Always, Never, When? My approach to V.A.C. VERAFLO™ Therapy

September 22nd, 2017

Susan Mendez-Eastman RN, CWCN, CPSN

Should you consider using negative pressure wound therapy with instillation and dwell (NPWTi-d) on every wound ALWAYS? An experienced wound nurse discusses some contraindications.

 

ALWAYS, NEVER, When? My approach to V.A.C. VERAFLO™ Therapy - NPWTi-d

 

Susan Menendez-Eastman, RN, CWCN, CPSN

Susan Menendez-Eastman, RN, CWCN, CPSN

I am a huge proponent of V.A.C. VERAFLO™ Therapy, but I would NEVER endorse that you should ALWAYS use V.A.C. VERAFLO™ Therapy to treat a wound.  There are only a handful of situations where I would NEVER consider use of the therapy.  Wound care is dynamic and should be considered a continuum where patients and wounds are kinetic – the status, and therefore the needs, change. Goals of care also change, so to say any wound care treatment or therapy should ALWAYS or NEVER be used would be closed minded and fail to address the variability of wound care and healing.

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WCC Recertification: It’s Easier Than You Think

September 15th, 2017

What does it take to get WCC® recertified? A little preparation goes a long way – here’s what you need to know.  

WCC® Recertification: It's Easier Than You Think

 

Earning your Wound Care Certified® (WCC®) credential is one of the best feelings in the world. Once the exam is behind you (what a relief!), you can take all that new knowledge back to your practice and continue making a positive impact in wound care.  So, it’s completely understandable how tempting it can be to delay even thinking about recertification.

But trust us when we tell you that planning and preparing ahead of time will make it so much easier in the long run. When you’re ready for the nitty-gritty, please consult the WCC® Recertification Handbook. For now, let’s take a look at the basic – and surprisingly easy – steps of the WCC® recertification process.

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Malpractice or Obesity: Can a 276-Pound Patient Heal a Pressure Injury?

September 8th, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Obesity presents challenges to wound healing, but with knowledge and appropriate care interventions, we can provide optimal conditions to support the best possible outcome for every patient, no matter what size.

Malpractice or Obesity?

 

The US obesity epidemic reached a new all-time high in 2016, according to newly released Centers for Disease Control and Prevention data.1 Every single state has an obesity rate greater than 20%, and in five states it’s even greater than 35%. Topping the chart is West Virginia, at 37.7%.

Many of these people end up in the healthcare system because of obesity-related diseases and sometimes develop a wound, such as a pressure injury. As we know, wounds that do not heal after 12 weeks are termed chronic, and lawsuits because of chronic wounds and their consequences are rampant

The Obese Plaintiff

The discovery process surely will reveal whether a patient was overweight or obese because nutritional status and body weight are factors in the healing process. The tricky part is deciding how much, if any, of the chronicity of the wound was because of obesity.

In a recent case, the patient was 5′3″ and weighed 276 pounds. Can a person of this size heal? The defendants claimed they did everything according to the standard of care, but despite excellent care, the patient did not heal. They recounted some difficulty repositioning the patient because of her size and problems with moisture management in her skin folds. The plaintiff thought those were excuses and that there was size bias in the care given to the patient. So what are the facts when dealing with a larger patient with a wound?

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The Next Generation of Negative Pressure Wound Therapy – V.A.C. VERAFLO™ Therapy

August 29th, 2017

Elizabeth McElroy, RN, MSN, CRNP, CWS, CWOCN

Why and when to consider using something more than traditional negative pressure wound therapy.

The Next Generation of Negative Pressure Wound Therapy

 

iPhone® just celebrated its tenth year and is on its 7th generation of phone.  Just like any other technology, wound care dressings continue to evolve to meet the clinician and patient needs.  V.A.C.® Dressings have continued to grow and adapt.

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Wound Consulting Business: How to Get Started

August 18th, 2017

It’s time to make your wound consulting business a reality. Here’s what you need to know.

Wound Consulting - Getting Started

 

So, you’ve been thinking about starting that wound care business you’ve always dreamed about. What’s next?

First of all, start by taking a look at Wound Consulting Business: Do You Have What It Takes?, to see what factors you should consider before taking the plunge. It’ll help you decide if you’re cut out to be your own boss. Then, if you still think being a wound consultant is for you, let’s talk about getting started.

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Three Common Reasons You Might Get Sued

August 11th, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Patients often sue for reasons that have nothing to do with the quality of the medical care rendered, but rather for the human care that is perceived as lacking.

Three Common Reasons You Might Get Sued

 

The last few weeks were very difficult for my family and friends in the medical sense. I had one family member in an intensive care unit on the West Coast, one friend’s father in a rehab facility on the East Coast, and one friend’s son having problems in the outpatient setting in the Midwest. These patients are male and female, young and old, and have very different medical histories, but they all have one thing in common. They all want to sue about their medical care or lack thereof. These cases illustrate three common reasons you might get sued. Let’s take a closer look at what has gone wrong for each patient.

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Wound Consulting Business: Do You Have What It Takes?

July 28th, 2017

Thinking about starting your own wound care business or becoming a wound consultant? Here’s what you need to know.

Wound Consulting Business: Do You Have What It Takes?

 

(Editor’s note: this is Part One of a two-part series on starting your own wound consulting business. Part Two will explore how to get started.)

Being a wound consultant is a dream for so many clinicians. It can be exciting and rewarding to start a wound care business, but it can also be overwhelming, confusing and risky. So before you take the plunge, here are some serious questions and factors to consider.

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Venous vs. Arterial Ulcers: What’s the Difference?

July 21st, 2017

How can you remember the difference between venous vs. arterial ulcers? Visualization is a good place to start.

Venous vs. Arterial: What’s the Difference?

 

One of the most basic lessons in wound care education is learning the characteristics of venous vs. arterial ulcers – and being able to tell the difference between the two. It can be downright tricky – especially for new clinicians. Fortunately, we have a handy technique for remembering what to look for. And it all starts with visualizing what causes the wound in the first place.

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Nutrition and Wounds: The View From Both Sides

July 14th, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

Nutrition is frequently conjoined to wound care lawsuits because patients often lose weight, so it is important to thoroughly document nutrition interventions and education.

 Nutrition and Wounds

 

Most pressure injury lawsuits begin as just that—a lawsuit initiated because of an acquired pressure injury. Usually the wound in question never healed to closure, became infected, led to an amputation, or otherwise caused the patient suffering. During the legal discovery process, all sorts of other care issues come to light, and the scope of the lawsuit grows. One of the most common additional issues is the patient’s nutritional status. Let’s look at it from both sides.

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Wound Care Minute: Wound Assessment Equipment

July 7th, 2017

What wound assessment equipment do you need? In this short video, WCEI co-founder Nancy Morgan discusses the key items you should gather before you begin.

 

To learn even more tips, view the 1-hour webinar “Wound Assessment” for FREE using the code WCMINUTE. Education credit is available.

Wound Care Education Institute® provides online and onsite courses in  Skin, Wound, Diabetic and Ostomy Management. Clinicians who meet the eligibility requirements may sit for the prestigious WCC®, DWC® and OMS national board certification exams through the National Alliance of Wound Care and Ostomy® (NAWCO®). For details see wcei.net.

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