Author Archive

Treating Pediatric Burns Takes Skills and Sensitivity

Saturday, December 11th, 2021

Knowledgeable wound care clinicians are needed not only for adults but for the pediatric population too. Burns are common injuries incurred by children. We spoke with two experts to learn more about this important area of wound care for pediatric burns.

Stats on Pediatric Burns

“Burns are a leading cause of death and disability for children worldwide,” said Tina Palmieri MD, FACS, FCCM, Assistant Chief of Burns at Shriners Hospital for Children Northern California and Burn Division Chief at the University of California, Davis.

In the U.S., the stats are staggering. “Nearly each week in 2018 in the U.S. alone, approximately six children aged 0-19 died, 139 were hospitalized, and 1,762 were taken to the emergency room due to fire and burn injuries,” said Palmieri.

According to the American Burn Association Fact Sheet, 24% of all burn injuries occur in children under the age of 15, said Jenna Leach MSN, RN, WCC, plastic surgery specialty nurse at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware.

Palmieri pointed out risk factors for pediatric fire and burn deaths are: (more…)

How Do You Treat a Malignant Wound? Let’s Look at the Options

Monday, November 8th, 2021

Wounds can present in patients as a result of various etiologies. One cause of wounds not typically on most clinicians’ radars are wounds that result from primary tumors.

We spoke with Joni Brinker, MSN/MHA, RN, WCC, an Ohio-based consultant and clinical nurse educator with Optum Hospice Pharmacy Services of Eden Prairie, Minnesota, and speaker for WCEI’s Wild on Wounds (WOW) national conference, to gain insight on malignant wounds that can develop from primary tumors.

What Is a Malignant Wound?

“A malignant wound is a manifestation of malignant (cancerous) cells that have infiltrated through the skin,” said Brinker.

Other structures such as blood and lymphatic vessels also can be invaded by malignant cells and produce wounds, she said.

(more…)

The Best Wound Care Certification to Have — Comparing Options

Saturday, October 30th, 2021

If you’re currently working in wound care or contemplating moving into it as your new specialty, you may want to consider becoming certified.

Why? The skills of certified wound care clinicians are in great demand.

(more…)

Pediatric Patients Require Special Wound Care

Tuesday, September 21st, 2021

Pediatric patients with chronic and acute wounds need caregivers who are well-versed in wounds and in young patients’ unique needs. We spoke with three pediatric wound care experts to learn more about the most common wounds seen in kids, their etiologies, treatments, and recommendations for making dressing changes less traumatic.

 Acute Wounds Seen in Pediatric Patients

Pediatric patients can need treatment for a wide range of wounds. In fact, the list is quite extensive, according to experts.

(more…)

A Look at the UT and Wagner Scale Diabetic Foot Ulcer Classification Systems

Thursday, August 19th, 2021

Given the fact that DFUs occur in approximately 15% of patients with diabetes and there are more than 34 million people in the U.S. with diabetes, using a relevant diabetic foot ulcer classification system for patients is essential.

There are several diabetic wound classification systems. But how do you choose which one to use?

This decision generally involves clinician preference along with the organization’s policy.

Two wound care specialists provide an overview of two systems for DFU classification: The Wagner Scale and the University of Texas (UT) Diabetic Wound Classification System.

(more…)

Necrotic Tissue: How to Identify and Treat It

Friday, July 30th, 2021

Living with necrotic tissue is challenging for patients and requires evidence-based treatments from skilled wound care clinicians to achieve improved patient outcomes. Let’s explore what it is, how to spot it, and where to go from there.

What Is Necrotic Tissue?

First, what is necrotic tissue and necrosis? The term necrosis stems from the Greek work nekros, which means death.

“Necrosis is a loose term, and it can appear in two ways – under a microscope and grossly viewed with the naked eye,” said Brian Gastman, MD, Surgical Director of Melanoma and High-Risk Skin Cancer Program at the Cleveland Clinic in Cleveland and Professor in the Department of Surgery at Case Western Reserve University School of Medicine in Cleveland.

When tissue is necrotic, there is a loss of tissue integrity, he said. “The tissue becomes discolored, there is fluid and exudative material present, and it becomes fodder for bacterial colonization.”

(more…)

Wound Care Nurse Salary and How Some Skills Can’t Be Monetized

Tuesday, June 22nd, 2021

If you’re a nurse with a passion for skin and wound care, you may want to consider expanding your professional marketability by becoming wound care certified.

Average Salary for a Certified Wound Care Nurse

So how much do wound care nurses make? According to some online sources for wound care nurse salary data, the average annual wound care nurse salary ranges from $47,000 to $86,000 and an average annual wound care nurse salary at just over $69,000.

Keep in mind that salaries for wound care nurses can vary greatly from the annual rates, depending on a few other factors, including the state and city you in which you practice, your level of education, the size of the organization, and whether or not you have wound care certification. All of these play a role in your earning potential.

(more…)

Physical Therapists Have a Long History and Bright Future in Wound Care

Monday, May 17th, 2021
When some think of wound care providers, they don’t typically think of physical therapists (PTs). But many PTs are actively engaged in wound care and committed to making progress in the field.

So many PTs practice wound management that the American Physical Therapy Association (APTA) has a component group known as the Academy of Clinical Electrophysiology and Wound Management (ACEWM).

The ACEWM consists of nearly a thousand physical therapists and students interested in electrophysiology, biophysical agents, wound management, and neuromusculoskeletal ultrasonography. Within the ACEWM is another group known as the Wound Management Special Interest Group (WMSIG) whose focus is solely on wound management.

WCEI spoke with Patricia Larkin-Upton, PT, DPT, MS, CWS, CEEAA, vice chair of the ACEWM and WMSIG. Larkin-Upton collaborated with the WMSIG board of directors and the ACEWM president and vice president to provide insight into the history of these wound care organizations and some goals they have for the future.

(more…)

Fungal Wound Infections: Identification, Treatment, and More

Wednesday, December 2nd, 2020

Some clinicians generally think of bacteria as the sole pathogen for chronic wounds.

But another culprit to consider when dealing with delayed wound healing is the presence of fungi that lead to fungal wound infection.

Romney Humphries, Ph.D., ABMM, professor and medical director of clinical microbiology at Vanderbilt University Medical Center in Nashville, Tennessee, shared her expertise on fungal wounds.

“Wound infections caused by fungi occur when wounds are contaminated with spores,” Humphries said.

(more…)

Primary Skin Cancer: Types of Wounds You Might Encounter

Wednesday, November 18th, 2020

No matter your practice environment, you’ll likely encounter patients with wounds related to primary skin cancer at some point.

To learn more about primary skin cancer wounds, we spoke with Joni Brinker, MSN/MHA, RN, WCC, an Ohio-based consultant and clinical nurse educator with Optum Hospice Pharmacy Services of Eden Prairie, Minnesota.

She also spoke during a session at our Wild on Wounds (WOW) national conference, for an overview of the need-to-know fundamentals.

Skin cancer is the most common cancer in humans, Brinker said. “Generally, skin cancers are seen in older patients, so if you’re working with the elderly such as in long-term care, you’ll likely see skin cancers.”

(more…)