Posts Tagged ‘wound healing’

Wound Care and Debridement: Know the BEAMS

Friday, August 26th, 2016

These five major debridement methods for wound clinicians are easy to remember (hint: BEAMS), and key to the wound healing process.

Wound Care and Debridement: Know the BEAMS

When it comes to healing chronic wounds, clinicians are all about Wound Bed Preparation, which is the process of removing local barriers to wound healing. A key to this process is debridement – the removal of necrotic, dead tissues from the wound bed.

In order to provide the best care possible for your patients, it’s important to know the differences between the two main categories and five major methods of debridement.

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Malnutrition and Wound Care: A Dreadful Duo

Wednesday, August 24th, 2016

Check out these top tips to recognize, treat and prevent malnutrition – and get those patient wounds healing.

 

Malnutrition and Wound Care: A Dreadful Duo

 

(Adapted from Tips to Recognize, Treat and Prevent Malnutrition by Amy Carrera, MD, RD, CNSC)

Malnutrition in the hospital setting can be more common than you think. In fact, up to half of hospitalized patients are either malnourished or at-risk of malnutrition. And when it comes to wound care, malnutrition can cause a number of complications, including delayed wound healing, infection, and other problems that may lead to hospital readmissions.

Let’s take a closer look at what malnutrition actually is, what happens when patients are malnourished, and some tips to recognize, prevent and treat it.

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Pressure Injury Prevention: Nutrition Matters

Friday, 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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Telemedicine, Wound Care and . . . Dracula?

Friday, May 6th, 2016

Find out how telemedicine continues to change wound care (and what you can learn from your favorite cartoon characters).

Telemedicine, Wound Care and ... Dracula

 

What do Dracula, Wile E. Coyote and telemedicine have in common? It’s an intriguing question for sure, and you’ll be able to find out the answer at the Wild on Wounds (WOW) National Conference, to be held Aug. 31 – Sept. 3 in Las Vegas.

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The Battle of Wound Healing: Dry vs. Moist

Thursday, October 8th, 2015

The truth about moist wound healing, related cost savings, and the risks of keeping wounds dry.

Do Wounds BreatheWhen you were a kid, you probably had your share of cuts, scrapes and other childhood wounds that required a good old-fashioned bandage. And somewhere along the way you were most likely told to “… take the bandage off to let it breathe.” This advice, which essentially is what we now call dry wound healing, surely came from a parent, well-intentioned friend, or perhaps even a health professional.

Today, we know better. Thanks to lots of research and a better understanding of wound treatments, we know that in most cases, moist wound healing is the better way to go.

History of Moist Wound Healing

In the early ‘60s, while parents, caregivers and clinicians were commonly telling patients to just “let it breathe,” British-born pioneer Dr. George Winter decided to conduct a little research on the subject. His findings demonstrated that moist wounds healed faster, which flew in the face of conventional wisdom at the time – that dry and scabbed wounds promoted healing.

Winter’s research ultimately changed minds, and led to what is now considered a principle practice: moist wound healing. In fact, his work revealed that wounds heal twice as fast when placed in a moist environment.

Moist Wound Healing Today

While it’s been a long time since Winter’s research served to shift wound care practices away from the dry and scabby kind, there are still a number of uneducated clinicians who continue this outdated approach, ignoring the increased risk of bacterial infection. Some even believe that dry wound care is better because it’s cheaper – saving money on bandages and other supplies.

Not only is this approach short-sighted, it’s incredibly negligent. Responsible clinicians know that when it comes to wounds:

  • Optimum healing occurs when the wound temperature is near normal body temperature.
  • Even a 2°C drop in temperature can delay wound healing for up to four hours.
  • Oxygen is needed for every phase of wound healing.
  • Cooling the wound by leaving it uncovered will cause vasoconstriction and decrease the oxygen available for white blood cells to fight off infection.
  • Uncovered wounds lead to higher risks of infection and prolonged healing rates.

What About the Cost?

Sometimes old-school clinicians argue that dry wound healing is cheaper, and worth the risks involved. This theory doesn’t hold water considering that one single infection will negate any cost savings there might have been, plus this puts patients at risk for sepsis or a number of other preventable complications.

The dressings required to keep a wound covered, warm and moist are actually not expensive, and are considered the standard of care today.  To ignore or reject this approach is foolish, and places practitioners at legal risk should it result in a bad outcome.

But What About Acute Wounds?

There are exceptions to moist wound healing, and this includes the treatment of acute wounds.  According to the Centers for Disease Control and Preventions (CDC), once an incision line is closed and there is no drainage or chance of infection, an acute wound may be left open to air.  When the incision line is re-approximated, epithelialization can be complete within just 72 hours.

The timeframe when acute wounds need to be kept covered is much less than in healing full-thickness chronic wounds, which tend to be open longer and require the production of granulation tissue in order to fill in the deficit, and then epithelial tissue to replace the missing skin on top.

Advocate for Proper Wound Healing

So now that you know the truth about moist wound healing versus the outdated dry wound method, what can you do? Next time you witness a clinician leaving a chronic wound open to air:

  • Take the time to educate them on the principles of modern wound healing.
  • Provide them with copies of any written Standard of Care for wound healing that contains this preferred approach.
  • Encourage them to continue their wound care education – our patients rely on us to know how to help them heal as quickly and safely as possible.
Next time you see a clinician leaving a chronic wound open to air, educate them on modern wound healing.Click To Tweet

Tell Us Your Stories

Have you encountered fellow clinicians who defend dry wound healing when moist healing should be used? Have you had to discuss this issue with colleagues or attempt to educate resistant wound care providers? How did you handle the situation? Please tell us about your experiences by leaving your comments below.

 

PuriCore Announces Clinical Results for Vashe Wound Therapy in Post-Operative Care of Skin Grafts on Burns

Wednesday, November 18th, 2009

Vashe

PuriCore announced results of a randomized clinical trial showing the potential effectiveness of its Vashe Wound Therapy in the post-operative care of split-thickness skin grafts for burn injuries. Vashe Wound Therapy is an FDA-cleared medical device used for moistening, irrigating, cleaning, and debriding acute and chronic wounds including stage I through IV pressure ulcers, stasis ulcers, diabetic ulcers, post-surgical wounds, first and second degree burns, abrasions, and minor irritations of the skin. Vashe Wound Therapy is a medical device that produces a biocompatible solution to enhance the clinical management of acute and chronic wounds and has been used successfully and without report of adverse events in more than 100,000 wound treatments. It is designed to be a safe, effective and economical alternative to commonly used wound irrigating solutions that inhibit wound healing.

Does your institution have a protocol that includes irrigation or ‘cleansing’ of wounds? If so, what solutions are you using in your wound care practices? What effect is it having on your wound healing or incidence of infections? The Wound Care Education Institute is interested in your thoughts and discussion about wound care.What say you?

For more information about Wound Care Certification, please visit WCEI’s Registration Page