Blood supply, venous congestion and swelling, continuing pressure, repeated trauma, infection, diabetes, nutrition, mobility and general health can all affect tissue repair.
MOLISAN — SKIN & WOUND CARE SOLUTION
Two tasks in chronic wound care
- Care for the wound itself: clean and treat it regularly, monitor change and select an appropriate cover.
- Understand the cause: identify what continues to prevent repair, such as impaired circulation, swelling, pressure or another condition.
Role of MOLISAN
MOLISAN — SKIN & WOUND CARE SOLUTION is used for external care of damaged skin and the wound surface.
With chronic wounds, regular care, direct contact of the water-based solution with the wound surface and selection of the ongoing dressing for the individual wound are especially important.
Practical sequence
- Wash your hands and prepare clean or sterile materials.
- Pour the required amount of MOLISAN into a clean cup.
- For a warm wound-care application, warm the solution in a water bath to about 42 °C.
- Apply warm MOLISAN for about 15–20 minutes.
- Choose the ongoing cover or dressing according to depth, site, amount of exudate and surrounding skin.
- Do not store warmed leftover MOLISAN or return it to the bottle.
What to monitor
- wound size and depth;
- wound bed and edges;
- amount and nature of exudate;
- pain;
- odour and any change in it;
- redness, warmth and swelling around the wound;
- the whole limb when the wound is on a leg.
A deep cavity, necrosis or marked pus
The depth, pockets, non-viable tissue and signs of spreading infection need assessment. Care may change after wound cleansing, removal of non-viable tissue or other necessary treatment. MOLISAN is then part of local care once the wound structure and overall plan are understood.
Signs that require reassessment
- redness or swelling spreads beyond the wound;
- the wound becomes markedly warmer or more painful;
- pus appears or increases sharply;
- the wound rapidly deepens or enlarges;
- fever or marked general deterioration develops;
- tendon, bone or extensive necrotic tissue is visible;
- with a leg wound, the foot becomes cold, pale or blue, or severe pain develops.
Why photographs help but are not enough
A photograph shows the surface and change over time, but not arterial supply, venous pressure, glucose level, some wound pockets or the person’s overall condition. COALESIA therefore combines photographs with the history, duration, pain, swelling and other information.
