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"We make a living via what we get. We make a life by way of what we provide." - Winston Churchill
Bar none, the most everyday question i'm asked with the aid of college students is "what dressing do i use on a patient with this category of wound?" anyway needing to know the actual circumstance of the affected person and all pertinent medical cures (be aware, the Holistic Nursing Praxis) (Worley, 2004), you need to take into account the location and traits of the wound (quantity of drainage, condition of periwound skin, need for secondary dressing, etc.), patient's assurance or potential to pay for dressings out of pocket, and different a must-have assistance.
There are literally a whole bunch of dressings and dressing techniques attainable to the wound care professional. despite the fact some individuals are excited by way of the wide array of possible items, others are fully overwhelmed by the myriad of decisions. confidently, on the conclusion of this sequence of articles, the wound dressing puzzle might not be so, well, confusing!
The facilities for Medicare and Medicaid features (CMS) have divided all wound dressings into classifications and have assigned an "allowable" reimbursement expense referred to as HCPCS codes (Healthcare typical process Coding system) and utilization for every classification. These codes are the skill through which products and services are recognized for Medicare billing functions. All wound dressings fall below the category of durable clinical equipment, prosthetics, orthotics, and materials (DMEPOS). The class HCPCS code is utilized to all the items that fit into that classification, regardless of the cost of the individual product. besides the fixed compensation fee, the affected person may also handiest use a definite number of dressings weekly (this is a particularly simplified explanation of the gadget). for example, the froth dressing "allowable utilization" is three dressings per week.
The classes to which a dressing may well be assigned are: alginates, collagens, composites, contact layers, foams, gauze (impregnated and nonimpregnated), hydrocolloids, hydrogels (amorphous and sheet), silicone dressings, area of expertise absorptive dressings, clear movies, and wound fillers. As that you can see, here's a lengthy checklist. in this series of articles, we are able to focus on each category of dressing, some aspects of each and every dressing type, merits and boundaries, and brand names. here's through no capacity an all-inclusive record. area obstacles steer clear of the outline of every dressing in each class, so manufacturer names will be restricted to the most generally diagnosed. My apologies to wound dressing producers far and wide!