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Sand Slough is a community in St. Francis County, Arkansas, United States, notable for being the birthplace of boxing heavyweight champion Sonny Liston.
how best to teach about slough in the wound bed” “Many nurses and other clinicians refer to all the yellow / creamy / greyish tissue as ‘slough’, yet some slough can be cleared by autolytic debridement alone, whereas others require other forms of debridement”
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Sand Slough is an inlet in Bradley, Arkansas. Sand Slough is situated nearby to Kemp Island and Green Island. Mapcarta, the open map.
“The East Sand Slough project will be the largest side channel reconnection project on the Upper Sacramento River. It will provide important juvenile salmon habitat and restore water to a former recreational site that was lost when the Red Bluff Diversion Dam was decommissioned to protect salmon.”
- Background
- Slough as A Barrier to Wound Healing
- Desloughing Versus Debridement
- Considerations Before Debridement and Clinical Challenges
- Methods of Desloughing / Debridement
- Conclusion
- Author
- References
Slough is a common feature of chronic wounds, although the number of wounds that contain slough has not yet been reported in the literature1. In certain circumstances, such as fungating malignant wounds, wound management is usually palliative with comfort measures. Conversely, if the goal of care is wound healing, the removal of slough is a vital c...
The appropriate and safe removal of slough is a vital component of wound healing12. Slough on a wound bed not only makes it difficult for clinicians to assess the wound bed accurately, it also contributes to delayed wound healing. The presence of slough also1,13: 1. Prolongs the inflammatory response, resulting in high levels of protease and pro-in...
There is controversy in the literature regarding the safe removal of devitalised tissue by either desloughing or debridement strategies. It has been suggested that there is no difference with either method14. Necrotic tissue is associated with cell death resulting from injury, infection and/or an underlying disease process. Classically, necrotic ti...
Slough is present in the large majority of chronic wounds. Slough recurrence is common post-debridement/desloughing, therefore ongoing desloughing needs to be maintained1. There is no single method able to remove all devitalised tissue. Instead, evidence suggests that a combination of methods is required7. Prior to debridement, the procedure must b...
Autolytic debridement: Selective debridement is the release of the body’s own proteolytic enzymes and phagocytes which liquefy and soften the devitalised tissue9. The non-viable tissue is selectively liquefied, separated and digested by endogenous enzymes9. Dressings support autolytic debridement by providing a moist wound environment1,16. The choi...
It is vital that clinicians are able to differentiate between necrotic tissue and slough because the management of both tissue types can be different. Unlike sloughy tissue, where the goal of care is typically to remove it, there are instances where necrotic tissue should not be removed, or removed with caution. Slough is considered the by-product ...
Donna Angel RN, NP, BN, PGDip (Clin Spec), MSc (Nur) Royal Perth Hospital Wellington Street, Perth, WA Email Donna.angel@health.wa.gov.au
Percival S, Suleman N. Slough and biofilm: removal of barriers to wound healing by desloughing. J Wound Care 2015;24(11):498, 500–3, 6–10.Schultz G, Sibbald G, Flanga V, Ayello E, Dowsett C, Harding K, et al. Wound bed preparation: a systematic approach to wound management. Wound Repair Regen 2003;11(Suppl 1):1–28.Schultz G, Dowsett C. Wound bed preparation revisited. Wounds International 2012;3(1):27–9.Mustoe T. Understanding chronic wounds: a unifying hypothesis on their pathogenesis and implications for therapy. Am J Surg 2004;187(5A):655–705.A slough is a swamp or shallow lake system, usually a backwater to a larger body of water. South Slough is a 4,771-acre National Estuarine Research Reserve located on Coos Bay Estuary in Oregon (Photo credit: J. Bragg).
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Jan 13, 2022 · The East Sand Slough Side Channel Project is part of an ongoing restoration project aimed to improve fish passage and reconnect the side channel, offering a rearing habitat for winter-run...
