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Maceration and Hydrogels? Just Say Whoa

July 21st, 2016

How do you use hydrogel dressings to keep wounds moist without causing maceration? Very carefully.  

 

Maceration and Hydrogels? Just Say Whoa

 

If you’ve ever taken a long bath or spent an afternoon in a swimming pool, you’re familiar with what happens to your hands and feet: they become soft, white, and wrinkled up like prunes. This is a classic case of maceration, which occurs when skin tissue is exposed to excessive moisture over a period of time.

As clinicians, we regularly treat patients with wounds (which need to be kept moist) that are surrounded by tissue that needs to be kept dry. So knowing how to properly treat the wound without causing maceration makes all the difference in the healing process.
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Pressure Injury Prevention: Nutrition Matters

July 15th, 2016

(Adapted from  Nutrition and Wound Care by Amy Carrera, MD, RD, CNSC)

Proper nutrition is key when it comes to pressure injury prevention and effective wound care, no matter if it’s at home or in a health care facility.


Nutrition and Pressure Injury Prevention


Pressure injuries can occur in health care settings or at home, and affect more than 2.5 million Americans annually. The cost of treating just one Stage III or IV pressure injury may range anywhere from $5,000 to $50,000. Adequate nutrition status is paramount to wound prevention and helps to facilitate wound healing.

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Say Cheese to the Camera: Wound Photography Shot by Family Members

July 8th, 2016

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

These days, most people have a camera in their pocket, giving family members the ability to take their own wound photographs.

Say Cheese to the Camera: Wound Photography Shot by Family Members

 

When we talk about wound photography, we usually are referring to health care professionals (HCPs) taking periodic photographs to document the healing process as part of a patient’s permanent medical record. In fact, some new cameras are made specifically for this purpose. Some of these cameras not only capture an image but also can provide wound measurements, and some even offer automated integration into the patient’s electronic health record.

Today, however, HCPs are not the only ones with cameras. Family members or visitors to a wound clinic or health care facility usually have a camera with them, and they love to use it. This has raised new questions in wound care because many of these unofficial photographs become introduced as evidence in lawsuits.

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“I Love Wound Care” Video Contest Winner!

June 28th, 2016

I Love Wound Care Video Contest

We are excited to announce the winner of the 2016 “I Love Wound Care” video contest:

★ Gina Turbeville, RN of Pamplico, SC ★

As our winner, Gina will have the opportunity to take the WCEI online Skin and Wound Management course and join our family of 29K+ passionate healers throughout the United States.

When notified about her winning video, Gina responded, “I am so excited about wound care and want to be educated so that I can make a difference, especially to geriatric patients! Can’t wait to begin my education so that I can be the best I can be!”
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Let’s Talk Ostomy Types

June 16th, 2016

(Adapted from About Ostomies: Ostomy 101 by Shield Healthcare)

A comprehensive guide to the different types of ostomies, including colostomies, ileostomies, and urostomies.

Ostomy Types

Do you know your ostomy types? There are three kinds of bowel or bladder ostomies, and with this handy guide, you can brush up on each one – including the multiple sub-types. But first, let’s cover the basics.

Ostomy Surgery

Ostomy surgery is a surgical operation that redirects body wastes through a new outside opening, called a stoma. The stoma is a new exit point created to divert feces or urine. In some cases, multiple stomas are created to divert both. The term “ostomy” is used interchangeably by patients to refer to their medical condition, their stoma, and/or the appliance used to collect waste.

Intestinal ostomies are most often performed in conjunction with: tumor removal; to permit repair of bowel injuries; congenital defects; or as a last resort, treatment in medically unmanageable cases of inflammatory bowel diseases. Indications for urinary diversion include: tumor removal; congenital or nerve defects; or injuries that take away voluntary bladder control.

Types of Ostomies

There are three types of bowel or bladder ostomies, along with multiple sub-types:

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Oh Mercy, We Have MARSI!

June 13th, 2016

If you’re in the wound care industry, here’s what you need to know in order to avoid Medical Adhesive Related Skin Injury – also known as MARSI.

Oh Mercy, We Have MARSI!

 

Here’s a quiz for all of you in wound care: how many medical adhesive injuries are reported each year in the United States? The answer is 1.5 million. That’s a lot of skin tears and other painful dermal injuries that might have been prevented.

The good news is that, with continued education, we can all play a part in decreasing tape-related wounds in order to avoid Medical Adhesive Related Skin Injury (MARSI). This new descriptor in skin injury is definitely something you need to know.

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WCC Nurses Part of History-Making Conjoined Twin Separation

June 9th, 2016

Two WCC nurses reflect on the historic procedure that successfully separated 10-month-old conjoined twins, Ximena and Scarlett Hernandez-Torres.

WCC Nurses Part of History-Making Conjoined Twin Separation

 

When nurses Roxana Reyna and Kirby Wilson went to work on April 12, 2016, it was anything but an ordinary day. In fact, before entering the doors of the Driscoll Children’s Hospital in Corpus Christi, Texas, they already knew it would be nothing short of historic.

The two joined a team of surgeons, nurses, and other medical professionals with one goal in mind: to separate 10-month-old conjoined twins, Ximena and Scarlett Hernandez-Torres. It was the regional hospital’s first such operation, and a rare occurrence by any standard, as the incidence of a triplet birth involving conjoined twins is believed to be about 1 in 50 million.

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Using Your Smartphone at Work: A Smart Idea or Not?

June 3rd, 2016

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

In health care, personal smartphone use at work is a complicated issue with legal implications.

Smartphones at Work

 

The plaintiff attorney drummed his fingers on the table while he stared at nurse Stephanie Holland* for what seemed like an eternity. He was waiting for her to respond to a seemingly simple question during her deposition—“Do you ever use your personal phone at work?”

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Not Yo’ Grandma’s Stockings

May 27th, 2016

By Christopher Miles, OT, CLT, CWCA, medi USA

Compression garments aren’t what they used to be – and those of us in wound care couldn’t be happier.                                      Not Yo' Grandma's Stockings

Unfortunately, when patients think of compression garments they think of socks that are too tight and difficult to get on, or tend to roll and pinch. What they might not be thinking is that compression therapy is practically the only medical treatment likely to reduce the rate of recurrence of their nasty, painful and smelly venous leg ulcers.

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Maggots and Wound Care: The Not-So-Odd Couple

May 23rd, 2016

The use of maggots in wound care is making a comeback – in the form of maggot debridement therapy – and wound clinicians can’t wait to talk about it.

Maggots and Wound Care

 

Most people don’t get too excited about maggots. In fact, the mere mention of legless larvae surely triggers gag responses and/or skin crawling in millions of non-healthcare citizens everywhere. But that’s definitely not the case for those of us in wound care.

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