In this 90-second video, WCEI co-founder Nancy Morgan answers a common measurement question: how do you measure wound depth when there’s slough or eschar in the way?
Those of us in wound care know that wet-to-dry dressing are considered substandard care. Some physicians, however, commonly order wet-to-dry dressings for patients, often leaving clinicians in a tricky situation. Do you feel conflicted as to how you should respond? It can be intimidating, but with a little preparation, it doesn’t have to be. By knowing the facts about wet-to-dry dressings, as well as effective and cost-efficient alternatives, you can handle such situations with confidence. Not sure where to start? We’re here to help.
Nancy Collins, PhD, RDN, LD, FAPWCA, FAND
I recently reviewed a lawsuit filed by the family of a patient* with a spinal cord injury. The patient was involved in a car accident and sustained multiple traumatic injuries. The medical team worked tirelessly over the course of many weeks to stabilize him. Because of this catastrophic accident, the patient was understandably quite devastated and depressed. He refused all physical therapy and spent most days lying in bed on his back, despite encouragement from his medical team and pleading from his family. He frequently stated that he wished he was dead and that he wanted everyone to leave him alone, often escalating things to the point of screaming.
As a wound care professional, you’ve probably had at least some experience with patients who need drains as part of the post-procedure healing process. But what you might not be familiar with are the feelings of angst and frustration that often plague patients and caregivers when they are faced with managing the drains successfully. Thanks to a determined nurse and some creative problem-solving, we now have solutions.
Are you ready, wound detectives, to tackle a new case? This time, we’re learning how to spot the clues that reveal infection. Remember, the wound will tell us what we need to know, we just have to pay careful attention and know what to look for. After all, treatment depends primarily on our clinical assessment (and then a wound culture, if indicated). Sharpen up those investigative skills, and let’s get to work.
You say potato, I say potahto. You say ostomy, I say … stoma. Huh? Those of us in wound care know that it’s not uncommon to hear the terms ostomy and stoma used interchangeably, even though they have different meanings.
In the WCEI blog, “Let’s Talk Ostomy Types,” we described the types and sub-types of bowel and bladder ostomy surgeries. Now, we’re focusing on an aspect of ostomies that wound care professionals experience directly in practice: the stoma.
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In 2016, we covered a lot of ground, bringing you straight talk on range of wound care topics, including ostomy care, diabetic wounds, legal issues, assessment tips, and more. Which were readers’ top five favorites? Here’s the run-down.
Nancy Collins, PhD, RDN, LD, FAPWCA, FAND
The new year is quickly approaching, and most of us are reflecting and setting goals for 2017. Here’s a simple plan that outlines what you must do to minimize the risks of practice.
As wound care practitioners, our main goal is to heal wounds as quickly and painlessly as possible. Over the years, this simple mission has gotten tied up in countless legal matters as disappointed patients and their families turn to attorneys when things don’t work out. Follow this outline of what to do to minimize the risks of practice in the new year.
Have you ever faced a seemingly daunting task, and so you do everything in your power to avoid it? Like renewing a driver’s license, for example. Or maybe cleaning out the refrigerator. But then once it’s done, you look back and say, “Hey, that wasn’t so bad!”
That’s kind of how it is when it comes to determining a patient’s ankle-brachial index (ABI). While this is a key component of the lower-extremity vascular exam, it’s often overlooked – and even omitted – just because it seems so overwhelming. Hang in there, folks: we’re here to help make it easier.