Cognitive-behavioral therapy (CBT) in schizophrenia was originally developed to provide additional treatment for residual symptoms, drawing on the principles and intervention strategies previously developed for anxiety and depression.ROCEDURE. The therapeutic techniques used for patients with schizophrenia are based on the general principles of CBT. Links are established between thoughts, feelings, and actions in a collaborative and accepting atmosphere.
Wound slough has been described as a viscous, yellow, and relatively opaque layer on wound beds, while biofilm found in wounds has been suggested to appear more gel-like and shiny 23. Nevertheless, there may be a link between biofilms and slough.herefore, slough may indicate the presence of biofilm in a wound. However, such a link between slough and biofilms in chronic wounds is yet to be fully defined.Currently, the most reliable method to confirm the presence of microbial biofilm is specialised microscopy, eg confocal laser scanning microscopy.
This can be a costly mistake, due to the fact that slough is non-viable tissue and requires debridement. When a large amount of slough is present and obscures the wound bed, the wound is unstageable. Slough can be identified as a stringy mass that may or may not be firmly attached to surrounding tissue.Slough can range in color from white (scant bacterial colonization) to yellow or green (larger bacterial counts) to brown (hemoglobin is present).rofessionals involved in describing and treating pressure ulcers must be able to differentiate among epithelium, granulation tissue, slough and eschar in order to ensure that pressure wounds are treated accordingly and safely. Tissue identification is also important to note in the healing progress of a wound.