Rehabilitation :: Frequently Asked Questions Wound Care
CHOC Children’s provides wound care for pediatric patients of all ages. All of our therapies and treatments are designed to meet each patient’s specific needs. The questions below are some of the most frequently asked about wound care. The answers in this document should not replace the specific information provided by the patient’s healthcare providers or doctors.
Who will be providing the wound care treatment?
Therapists specially trained in pediatrics and wound care perform wound care treatment and work closely with each child’s physician to develop a treatment that best meets the child’s needs.
What is included in a wound care treatment?
Each child’s overall health and wound is assessed by the wound care therapists and a treatment plan is developed specifically for the child’s needs. Therapists recommend the most appropriate dressing and teach the child’s caregivers how to take care of the wound at home.
Wound care treatment varies and is determined based on the type of wound and the patient’s overall health. Treatments may include:
- Sharp debridement: Removal of dead tissue with a sharp instrument (tool) such as scissors of a scalpel.
- Selective debridement: Removal of dead or unhealthy tissue (such as scabs, dried blood or drainage) from a wound to allow the wound to fill in with new healthy tissue.
- Pulsatile lavage: Irrigation of a wound with a high pressure device to wash away the dead tissue and debris and allow for new tissue to fill in.
- Wound irrigation: Washes and rinses a wound to remove dirt, wound debris, and dead tissue to promote wound healing.
- Negative pressure wound therapy: A therapeutic technique using a vacuum like device and special sponge dressing that removes drainage from the wound and speeds healing time.
Will it hurt?
Our team makes every effort to minimize each child’s pain and discomfort. We work closely with our child life department to reduce each patient’s anxiety, provide distractions and ensure patients are supported during their treatment.
Why do I need to keep the wound covered?
We want to keep your child’s wound moist to ensure it has the best opportunity for healing. We use special dressings that keep just the right amount of moisture in the wound. Keeping it covered helps maintain that environment. It is also important for keeping bacteria out and preventing infection.
How do I know if the wound is infected?
The child’s caregivers and therapist will need to monitor the wound and surrounding skin at each dressing change and look for signs and symptoms of infection; change or increase in redness, temperature, odor, drainage or pain. If these signs are present, caregivers should contact the child’s physician immediately.