Where There is Smoke, a Lawsuit is Possible

November 7th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

Smoking is known to hinder wound healing, yet most wound care practitioners fail to document any smoking cessation discussion or education.

 

 

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

The daughter of Mrs. Bradley* was barely able to contain herself while giving her deposition. She was sobbing from a place deep in her heart as she retold the story of how her mother lost her leg. Her mother started limping, and they realized she had an “opening” in the skin on the bottom of her foot. Despite treatment, the wound grew in size and became infected. It soon became apparent that she was facing an amputation.

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Sacral Wounds and Diarrhea Don’t Mix, Part 2

October 15th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

Frequent bouts of diarrhea make it difficult to care for wounds on the sacrum or coccyx, and healing often is impeded because of fecal contamination.

 

 

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Sacral Wounds and Diarrhea Don’t Mix, Part 1

September 12th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

Frequent bouts of diarrhea make it difficult to care for wounds on the sacrum or coccyx, and healing often is impeded because of fecal contamination.

 

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What Would You Do if Your Patient Chokes?

August 8th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

Every minute counts when a patient chokes, so you must react confidently and have a plan in place to handle this emergency situation.

 

 

 

 

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

John Quiñones stars in the ABC television show What Would You . The program features actors cast in scenes of conflict or illegal activity in public settings, while hidden cameras record the situation. The focus of the show is to see whether ordinary people intervene or just pass by and how they react. For example, a recent episode featured a young girl’s nanny berating her in public and calling her stupid. Several passersby asked the nanny to cool it, while others just squirmed and silently hurried by. The point of the show is that we never really know how we will react to a situation until we are actually in it, and then each of us has to make a choice.

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Help! My Wound Patient Is a Vegetarian

July 12th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

Patients with wounds require increased amounts of dietary protein, typically meaning meats, poultry, dairy products, and eggs. Vegetarians will need alternate sources of protein and amino acids to meet their needs and heal their wounds.

 

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

If you have ever heard me talk about nutrition interventions for wound healing, you surely heard me emphasize the patients’ need for protein. In order to build new tissue to heal a wound, patients must consume enough protein each and every day to meet their increased needs. Typically, this means eating increased amounts of meat, poultry, fish/seafood, eggs, and dairy products. This seems simple enough, but what if you have a vegetarian patient?

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The Head to Toe Search for Wounds

June 12th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

A comprehensive skin assessment should look for more than just wounds because many medical problems have telltale signs that are easy to see if you know what to look for.

comprehensive skin assessment

 

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

 

POA. These three little letters have become very important in wound care because we must document any wounds present on admission (POA). By doing so, we are saying that these wounds began somewhere else—maybe at home, maybe in another care setting, but definitely not while under the present facility’s care. This distinction of origin has great implications both financially and legally.

 

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Lower Extremity Ulcers and Angiosomes

May 16th, 2018

What is an angiosome and how does it relate to wound healing? A grand prize-winning Wild On Wounds poster presenter discusses how angiosomes can help identify patients who need vascular intervention.

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Nutrition Tips for Wound Patients With Cancer

May 11th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

Patients with wounds usually have multiple medical problems, and often the other diagnoses make meeting the nutritional plan difficult, such as when the wound patient also has cancer.

Nutrition Tips for Wound Patients With Cancer

 

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

I often discuss the increased nutritional requirements to fuel wound healing. Patients need extra calories and protein each day, plus an adequate amount of fluids, the right mix of vitamins and minerals, and any adjuvant treatments, such as targeted amino acids. A question that I often am asked is how you accomplish this when the patient has an additional diagnosis that impedes or supersedes the recommended nutritional plan. It is rare that a patient presents with only a single medical problem, and sometimes the other problems pose challenges to the nutritional plan.

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Helping Wounds Heal With Amino Acids

April 6th, 2018

Nancy Collins, PhD, RDN, LD, NWCC, FAND

The use of targeted amino acids is becoming more common as a strategy to help heal a variety of conditions, including wounds, because of the role key amino acids have in rebuilding tissue.

Helping Wounds Heal With Amino Acids

 

Chronic wounds, meaning those that have not healed in 12 weeks, affect approximately 6.5 million patients in the United States annually at a cost of $25 billion.1 The term chronic wound refers to various types of skin integrity problems, such as pressure injuries, diabetic foot ulcers, venous ulcers, arterial ulcers, burns, and traumatic wounds to name a few.

The Role of Nutrition

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

Nutrition often is not the first thing you think of when talking about wounds, but it is important to understand the link between poor nutrition and wound healing. Essentially, when a body has a wound, it has competition for the nutrients it needs. Wound healing is very energy dependent; energy is another word for calories. If your patient is not eating well and not meeting his or her caloric and protein goals every day, weight loss typically occurs.

When nutritional substrate is in short supply, the body decides whether to use the available substrate to build new tissue for the wound or to use it to keep its vital organs functioning. If weight loss continues unchecked, wound healing is impaired and eventually it will cease altogether in favor of the body’s vital organs.2

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Ostomy Minute: How to Get a Good Seal Without Skin Residue

March 30th, 2018

How can you create a good seal under the skin barrier of an ostomy appliance without leaving residue on the skin? In this one-minute video, WCEI Instructor Joy Hooper, RN, BSN, CWOCN, OMS, WCC discusses new products you should explore.

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