Contemporary care of chronic wounds

Kronična rana vrlo je komplicirana i zahtjevna za svakog bolesnika, ali i sav medicinski kadar. Takve rane zbog svoje fiziologije predstavljaju veliki problem jer im treba šest do osam tjedana da bi zacijelile. Dijele se na atipične i tipične, a najčešće su to venski ulkusi, arterijski ulkusi, dekubitus, dijabetičko stopalo i dekubitus. Za izradu cjelokupnog rada koristili su se sekundarni izvori kao što su mnoge knjige, časopisi te Internet izvori. Pretraživanje je bilo usmjereno na raznovrsne, stručne i znanstvene članke te dostupne knjige čijim bi se sadržajem na najbolji mogući način obradila tema diplomskog rada. Rad je baziran na teoriji, pa su korištene osnovne metode istraživanja kao što su metoda sinteze, deskriptivna metoda, empirijska metoda, metoda kompilacije i metoda analize. Zbrinjavanje kronične rane usmjereno je na debridman, odnosno uklanjanje nekrotičnog tkiva. Moderne obloge koje pospješuju brže cijeljenje rane, negativan tlak kojim se uklanja sekret iz rane, dovoljnu kompresiju rane i mnoge druge postupke koje medicinsko osoblje provodi kako bi zbrinuli nastale rane. Bez obzira o kojoj rani bude riječ, medicinska sestra/tehničar u suradnji s ostalim medicinskim osobljem i obitelji pruža veliku pomoć za obavljanje svakodnevnih aktivnosti važnih za život, potporu i podršku, ublažavanje tegoba te skrbi za nastalu ranu. Zbrinjavanje kroničnih rana nije nimalo jednostavno. Ono zahtijeva multidisciplinaran pristup, veliki trud i zalaganje medicinskog osoblja kako bi se nastala rana njegovala što uspješnije, bezbolnije, uz manje troškove i bolji rezultat za bolesnika. Međutim, najučinkovitijim rješenjem za kronične rane pokazali su se moderni odnosno suvremeni tretmani.The chronic wound is very complicated and inconvenient for every patient, but also for all medical staff. Such wounds due to their physiology pose a big problem as they take 6 to 8 weeks to heal. They are divided into atypical and typical, and the most common are venous ulcers, arterial ulcers, diabetic foot and pressure ulcers. Secondary sources such as many books, magazines, and Internet sources were used to produce the entire paper. The search was focused on various, professional and scientific articles and available books in order to deal with the topic of the thesis in the best possible way. The paper is based on theory, so basic research methods are synthesis methods, descriptive method, empirical method, compilation method and analysis method were used. Chronic wound care is aimed at debridement or removal of necrotic tissue, modern dressings that promote faster wound healing, negative pressure to remove secretions from the wound, sufficient compression of the wound and many other procedures performed by medical staff to care for wounds. No matter what the wound, the nurse / technician, in cooperation with other medical staff and families, provides great assistance in performing daily activities important for life, support and support, alleviation of problems and care for the wound. Taking care of chronic wounds is not easy at all. It requires a multidisciplinary approach, great effort and commitment of the medical staff in order to care for the wound as successfully, painlessly, at lower cost and better result for the patient. However, the most effective solution for chronic wounds has proven to be modern or contemporary treatments