Archive for the ‘Diabetic Wound Care’ Category

Diabetic Patient Education

Monday, December 29th, 2014

Patient education plays a vital role in positive outcomes for our diabetic patient. Diabetic patients need to understand the importance of proper foot care and importance of good blood glucose control to maintain the integrity of their feet.

So what do our patients need to know? They need to work closely with their physician and the dietician to be sure their blood glucose levels are properly controlled. foot_mirror_between_toesThe ADA recommends an A1c below 7%.  They need to know how important it is to check their feet daily to catch any problems early. We as clinicians need to teach them how to do this and what to look for. Teach your diabetic patients to inspect their feet everyday. They can do this by having family members or caregivers check their feet, or they can use a mirror and do it themselves.

Explain to your patients what exactly they are looking for; cuts, sores, red spots, swelling, infected toenails, blisters, calluses, cracks, excessive dryness or any other abnormality. They should check all surfaces of the feet and toes carefully, at the same time each and every day. Explain to your patients to call their physician right away if they notice any abnormalities or any open areas. Other problems the diabetic patient should be aware of with their feet and report to their physician include tingling or burning sensation, pain in the feet, cracks in the skin, a change in the shape of their foot, or lack of sensation – they might not feel warm, cold, or touch. The patient should be aware that any of the above could potentially lead to diabetic foot ulcers.

Instruct your patients to wash their feet every day, but not soak their feet. Use warm, NOT hot water – be sure they check the water temperature with a thermometer or shoe_fittheir elbow. Dry feet well, especially between toes. Apply lotion on the tops and bottoms of their feet but not between toes. Trim toenails each week and as needed after bath / shower, trim nails straight across with clippers, smooth edges with emery board.

Wear socks and shoes at all times, the diabetic patient should never be barefoot, even indoors. Have them check their shoes prior to wearing, be sure there are no objects inside and the lining is smooth.  Instruct them to wear shoes that protect their feet; athletic shoes or walking shoes that are leather are best, be sure they fit their feet appropriately and accommodate the foot width and any foot deformities.

For our diabetic patients, glucose control is a key factor in keeping them healthy, but patient education and understanding of proper foot inspection and what findings to report to their physician are just as important for the well being of our diabetic patient.

Free Webinar “How-To: Diabetic Foot Exam Made Easy”. Use Promo Code: DFOOT  through 12/31/15.

Diabetic Ulcers – Identification and Treatment

Monday, October 27th, 2014
Gail Hebert RN, BS, MS, CWCN, WCC, DWC, OMS, LNHA, Clinical Instructor

Gail Hebert RN, BS, MS, CWCN, WCC, DWC, OMS, LNHA, Clinical Instructor

Don’t miss this energetic webinar brought to you by Wound Care Education Institute®:  Another popular session recorded from the Wild On Wounds National Conference and providing continuing education credit.

Chronic foot ulcers in patients with diabetes cause substantial morbidity and may lead to amputation of a lower extremity and mortality. Accurate identification of underlying causes and co-morbidities are essential for planning treatment and approaches for optimal healing. In this one-hour recorded session, Gail Hebert will review evidence-based approaches for identification and treatment of chronic neuropathic, neuro-ischemic and ischemic diabetic foot ulcerations.

Wound Care Education Institute is featuring various webinars on topics from this years’ conference.  TO REGISTER CLICK HERE or visit www.wcei.net/webinars.

 

2014 Annual Wild On Wounds, (“WOW”) National Conference Sets Record Attendance

Friday, September 26th, 2014

For Immediate Release – PRN Newswire:

2014 Annual Wild on Wounds, (“WOW”) National Conference

Sets Record Attendance

Plainfield IL – September 29, 2014 The Wound Care Education Institute® (WCEI) successfully completed its largest “Wild on Wounds” (WOW) conference in Las Vegas, NV. WOW is fast becoming the largest fall wound care conference in the United States drawing close to 1,000 clinicians, students and industry professionals to the four day event.   Picture1

WOW is specifically designed to advance the skills and knowledge of healthcare professionals specializing in wound care.  The educational sessions and hands-on workshops help them stay on top of ‘today’s standards of care’ and teaches the latest in wound care treatments and technologies.  “I  was  overwhelmed  by  the  outpouring  of  thanks  and  gratitude  from  the attendees,” said Nancy Morgan, Cofounder of WCEI and WOW.

This conference appropriately themed “Skin is in” was held at the Rio Hotel and Convention Center, September 17-20, 2014. Highlights of the conference included:

  • Close to 1,000 practicing nurses, therapist, physicians and industry professionals who influence wound care decisions from all care environments
  • 50+ basic to advanced educational sessions
  •  20 “How-To” and “Hands-On” programs
  • Renowned speakers and industry experts
  • Live certification courses include Skin and Wound Care, Diabetic Wound Care and Ostomy Management
  • Exhibitor partners
  • Clinical poster presentations
  • Wound Care Certified (WCC®) Outstanding Achievement and Scholarship Awards

WOW 2015

Next year’s WOW conference will be held September 2-5, 2015 in Las Vegas, NV.  If you are interested in receiving more details about WOW 2015 email WCEI at info@wcei.net.

 

About the Wound Care Education Institute

WCEI provides healthcare professionals with ongoing education support and comprehensive online and nationwide onsite courses in the fields of Skin, Wound, Diabetic and Ostomy Management. Health care professionals who meet the eligibility requirements may sit for the prestigious WCC®, DWC® and

OMS™ national board certification examinations through the National Alliance of Wound Care and Ostomy® (NAWCO®).   Website: www.wcei.net

47 Days to WOW Conference

Monday, August 4th, 2014

It’s not too late to register for WOW!  Don’t pass up the opportunity to network, learn and participate in some of the top wound management sessions. Jennifer talks about two of her sessions and what you can expect in this video.

Jennifer Oakley RN, WCC, CWCA, DWC, OMS, Clinical Instructor

SESSION 406

The Wound Care Quiz Connection
In this session you will have a plethora of wound care information presented in a fun and fast moving quiz format to get you and your colleagues thinking again without overloading you. Join Jennifer, test your knowledge and inspire others.
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SESSION 106
Finding Common Ground…Your Guide to Surviving Wound Care Communication ChallengesIn this session you will learn effective communication techniques that will enable you to effectively deal with the day-to-day challenges you face as a wound care clinician.
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Even our exhibitors and sponsors are getting in on the knowledge.
SESSION 702 
HANDS ON : Use of Collagenase SANTYL Ointment in Wound Bed Preparation

Amy Bruggeman NP, MS, APRN-BC

Proper wound bed preparation is crucial for wound repair to progress normally. The overall goal is to address the necrotic burden and achieve a stable wound with healthy granulation tissue.Debridement helps remove necrotic tissue, which is a key component to wound bed preparation.

This program will review wound bed preparation and the role of debridement. It will analyze evidence based medicine in the treatment of chronic wounds and it will summarize the benefits of Collagenase SANTYL® Ointment in chronic wound debridement.Don’t put it off any longer. Book your sessions today and get your hotel room ready.
See you in Vegas!
 

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Wild on Wounds Productions, Inc.
25828 Pastoral Drive
Plainfield, Illinois 60585

Wild On Wounds National Conference Brings Back the Maggots to Las Vegas!

Tuesday, June 3rd, 2014
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This is just one of the sessions you can enjoy at our
National Wound Conference
Session 305 
HANDS ON:
Maggot Debridement Therapy
Dr. Ronald A. Sherman, M.D., M.Sc., D.T.M.H., Director, BioTherapeutics
We are pleased to welcome back Dr. Sherman, leading expert in maggot therapy and currently Chairman of the Board of Directors of the non-profit BioTherapeutics, Education and Research (BTER) Foundation, which supports patient care, education and research in maggot therapy and the symbiotic medicine.
Taught in two sessions, this course will give you the didactic and the practical hands on education on maggot therapy. Learn about the history, current status, mechanisms of action, as well as indications and contraindications for maggot therapy. Then put all that to use when you actually learn the technical aspects of maggot debridement therapy by applying live maggot dressings to mock wounds.
This session has limited seating and fills up fast so don’t wait.
 REGISTRATION INCLUDES:
  • 3 days filled with wound care education
  • 2 days of vendor showcase exhibits
  • Lunch all 3 days with a lunch speaker on day 3
  • Party poolside with a robust buffet and drinks!
  • Complimentary collectible event T-shirt
  • and MORE!

The blank white buttons with download pictogram            The blank white buttons with download pictogram

 

Win a Free Trip to “WOW” Wild On Wounds Conference 2013

Monday, June 3rd, 2013

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The “Why I Want To Go To WOW” Video Contest is now open for submissions

Wound Care Education Institute wants to know why you should win a trip to attend the WOW Wild on Wounds National Conference in Las Vegas.  Submit a 3  minute video telling us why it’s important for you to attend WOW and you could win a complete trip which includes air travel, hotel stay for 4 nights and access to the WOW 2013 Conference.
How to Enter:
Eligible clinicians must submit their video entries via email to nancy@wcei.net.

DEADLINE FOR SUBMISSIONS:  5:00pm CST on Friday June 21, 2013
Contest is open to current licensed clinicians only. Each entry must include the participant’s first name, last name, home address, email address, written confirmation that the participant is 21 years of age or older, phone number including area code, all required video release forms and either an attachment of, or link to, the video. Video must not exceed 3 minutes in length. Only one entry per person will be permitted and all requirements must be met in order to qualify. For complete details See Entry Requirements for complete details.

Check Out Our 2012 Winning Video – CLICK HERE

Diabetic Wound Certified Nurses Paying It Forward in Philadelphia

Tuesday, May 14th, 2013

Diabetic Wound Care certified nurses had a dream to create a free diabetic foot screening clinic and open it up to the city of Philadelphia, PA. Their dream came true.

Philadelphia Nursing Team, WCC's and DWC's getting ready to open up the clinic.

Philadelphia Nursing Team, WCC’s and DWC’s and Dr. Fanelly getting ready to open up the clinic.

Wound Care Education Institute’s (WCEI®) clinical team presented a session last year called “Paying It Forward” at our annual “Wild on Wounds” convention. This session was all about developing and coordinating free community diabetic foot screening clinics. We walked attendees through every step necessary to conduct such a clinic, from choosing a location to marketing and funding, and including logistics such as station supplies and staffing.

As a result, Stanley A. Rynkiewicz III RN MSN WCC® DWC® CCS and Administrator at Deer Meadows Home Health was inspired to coordinate a one day clinic in his home town of Philadelphia. He asked if WCEI could help him coordinate the event making it available to the whole city. We were thrilled at the invitation!

The event took place on Saturday May 11th with staff that included volunteer nurses, Wound Care Certified (WCC®) and Diabetic Wound Certified (DWC®) clinicians and a local podiatrist and co-sponsor, Dr. John M. Fanelly DPM.

The clinic was a huge success!  Close to 100 Philadelphians came from all over the community, ranging in age from 35-85 years.  We were a welcome sight to them and you could see the appreciation in their faces.  They came to us with conditions that ranged from calluses to fungus and included hammer toes, Onychogryphosis (also known as “ram’s horn nails”), diabetic ulcers and Charcot foot .

Polymem Silver Toe dressing to combat bioburden

Polymem Silver Toe dressing to combat bioburden

We will never forget Willie, an older man who walked with a slow shuffle and a big smile. Because he had not seen a doctor in many years, he was thrilled to have his feet checked. When he took off his slipper we saw the “ram’s horn toe nails” shown in this photo. They had not been cut in years and were excessively thick and curled under and over.

Ram Horn Nails

Ram Horn Nails

Our post clinic meeting discussions made it clear that our outreach work has just touched the surface of a great need. Much more needs to be done and our knowledge and expertise has the potential to have enormous impact. There are many more Willies out there that need our help.

We plan to share our experience in detail at this year’s Wild on Wounds annual convention in Las Vegas on September 11-14, 2013. Our hope is to inspire more clinicians to do this in their own communities across the country.

Thanks again to all the wonderful nurses who donated their time on a very long Saturday and to the wonderful sponsors:  Deer Meadows Home Health Select DataFerris Manufacturing (Polymem Dressings) / Dr. John M. Fanelly DPM and Wound Care Education Institute.

 

Trimming Those Tricky Diabetic Toenails

Thursday, March 7th, 2013

diabetic blog pic

You are getting ready to trim your diabetic patients toenails.  What exactly does that all involve?  Well, first you need the proper tools.  A set of toenail nippers, nail file, and orange stick are typically used.   Always follow your facility or healthcare’s settings policy for infection control.  Single use disposable equipment is favorable.

You have gathered your equipment to trim the patients toenails, now what?  Nails are easiest to trim after a bath or soak for 10min to soften nails.  The soaking of diabetics feet should only be done by a healthcare professional. You can clean under the patients toenail with an orange stick (wearing gloves), wiping on a clean washcloth in between each toe during soaking. .

After soaking and washing of the feet are completed, dry the patients feet completely.  Wash your hands and put on gloves to trim the toenails.  Use your dominant hand to hold the nipper.  Start with the small toe and work your way medial toward the great toe.  Squeeze the nipper to make small nips to cut along the curve of the toenail.  Be careful not to cut the skin.  Use your index finger to block any flying nail fragments.  Nippers are used like a pair of scissors – make small cuts, never cut the nail in one clip all the way across the nail.  Never use two hands on the nipper.  The nail is trimmed in small clips in a systematic manner.  The nail should be cut level with the tips of the toes, never cut so short or to break the seal between the nail and the nail bed.  The shape of the nail should be cut straight across and an emery board should be used to slightly round the edges.  When filing nails always use long strokes in one direction, avoid using a back and forth sawing motion.

When all toes have been trimmed and filed, remove gloves and wash hands.  Apply clean gloves and apply lotion to the top of the foot and to the soles of the feet, rubbing lotion in well, wipe excess lotion off with a towel.  Put patients socks and shoes back on as needed.  Wash hands and smile, you are done!

For your patients who are trimming their own toenails at home teach them the following simple instructions:  Be sure you have good lighting. Trim toenails after bathing, dry feet well, especially in between the toes.  Start with the little toe and work your way into the great toe.  Use small cuts, never cut the toenail across all at once.   Cut straight across and use a nail file to smooth edges.  Apply lotion to the bottom and tops of the feet, never in between the toes.  For patients with thickened toenails or yellowed toenails, recommend a foot care specialist like a podiatrist cut their toenails.

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“Footnotes on Selecting Diabetic Footwear”

Monday, January 28th, 2013

There are a lot of shoes out there, but not all of them would be appropriate selections for our diabetic patients.  In fact, selecting improper footwear could actually harm our diabetic patients and lead to diabetic foot ulcers and possible amputations.  Statistics show that 50% of amputations of our diabetic patients are directly related to improper footwear!amputation

Diabetic Wound Certified clinicians need to know how to check the footwear of our patients as well as the staff caring for our patients.  What are we looking for in a shoe for our diabetic patient?  The shoe should offer a firm snug fit.  The heel should be less than 1 inch, the greater the heel the greater the pressure on the ball of the foot and this could lead to callus formation and ulcerations.  The shoe should have laces, buckles or elastic to hold it in place.  When the diabetic is wearing slip on shoes the toes must curl to hold the shoe on and this can lead to calluses on the top of the toes and potential ulceration.  The shoe should have 1cm between the longest toe and the end of the shoe when the patient stands, we don’t want added pressure to the tips of the toes or on the toenails.  The sole of the shoe should be smooth without seams and cushioned to absorb shock and reduce pressure on the feet.  The shoe should be made from a material that “breathes”, avoid plastic and vinyl as they can encourage fungal infections.  The shoe should have a protective function; a closed toe shoe is imperative for our diabetic patient.  Look closely at the patients foot and the shoe – they should be the same shape, pointed toe shoes cause corns, calluses and ulcerations! Be sure the shoe width is appropriate, has a wide toe box that allow toes to move and accommodates any foot deformity.  The heel of the shoe should also be firm, you can check this by holding the sides of the heel of the shoe between your thumb and forefinger, try to push them together, if the heel compresses, its to soft and won’t give the patient good enough support when walking.

We also need to teach our patients and their family members instructions on checking for proper fit of their shoes and how to shop for new shoes.  They should be re-measured each time, shop late in the day, try on both shoes and walk around in them to ensure they are comfortable, be sure there is a thumbs width of space at the end of the longest toe, try the shoe on with the socks they will be wearing, be sure the heel is less than an inch, and be sure the shoe has laces or velcro closures.  If the patient has serious foot problems or deformities they should be referred for specially molded inserts and or shoes.

Following the above recommendations may just prevent a patient from developing a diabetic foot ulcer and an amputation!  Patient and caregiver education is a key factor in preventing diabetic foot ulcers!

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