Posts by Keisha Smith, MA, CWCMS
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Malpractice or Obesity: Can a 276-Pound Patient Heal a Pressure Injury?

By Keisha Smith, MA, CWCMS

Obesity presents challenges to wound healing, but with knowledge and appropriate care interventions, we can provide optimal conditions to support the best possible outcome for every patient, no matter what size. The US obesity epidemic reached a new all-time high in 2016, according to newly released Centers for Disease Control and Prevention data.1 Every single […]

Three Common Reasons You Might Get Sued

By Keisha Smith, MA, CWCMS

Patients often sue for reasons that have nothing to do with the quality of the medical care rendered, but rather for the human care that is perceived as lacking. The last few weeks were very difficult for my family and friends in the medical sense. I had one family member in an intensive care unit […]

Nutrition and Wounds: The View From Both Sides

By Keisha Smith, MA, CWCMS

Nutrition is frequently conjoined to wound care lawsuits because patients often lose weight, so it is important to thoroughly document nutrition interventions and education. Most pressure injury lawsuits begin as just that—a lawsuit initiated because of an acquired pressure injury. Usually the wound in question never healed to closure, became infected, led to an amputation, […]

Pressure Injuries and Medical Device Dilemmas

By Keisha Smith, MA, CWCMS

Medical device-related pressure injuries (MDRPIs) are a standard part of wound care, but preventative practices can make a big difference. One of the first things clinicians learn about treating pressure injuries is to find the cause of the pressure and simply remove it. Sounds simple, doesn’t it? But what do you do when the cause […]

Shingles: Treatment and Managing Pain

By Keisha Smith, MA, CWCMS

Clinicians can help relieve patient pain and discomfort caused by shingles with these treatment options. Did you know that one in three people in the United States is affected by shingles? This common and very painful skin condition also happens to be made worse by stress – like hospitalization and other chronic illnesses. As clinicians, […]

Wound Care and Epibole: It’s All About the Edge

By Keisha Smith, MA, CWCMS

How do you spot an unhealthy wound edge? Learn more about the causes, prevention and treatment of epibole. When it comes to treating epibole, it’s all about knowing what a healthy wound edge looks like – and being able to spot signs of trouble. This basic overview includes epibole causes, prevention and treatment. We’ll have […]

9 Wound Care Documentation Pitfalls to Avoid

By Keisha Smith, MA, CWCMS

Lawsuits often are settled out of court because the medical record documentation is not defensible. Incomplete, illogical, and inconsistent records are far too common, so it is important to avoid the common pitfalls. After reviewing hundreds of medical charts involved in litigation, I noticed many of the same problems occurring in the wound care documentation […]

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