Neodermis formation
    Signs of mature Neodermis
    Dressing regimen
    Bolstering and splinting
    Frequency of dressing changes
    Positioning the patient
    Moving and turning the patient
    Physical Therapy
    Large Hematoma
    Small, late forming Hematoma
    Fluid accumulation
    Infection at staple
    Areas of non-take

Anti-Shear Techniques
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Anti-Shear Technique: "X-Ray Film".

Anti-Shear Technique: "X-Ray Film"

This is an excellent technique to use on high-risk posterior areas of the patient.

  • Place chest x-ray film in plastic bag
  • Straight lift patient and place bag with film under patient, between bedding and sheet
  • Plastic encased film provides good non-friction, point-to-point contact between patient and bed

As with any technique, it is necessary to have sufficient manpower to facilitate the process.

Anti-Shear Technique: "Plastic Slide".

Anti-Shear Technique: "Plastic Slide"

In cases involving high risk shear areas such as the posterior, additional anti-shear techniques can be used. The "Plastic Slide" technique is an example of a creative technique that will reduce the effect of friction on a patient that is being moved or positioned. There are variations on the plastic covering used
in this technique. Some centers have used a Mayo stand cover, a plastic garbage bag, or a plastic drape.


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