Abstrak:
Diabetic Foot Ulcer (DFU) is one of the most feared chronic complications of diabetes mellitus. DFU is a disease of the diabetic foot characterized by sensory, motoric, autonomic neuropathy, macrovascular and microvascular disorders. These complications are generally in the form of diabetic ulcers or wounds due to infection or damage to skin tissue on the feet of diabetics. Trans Femoral Amputation occurs due to infection up to middle of leg, ischemia condition, failure in Below knee amputation (BKA). At Fatchull Wound Care Center Diabetic Ulcer and Diabetic Foot Ulcer as Chronic Wound 98% while 2% acute wound treatment. Out of 98% DFU 90% and 8% with Diabetic Ulcer. To determine the effectiveness of using Topical Therapy as Primery Dressing (Metcovazin silver, Calcium alginate) in base wound preparation and dreesing that creates Moisture Balance as Secondary dressing to accelerate the diabetic wound healing process.
Methode this case study uses the 3M Care Principle, the wound care planning with the Falanga Model is TIME management. Result tissue Management: Autolysis Debridemant using Metcovazin Silver, Inflammation and Infection Control: Cleanse gentle antiseptic, with PHMB for 5 minutes, Moisture Balance: primary dressing Metcovazine Silver, Calcium alginate, secondary dressing foam, gauze, fixation using orthopedic woll, crepe bandage, Epithelialization Edge: Nutritional and Protein Support, dressing change the next 3 days, and adjunctive therapy bagging ozone (GOM). Conclusion the selection of the use of dressings in the treatment of Above Knee Amputation adcausa Diabetic foot Ulcer on Mrs. N using metcovazin silver and cal.alginate shows significant results in the preparation of the wound base and the wound healing process fastly.
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