Iamin Hydrating Gel Protocol

Iamin® Hydrating Gel

PROCYTE Corporation

12040 115th Avenue N.E. Suite 201
Kirkland, WA 98034-6900
800-848-3668

Nursing Diagnosis

Impairment of skin integrity related to dermal ulcers, acute wounds, donor sites, postoperative incisions, cuts, abrasions, irritations of the skin, or skin conditions associated with peristomal care. The skin composes one-sixth of total body weight in the average adult and receives about one-third of the circulating blood volume, as such it plays an important role in regulating homeostasis. The two major layers of the skin, the dermis and epidermis, are separated by a basement membrane. The supportive layer under the dermis is subcutaneous tissue, also referred to as the hypodermic.

Normal wound healing is a cascade of events which involve the interaction of various cell types in an organized manner. It is generally characterized by three stages of healing: the inflammation phase, the proliferation phase and the regeneration phase.

Throughout the healing cascade, when wounds are left open to air, epidermal cell migration and resurfacing is delayed. Epidermal cells can only migrate across a moist surface. In a dry wound, the epidermal cells must burrow down beneath the crust to a moist level and where they secrete collagenase that lifts the scab away from the surface in order to allow the cells to migrate.1 Modern wound care emphasizes a moist wound healing environment for optimal wound repair.

Acute and chronic wounds present ongoing challenges for the healthcare provider. Patients with such wounds account for 31% of the referrals to home health care and pressure ulcers account for 30% of wounds cared for in the home health care setting.2

lamin® Hydrating Gel

Iamin® Hydrating Gel is ideally used to assist in wound healing throughout the natural repair process. It is specially formulated to provide tripeptide copper in an amorphous hydrogel base. It provides a soothing, cool moist environment for wound healing. Iamin® Hydrating Gel Wound Dressing is intended to cover a wound or burn on a patient's skin. It provides a moist wound environment, and protects against abrasion, friction, desiccation, and contamination.

Iamin® Hydrating Gel may be used for the dressing and management of pressure ulcers, diabetic ulcers, stasis ulcers, 1st and 2nd degree burns, arterial ulcers, donor sites, postoperative incisions, cuts, abrasions, irritations of the skin, and skin conditions associated with peristomal care.

Ingredients: Purified Water, Hydroxypropyl Methylcellulose, Benzyl Alcohol, Prezatide Copper Acetate, Sodium Chloride.

Purpose

To promote a moist wound healing environment. To promote patient comfort by minimizing pain and discomfort (heat sensation). To protect wound from further damage. To facilitate autolytic debridement. To enhance the body's ability to heal itself.

Outcome Criteria

  1. Wound closure or reduction in wound size.
  2. Infection prevention.
  3. Patient comfort.

Procedures and Interventions

  • Wound assessment and characteristics: Assess wound drainage - it may appear thick and purulent. This type of drainage is common, especially with autolytic debridement and is usually not a sign of infection. Signs of infection include: fever, excess and malodorous drainage, increased redness, pain, and warmth at the wound site, Appropriate intervention (antibiotics, wound cultures, etc.) should be initiated if these symptoms are present.
  • General patient assessment to include: Nutritional and hydration status, brief medical history and notation of confounding underlying disease states (i.e., diabetes, heart disease, vascular disease). Underlying disease modalities must receive appropriate medical care to ensure the basis for proper wound healing.
  • Gather appropriate supplies.
  • Assure patient privacy. Position patient appropriately to allow easy access to the wound site.
  • Wash hands. Apply gloves.
  • As needed, first cleanse the wound with a suitable wound cleanser. Apply Iamin® Gel Wound Dressing to sufficiently cover the entire area of the wound, once daily or, if more frequent, with each dressing change. If gauze is used as a wound covering, it may be moistened. Do not extend gel into the periwound area. Avoid using adhesives on traumatized periwound area. Use of a periwound skin cream may be appropriate.
  • Wash hands after any wound care procedures. Properly dispose of soiled dressings.
  • Each tube of Iamin® Hydrating Gel Wound Dressing should be used by one patient only in order to reduce the risk of cross infection.
  • Documentation. Note the following items in the patients records:
    • Size, depth, width of the wound bed.
    • Presence and character of any wound exudate (amount, color, consistency and odor)
    • Presence of any tunneling or undermining - record size.
    • Presence of pain or tenderness at the wound site or surrounding area.
    • Describe appearance of periwound area, heat, redness or breakdown.
    • Use of dressings and supplies.
    • Return demonstration and verbalization of understanding of instructions if a family member or the patient has been given instructions for performing wound care between scheduled nursing visits.

1 Doughty, Dorothy, 1992, Acute and Chronic Wounds; Nursing Management, pg. 34. 2 Arnold, N., et al. Abstract 1993 WCII. Wound Closure: A Comparative Study of Wound Closure in Enterostomal Therapy Nursed and Non-Enterostomal Therapy Nursed Home Care Patients.