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Signs of a Stroke
Signs of a Stroke

A Stroke is defined as an abrupt death of brain cells. This is caused by the blockage of blood vessels which supply blood, oxygen, and nutrients to the brain. Because of this interrupted blood supply, the brain cells begin to die.

A stroke is the 5th leading cause of death in the US. According to the American Heart Association (AHA), African-Americans are at a much higher risk of death from stroke.

A stroke is a medical emergency which needs to be diagnosed and treated at the earliest to reduce brain damage and to prevent further complications. Different types of strokes may have a different lines of treatment.

Let us understand the different types of strokes:

TYPES OF STROKE

1. Ischemic Stroke (Clots)
An Ischemic stroke occurs when the blood supply is disrupted to a region of the brain because of blockage in the artery supplying blood to the brain caused either by the blood clots or by artery blockage. This type of stroke accounts for 80-90% of all strokes and is the most common type of stroke.

2. Hemorrhagic Stroke (Bleeds)
This stroke occurs when a weakened blood vessel ruptures. The blood spill creates swelling and pressure and damages the brain cells & tissues. This type of stroke is less common and accounts for 15% of all strokes and but is responsible for 40% of all stroke deaths.

3. TIA (Transient Ischemic Attack)
This is similar to the Ischemic stroke in which blood supply to a brain part is disrupted but this is for a short while. TIA is a reversible stroke and the symptoms disappear within 24 hours. This is a silent stroke and a warning signal for future strokes and should be taken seriously. A transient ischemic attack is also called as Reversible Ischemic Neurological Deficit (RIND).

4. Cryptogenic Stroke
A stroke with an unknown cause is called a “cryptogenic stroke.” The event is transitory or reversible and the cause is truly unknown. This is more common in younger patients than in older patients.

Spot a Stroke with these 4 key symptoms (F.A.S.T):

  1. FACE DROOPING: When one side of the face becomes numb or droops. Ask the person to smile and see if the smile is uneven.
  2. ARM WEAKNESS: Ask the person to raise both the arms and see if one of the arms drifts downwards.
  3. SPEECH DIFFICULTIES: Slurred speech or dysarthria (Difficulty in speaking or understanding).
  4. TIME TO CALL AMBULANCE: If the person is positive for any of these symptoms, rush and call the ambulance and seek doctor’s advice immediately.

Following are a few additional signs of a stroke:

  • Numbness: Sudden numbness in the limbs especially on one side of the body.
  • Confusion: Any sudden confusion, difficulty in speaking or understanding speech.
  • Trouble Seeing: Vision loss in one or both the eyes.
  • Trouble Walking: Sudden trouble in walking, dizziness, and loss of balance.
  • Severe Headache: Sudden severe headache with an unknown cause.

80 % of the strokes can be prevented.

Some healthy lifestyle changes are recommended to prevent stroke, which might seem similar to the ones involved in heart disease.
– Keeping a check on high blood pressure
– Lowering the cholesterol levels, trans fats and saturated fats in the diet
– Consuming a healthier diet including high proteins, vegetables, fruits, grains, low fat or fat-free dairy products
– Exercising regularly and losing weight to help reduce blood pressure
– Quitting smoking, tobacco, etc. Do you know smokers are at double risk of stroke than the non-smokers?
– Limit alcohol use as it has been linked to stroke in many studies.

A Stroke is a medical emergency and swift action is critical as it can help reduce the damage and prevent further complications. We @ Datt Mediproducts understand the complexity of the situation and recommend seeing a doctor immediately after a positive test of F.A.S.T., brain damage can be highly reduced and life can be saved.

Visit www.dattmedi.com for more infomation.
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Common Wound Care Issues

Advanced Wound Care for the Elderly: Addressing Unique Challenges and Solutions

World Health Day reminds us of the importance of addressing health concerns across all age groups, particularly for the elderly. As people age, they often face unique challenges, including skin fragility and reduced mobility, which make wound care a crucial aspect of their health management. Advanced wound care tailored to elderly needs ensures better healing outcomes and improved quality of life.

Common Wound Issues in Elderly Patients

Skin Fragility & Chronic Wounds

Aging skin becomes thinner, less elastic, and more prone to damage. Studies indicate that skin tears affect up to 20-25% of elderly patients in long-term care facilities globally, highlighting the need for specialized wound management.  Source

Elderly individuals are particularly susceptible to:

  • Tears: Even minor trauma can cause significant skin injuries.
  • Pressure Sores: Prolonged immobility leads to pressure ulcers, especially in bedridden patients. A study in India reported that pressure ulcers affect nearly 8.3% of hospitalized elderly patients. Source
  • Diabetic Ulcers: Poor circulation and nerve damage increase the risk of chronic wounds, with diabetic foot ulcers affecting nearly 25% of diabetes patients in India at some point in their lives. Source
Limited Mobility & Circulation

Reduced physical activity affects blood flow, leading to slower wound healing. A study published in the Indian Journal of Plastic Surgery found that elderly patients with limited mobility take 30-50% longer to heal from wounds. Mobility limitations can also make it challenging to provide adequate care, increasing the risk of infections and complications.  Source

Specialized Dressings for Effective Care

1. Moisture-Retentive and Antimicrobial Dressings

These dressings maintain an optimal healing environment while preventing infections. Products like Velvert® Secure provide antimicrobial protection and promote faster recovery.

2. Non-Adhesive & Waterproof Options

Delicate aging skin requires gentle care. Non-adhesive dressings minimize trauma during changes, while waterproof options allow patients to maintain daily hygiene without compromising wound protection.

Orthopedic Support Products for Recovery

1. Compression Bandages/Stockings

For conditions like venous leg ulcers or swelling, compression products improve circulation and reduce edema, facilitating better healing.

2. Support Braces & Pads

Braces and padding prevent pressure sores and provide stability, especially for patients with mobility challenges.

Tips for Caregivers in Elderly Wound Management

  • Daily Monitoring: Regularly inspect wounds for changes or signs of infection.
  • Hydration, Nutrition & Hygiene: Ensure patients stay hydrated, eat a balanced diet, and maintain clean skin to support healing.
  • Gentle Mobility: Encourage safe physical activity to improve circulation and prevent stiffness.
  • Collaborate with Professionals: Work closely with healthcare providers to develop and follow a tailored care plan.

Advanced wound care plays a vital role in elderly health and well-being. By addressing their unique challenges with specialized solutions and caregiver support, we can improve healing outcomes and enhance their quality of life.

In this World Health Month, let’s advocate for proactive care and ensure our elderly population receives the attention they deserve.

Managing Chronic Wounds

Choosing the Right Dressing for Chronic Wounds

Chronic wounds, such as diabetic ulcers, pressure sores, and venous leg ulcers, present unique challenges in wound care management. These wounds often resist healing due to underlying conditions such as poor circulation, increased infection risks, prolonged or excessive inflammation, and other patient-specific factors.

Selecting appropriate dressings tailored to the needs of chronic wounds is essential to promote healing and prevent complications.

Chronic wounds develop due to systemic issues that delay natural healing. Common types include:

  • Diabetic Ulcers: These ulcers result from reduced blood flow and nerve damage, often occurring on the feet. Proper care involves maintaining a balance between moisture and dryness, ensuring the wound does not become too dry or overly moist.
Stat Spotlight

In India, diabetic foot ulcers account for approximately 20% of all diabetes‑related hospitalizations. ~ Source
  • Pressure Sores: Caused by prolonged pressure on the skin, these wounds are common among bedridden or immobile patients. Managing pressure and ensuring the wound stays clean and protected are vital.
Stat Spotlight

In India, point‑prevalence studies report that approximately 5% of hospitalized patients have pressure ulcers, underscoring the importance of preventive care. ~Source
  • Venous Leg Ulcers: These ulcers result from chronic venous insufficiency, in which impaired venous return causes fluid to accumulate in the lower legs, increasing tissue pressure and leading to skin breakdown. Effective management typically centers on graduated compression therapy to improve circulation, alongside advanced dressings to control exudate, leg elevation, and skin care to protect the periwound area.

Managing these wounds involves addressing infection risks, ensuring patient comfort, and promoting effective healing using evidence-based dressing solutions. Selecting the appropriate dressing depends on the type of wound, its condition, and the specific challenges it presents.

Below are some general guidelines:

Diabetic Ulcers

Dressings should maintain moisture balance and provide effective infection control. Non-adhesive dressings are preferred to minimize skin damage during dressing changes. Velvert®, with its strong antimicrobial properties and excellent moisture management, is ideal for diabetic ulcers and wounds at high risk of infection.

Pressure Sores

These wounds require dressings that redistribute pressure and effectively manage exudate to prevent further tissue damage and support healing. Velfix®-S offers both cushioning and absorption, making it a reliable choice for pressure sores and wounds requiring enhanced comfort and protection.

Venous Leg Ulcers

Advanced dressings used in combination with compression therapy are essential for managing exudate and improving circulation. Velfour®, with its high absorption capacity, is well-suited for heavily exuding wounds, including venous leg ulcers.

Infected Wounds

Antimicrobial dressings are effective in managing bacterial growth and reducing the risk of complications. Silvel™ with its strong silver based antimicrobial action and Velvert™ with their strong silver-based antimicrobial action, are suitable for infected or high-risk wounds such as second-degree burns, necrotizing fasciitis, and traumatic wounds.

Here are some types of advanced dressings that address specific wound care needs:

Antimicrobial Dressings

Designed to manage infection risks, these dressings often contain agents like silver to inhibit bacterial growth. Silvel™ and Velvert™ are widely used for diabetic ulcers and pressure sores prone to infection, owing to their strong antimicrobial properties.

Foam Dressings

Highly absorbent, these dressings are ideal for wounds with significant exudate, such as venous leg ulcers. They also offer cushioning to enhance patient comfort. Velsap™ and Velfix®-S are designed for moderate to heavily exuding wounds, ensuring effective fluid management and reduced dressing change frequency.

Multi-Layer Dressings

These dressings provide both absorption and protection, making them effective for managing pressure sores and heavily exuding wounds. Velfour® is an excellent example, offering essential support for such wound types.

Real-Life Example

A 60-year-old diabetic patient in India developed a non-healing foot ulcer. Initially, traditional gauze dressings were used, leading to frequent infections. After switching to Velvert™ antimicrobial dressing, the wound showed significant improvement within four weeks, with reduced exudate and no further infections. This case highlights the importance of selecting the right dressing for chronic wounds.

Practical Tips for Managing Chronic Wounds

Effective wound care goes beyond dressing selection. Here are additional strategies to optimize healing:

  • Proper Cleaning and Debridement: Regularly cleaning the wound and removing dead tissue helps create an optimal environment for healing.
  • Adjunctive Therapies: Techniques like compression therapy for venous ulcers and offloading for diabetic foot ulcers can significantly improve outcomes.
  • Regular Monitoring: Chronic wounds require consistent evaluation to identify changes in size, depth, or signs of infection, allowing timely adjustments in care.
  • Consulting Professionals: Work with healthcare providers to ensure the care plan addresses the wound’s unique needs and aligns with the patient’s overall health condition.

Selecting the right dressing for chronic wounds can significantly improve healing outcomes and enhance patient comfort. By understanding wound characteristics and tailoring treatments accordingly, healthcare professionals can address even the most challenging cases effectively.

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