Probably more than once. This is a hotly debated issue among wound care clinicians. In this post, we’ll dissect the facts and provide a clear understanding of how to differentiate the two types of foot wounds.
Read the rest of this entry »
The two words are acronyms pertaining to clinical categories related to comprehensive wound assessment, management and wound bed preparation for hard-to-heal wounds, said Donald Wollheim, MD, FAPWCA, WCC, DWC, a board-certified surgeon of the American Board of Surgery and clinical instructor with the Wound Care Education Institute (WCEI).
Read the rest of this entry »
It has since proven to be a wonderful resource for all providers who work with ileal conduit patients.
The study began in 2014 with the establishment of a “dedicated team” of ostomy specialists who provided standardized postoperative care.
Its purpose was to undercover the effects of a more involved, systematized program of postoperative care for patients with ileal conduits who were discharged from the hospital.
Read the rest of this entry »
Prone positioning is important when patients are experiencing acute respiratory distress syndrome (ARDS), which is a risk for those who have the virus.
Prone therapy is not new, however.
“Critical-care nurses have known for many years that prone positioning patients with ARDS results in lower mortality rates and less incidence of lung injury,” said Kathleen M. Vollman, MSN, RN, CCNS, FCCM, FCNS, FAAN, clinical nurse specialist and consultant at Advancing Nursing, LLC.
Prone therapy was a nursing intervention first used personally by Vollman on an ARDS patient in 1981.
Read the rest of this entry »
Knowing how to correctly make those observations and documenting accordingly is critical to a comprehensive assessment. Ultimately, we want a wound with an optimal level of moisture to support healing and not an overly moist or dry environment.
However, as wound care specialists or experts, we need to take it one step further and ask a few more questions.
A good wound care clinician does more than just make observations and note them. They are continually critically thinking and asking “why” and seeking solutions.
Read the rest of this entry »
For many wound care clinicians, providing telewound services may be a new addition to their practice.
We spoke with two telewound experts to help you learn more about best practices and possible glitches when conducting a telewound session.
Read the rest of this entry »
She received notice from her state board of nursing that a complaint had been filed concerning her treatment of a patient’s wound.
According to the RN, a substitute physician saw her patient one week. He told the patient and a family member that Tegaderm should not have been used on the wound.
In addition, the substitute physician said there were two wounds — not one — and the second had not been treated.
The RN stressed the following:
We personalize your learning by offering a variety of skin, wound and ostomy management classes in three formats:
While some students know exactly which format best suits their learning style, you may wonder which structure fits your needs.
We spoke with Denise Richlen, PT, WCC, DWC, CLT, clinical instructor with WCEI, co-owner and COO of Infinitus, LLC and Wound Care Gurus, LLC in Santa Claus, Ind., to understand the different learning formats.
She shared which ones may be most suitable for various learners, and in particular, the benefits of live online learning.
Read the rest of this entry »
But healthcare workers also should be aware of PPE guidelines to prevent side effects. For example, pressure injuries can occur from wearing the items meant to keep you protected.
Because of the nature of how the virus spreads, those caring for infected patients are required to wear masks in an effort to reduce risk of acquiring the virus.
Working an entire shift in this environment requires wearing a mask almost continually, which has led to the development of tissue damage from moisture and pressure.
Read the rest of this entry »
You teach them as they observe treatments you provide, such as ostomy care, while they are at a clinic.
It also includes orally reciting your care as you carry out treatment and direct the patient. This empowers them to understand what is required for appropriate personal care.
You also might write down instructions and diagrams about required treatment that patients can take home and reference.
The teach-back method of patient instruction incorporates both of these approaches. This is when you have the patient repeat back what you instruct and demonstrate the care you described.
Any patient teaching also requires that the patient comprehend your: