Mepilex Border vs. Mepore

Audio Transcript Auto-generated

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  Welcome to my presentation on netflix border versus me fixed dressings.

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  Both netflix and me fix are very common dressings

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  that I'm sure all of you recognize using at least once in practice.

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  Why dressings?

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  I chose to talk about dressings today as I think it's very relevant to our practice.

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  The amount of times I've seen nurses humming and

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  hawing over which one to use is incredible.

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  So I thought this would be so good for my own learning.

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  Everything we do in the hospital requires supplies and

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  resources which all costs a lot of money.

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  As nurses, we truly see how much is actually needed or thrown out and wasted.

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  This is an area we can help change because every dressing counts

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  depending on the wound.

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  It will require a specific type of dressing to help promote its healing.

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  But even in this we can be strategic in which dressing we use for what wound

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  this ultimately falls under clinical decision making something

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  nurses do every minute of their day.

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  There are two types of maple X border that I will touch on today.

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  Megaplex border and maple X border light

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  on the manufacturer's website,

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  It says that Megaplex border is a five layer

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  self adherent dressing for chronic and acute wounds.

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  It is a versatile all in one

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  bordered foam dressing available in many shapes and sizes.

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  It is mainly used for treating chronic and acute wounds

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  and is clinically proven to help prevent pressure ulcers.

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  The portion of the bandage that lies on the wound is made of a layer

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  of silicone to mold softly to the skin without sticking to the moist wound.

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  There are multiple layers that work together to wick away exit date from

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  the wound while keeping a moist environment to help the wound heal.

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  This dressing has excellent fluid holding capacity which helps with effective,

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  excellent management and less risk of maceration.

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  Mapple exporter. Light is a thin all in one film dressing for low exuding wounds.

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  It can be used for chronic wounds and acute

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  secondary healing wounds such as post operative incisions,

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  traumatic wounds or featured wounds which have minimal amounts of exiting.

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  This dressing is designed to be very low profile and comfortable for the patient

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  because of this, it is recently

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  being used

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  for fingers and toes, which can be hard to dress.

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  This later version also has the layer of silicone to prevent the wound

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  sticking to the dressing and is easily removable without damaging the skin.

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  Both of these dressings can be worn in the shower, which is ever so helpful.

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  So there's two research articles that I want to go over for the Maple X. Dressings.

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  Um There was a study conducted on the

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  effectiveness of megaplex border on diabetic foot ulcers to

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  see how the dressing held up not only for the promotion of healing to the wound,

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  but also the comfort of the patient.

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  This study was done in 10 people experiencing a diabetic foot

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  ulcer and was held over the course of four weeks.

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  The study determined and I quote that by

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  helping to remove excessive amounts of exit date.

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  Yet maintaining a moist wound environment and minimizing wound disturbance.

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  Advanced dressings play a key role in

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  facilitating the healing of diabetic foot ulcers

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  by allowing the dressing to stay on for a longer period of time due to its comfort,

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  adhesion and observance.

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  E

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  there was the opportunity to not over disturb the wound, allowing it time to heal

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  with these proactive wound healing methods.

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  It enables a better opportunity to promote healing

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  and help mitigate the chances of needing

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  to amputate and completely alter someone's life

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  as so often is the case of diabetic foot ulcers when they progress

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  during the study,

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  all of the participants commented on the comfort of the

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  dressings and how painful it was when the dressing needed

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  to be removed.

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  Another study that was conducted in

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  Germany was done retrospectively with 431 patients

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  altogether, encompassing

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  549 winds.

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  Each wound was dressed with maple exporter and treated as needed.

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  They discovered that these dressings did not pull on

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  any area of the wound and evenly distributed pressure,

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  nor did the dressing role causing

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  pressure points underneath the dressing.

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  It was easy to remove and patients reported great comfort with the dressing.

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  It was also noted that the dressing can be

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  worn for up to seven days on non infected wounds

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  while the wear time of the dressing must be

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  evaluated in a suitably designed study long wear time.

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  Speak for cost benefit.

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  The study concluded,

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  observing that maple exporter is a great option for patients who have

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  exuding wounds wounds in challenging anatomical

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  locations and wounds with long duration

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  skin integrity was maintained throughout the time the dressings were on

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  and the patients really like the way that the dressings felt

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  next. We're going to go into cost. So

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  these are approximate costs. I did my best to find um

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  them from a good source,

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  but it was really hard to know exactly how much the hospital pays.

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  So this is just an approximate, but it gives us a good understanding,

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  at least a kind of the ballpark on how much they cost.

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  So these are from amazon.

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  If you were to buy them on your own, which would most likely be more expensive. But

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  as we can see, they are pretty, pretty expensive.

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  Okay,

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  moving on to me Poor.

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  So like with Maple X, there are two types of meat for that.

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  I will address me poor and my poor probe,

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  maple exporter and my partner are both made by the same company,

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  which is this name that I can't pronounce, but I haven't referenced on these slides.

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  Um once again from the company website,

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  they have given us a nice snapshot of the product's features.

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  My poor is a breathable absorbent dressing for low to moderately exuding wounds,

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  it is a self adhesive dressing for a wide variety

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  of wounds with low to moderate exit eight levels,

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  such as surgical wounds, cuts and abrasions.

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  The dressing is water based,

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  which allows the adhesive products to provide

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  gentle fixation without compromising skin integrity.

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  It is air permeable to prevent maceration of the

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  wound and help maintain a moist wound environment.

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  It is also made with a flexible fabric to allow comfortable body movement.

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  This dressing is not waterproof.

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  My poor pro is an absorbent shower proof

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  dressing for low to moderately exuding wounds.

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  It is designed to have an outer film layer that protects the wound

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  from both water and and contamination so it can be worn while showering.

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  The absorbent wound pad has a low adherent wound contact layer

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  so that it's comfortable to wear and stays in place.

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  This dressing is also water based with a solvent

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  free adhesive that is kind on the skin.

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  The waterproof film is breathable to prevent

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  maceration and promote a moist wound environment.

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  Megaplex border is a much more commonly researched

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  and written about dressing in contrast to my poor

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  asthma plex. We can see

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  or we can already see just how much more acuity

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  it has and it seems that it's the wonder dressing.

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  This research article in my Poor has given a beautiful representation on

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  how a more basic dressing can be a better option in cases

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  it was found that in many minor wounds

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  there is the opportunity not only to use products

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  that promote moist wound healing but also reduce treatment

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  costs without having an effect on clinical outcomes.

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  The aim of management

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  of superficial non infected wounds is to provide a

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  moist environment to allow epithelial ization to occur.

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  This is a quote from the article when

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  researching me poor in relation to another addressing

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  a more expensive dressing.

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  My poor allowed the same amount of protection while

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  keeping moisture within the dressing promoting wound healing.

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  One of the key points made within the study is that there is an

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  importance for health care professionals to be

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  concerned with both clinical and economical outcomes.

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  When selecting a product.

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  We can see here in the cost that my poor and many poor pro are much much um

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  less expensive than Maple X.

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  And so if they work just as well for you know the type of wound that you need.

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  It seems like a really good economical option to have.

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  So finally, how do we decide in all of these things

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  um Making the decision on what address on what dressing to put on a

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  wound is usually the job of the physician or the wound care nurse.

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  But there are moments frequently in practice where it

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  will be your decision to make that judgment call

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  as you may not have been given a protocol or a clinical order set to guide your path.

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  Does the one really need a metal exporter which clearly cost more in the long

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  run or would I mean poor addressing do the same job just more economically.

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  Each situation is different and there are a lot of resources

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  in the hospital to help guide you into making a decision.

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  You feel good about

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  having the foundation and an understanding of the purpose of each dressing.

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  However, just makes these small decisions we make all day long.

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  Feel confident and easy.

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  Thanks for listening.

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  Yeah.