Biography
Biography: Saman Mohammadipour
Abstract
The idea of a multidisciplinary team approach has been accepted as the best way to deliver wound care. A major challenge is the lack of united services aimed at addressing the complex needs of individuals with wounds. The concept of multidisciplinary suggests the use of different disciplines to answer a particular clinical problem. In the small wound, management wound care by wocn (wound ostomy continent nurse) sometimes is enough and the wound be come better in the short time .but in complex wound or more life threatening form beside wound care other factors such as nutrition ,calories ,psychology ,family training ,endocrine and electrolyte balance ,heart evaluation ,etc… must be consider. Use of all modern wound dressings without accepting these factors is useless. This article reviews the case of 20 years old boy with a lateral skin and abdominal wall traumatic degloving injury. Due to lack of viable tissue, we had to manage wound with openly. After initial resuscitation and hemostasis we began to care and dressing the wound in hospital for about 4 month with multidisciplinary team includes all special which we had needed for example nutritionist , colorectal and plastic surgeon , psychiatrist , nephrologist .etc..
Calories consumption is one of the most important factor in these cases. You have to balance all protein, vitamins and nutritional element for better healing. oral feeding in the best way beside parental helping for wound management. Daily irrigation and debridement for early stage by surgeon in second factor till we remove all necrotic tissue.
Family support and psychological consulting must be done as soon as possible for reassuring patient and families. We checked and balanced all electrolyte every day. Mobilization of patient in early phase prevents thromboembolic event with anticoagulant drug. Multistage plastic surgery should be done for covering the internal organs. In this case, after 4-month patient discharged and the wound covered totally after one year.
In summary, we believe that effective management of wounds as a team requires the elements such as using all specialty for improvement , making a good and healthy psychological environment and supporting by hospital and patient insurance .