Posts by Diana Ramirez-Ripp

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What is Charcot Foot?

By Diana Ramirez-Ripp

What is Charcot Arthropathy? Charcot foot, as it is commonly referred to, is a chronic progressive disease of the bone and joints found in the feet and ankles of our diabetic patients with peripheral neuropathy. What leads to this Charcot foot? Having long standing diabetes for greater than 10 years is one contributing factor. Having […]

Venous, Arterial or Mixed Ulcer…How Do I Know For Sure?

By Diana Ramirez-Ripp

Proper assessment is essential for differentiating between venous and arterial ulcers. Your patient has a lower extremity wound. You aren’t sure what exactly you are dealing with. You know you need to measure the ankle-brachial index (ABI), but as you wait for results, some of your wound assessment findings offer clues. Characteristics of Venous Ulcers […]

How Do I Stage a Wound If Cartilage Is Present?

By Diana Ramirez-Ripp

In the human body the cartilage is found in joints, rib cage, ear, nose, bronchial tubes and between the inter-vertebral discs. As wound clinicians we most often see it just below the bridge of the nose or on the ear in our patients with pressure injuries. Many clinicians continually question themselves how to stage a […]

Why ABI?

By Diana Ramirez-Ripp

What exactly is an ABI?  ABI stands for Ankle Brachial Index. This is a non-invasive bedside tool that compares the systolic blood pressure of the ankle to that of the arm. It is done to rule out Peripheral Arterial Disease in the lower extremities. The ABI is considered the “bedside” gold standard diagnostic test and […]

Wound Measurement and Documentation

By Diana Ramirez-Ripp

Wound Measurement and Documentation is a daily task the wound care professionals utilize in their practice. There are various tools like flow sheets, tracing materials, measuring tapes, skin markers, labels, and other products specifically designed for wound assessment, measurement and documentation. There are varying types of documentation methods  from print to electronic, digital photography to […]