver, silver sulfate is locked within the dressing and as exudate is absorbed by the dressing, silver sulfate molecules release silver ions. In-vitro studies have shown that continuous silver release sustains anti-bacterial activity for up to seven days, fighting such common bacteria as Staph, Streptococcus pyogenes and MRSA.
  • Some individuals should not use Restore Foam Dressings or Restore Foam Dressings with Silver.
    Individuals who are sensitive to or have had an allergic reaction to the dressing or one of its components should not use Restore Foam Dressings.

If you have any questions about either of these products or usage of them, please contact EB Coordinator Leslie Rader at 1-888-EBAID4U or by email at leslie.rader@hollisterwoundcare.com.

What to Know When Using Restore® Contact Layer Dressings with Silver

*Seek advice from your licensed healthcare professional in regards to your healthcare needs

Last week, we launched a new series to highlight different wound care supplies to share helpful pointers for using Restore Contact Layer Dressings. This week, we take a closer look at the Restore Contact Layer Dressings with Silver and important information you should know before using.

  • Restore Contact Layer Dressings with Silver dressing are designed with TRIACT® Technology.
    Like Hollister Wound Care’s Restore Contact Layer Dressings, the Restore Contact Layer Dressings with Silver also use TRIACT technology, which means that while the outside dressing material is made of a fine polyester mesh, the inside of the dressing uses an advanced, patented petrolatum-based formula to help prevent sticking and disruption of the healing process during dressing removal. Silver sulfate is added to provide a slow and constant release of ions.
  • Restore Contact Layer Dressings with Silver may help reduce infection in light to moderate exuding wounds.
    Restore Contact Layer Dressings with Silver work best with second degree burns, pressure ulcers, venous stasis ulcers, diabetic ulcers and graft and donor sites. The silver dressings may be used on infected wounds only under the care of a healthcare professional.

  • Dressing flexibility means virtually pain-free dressing removals.
    When wound exudate comes in contact with the dressing, the hydrocolloid particles combine with the matrix to form a “gel,” providing a moist environment that promotes healing. Restore Contact Layer Dressings with Silver gives a virtually pain free dressing removal and helps minimize damage to newly formed surrounding skin.  It is ideal for use on wounds with fragile surrounding skin.
  • Continuous release of silver in Restore Contact Layer Dressings with Silver can fight bacteria such as MRSA.
    In Restore Contact Layer Dressings with Silver, silver sulfate is locked within the bandage.  When the dressing comes in contact with wound exudates, the silver sulfate molecules release silver ions. In-vitro studies have shown that continuous silver release sustains anti-bacterial activity for up to seven days, fighting such common bacteria as Staph, Streptococcus pyogenes and MRSA.
  • Restore Contact Layer Dressings with Silver may require more frequent changes than dressings without silver.
    For Restore Contact Layer Dressings with Silver, it is recommended to change the dressing every one to three days depending on the wound and the healing progression.  Duration of treatment is determined by the physician and depends on wound type and healing conditions.

  • Some individuals should not use Restore Contact Layer Dressings with Silver.
    This applies to individuals who are sensitive to silver or have had an allergic reaction to the dressing or one of its components. Hollister Wound Care has a broad range of dressing alternatives.

If you have any questions about this product or use of it, please contact EB Coordinator Leslie Rader at 1-888-EBAID4U or by email at leslie.rader@hollisterwoundcare.com.

What to Know When Using Restore® Contact Layer Dressings

*Seek advice from your licensed healthcare professional in regards to your healthcare needs

From time to time, we’ll be sharing helpful information about various wound care supplies –such as when they’re best used and important things you should know when using them. We kick off this regular series of medical supply-focused blogs with some pointers for using Hollister Wound Care’s Restore Contact Layer Dressings.

Some helpful information you should know:

  • Dressings are designed using TRIACT® Technology.
    TRIACT Technology is comprised of a lipido-colloid matrix that forms a gel when exudate is present.  The gel helps prevent sticking and disruption to the wound bed during dressing removal.  What this means for the patient is the dressing removal is virtually pain-free.
  • Contact layer dressings are best used for low to moderate exuding wounds, including wounds associated with EB.
    Restore Contact Layer Dressings work best with minor abrasions, lacerations, leg ulcers, diabetic ulcers, pressure ulcers, skin tears, second degree burns, traumatic wounds, surgical wounds, and minor cuts, scalds or burns. Other Restore dressings with TRIACT technology are available for more serious skin wounds that are exuding more heavily or steadily.
  • Dressing flexibility means virtually pain-free dressing removals.
    Because dressings with TRIACT technology are non-adhesive and not greasy, they’re easy to apply and remove without sticking to the wound. When wound exudate comes in contact with the dressing, the hydrocolloid particles combine with the matrix to form a “gel,” providing a moist environment that promotes healing. Restore Contact Layer dressing gives a virtually pain-free dressing removal and helps minimize damage to newly formed surrounding skin. It is ideal for use on wounds with fragile surrounding skin.
  • Standard dressings require minimal changing.
    Most EB families change dressings everyday or every other day depending on the type of wound. If need be, Restore Contact Layer Dressings may be worn for up to seven days. Caregivers will have fewer dressing changes to make and again there will be limited disruption of skin healing process.
  • Some individuals should not use Restore Contact Layer Dressings.
    This applies to individuals who are sensitive to or have had an allergic reaction to the dressing or one of its components. Hollister Wound Care has a broad range of dressing alternatives.

If you have any questions about this product or use of it, please contact EB Coordinator Leslie Rader at 1-888-EBAID4U or by email at leslie.rader@hollisterwoundcare.com.