Posts by Keisha Smith, MA, CWCMS
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Maceration and Hydrogels? Just Say Whoa

By Keisha Smith, MA, CWCMS

How do you use hydrogel dressings to keep wounds moist without causing maceration? Very carefully.   If you’ve ever taken a long bath or spent an afternoon in a swimming pool, you’re familiar with what happens to your hands and feet: they become soft, white, and wrinkled up like prunes. This is a classic case […]

Let’s Talk Ostomy Types

By Keisha Smith, MA, CWCMS

(Adapted from About Ostomies: Ostomy 101 by Shield Healthcare) A comprehensive guide to the different ostomy types, including colostomies, ileostomies, and urostomies. Do you know your ostomy types? There are three kinds of bowel or bladder ostomies, and with this handy guide, you can brush up on each one – including the multiple sub-types. But […]

Medical-Related Skin Injury (MARSI)

By Keisha Smith, MA, CWCMS

If you practice wound care, here’s what you need to know in order to avoid Medical Adhesive Related Skin Injury – also known as MARSI. Here’s a quiz for all of you in wound care: how many medical adhesive injuries are reported each year in the United States? The answer is 1.5 million. That’s a […]

Diabetic Footwear: If The Shoe Fits, Wear It

By Keisha Smith, MA, CWCMS

When it comes to diabetic wound care, footwear matters – and proper diabetic patient shoe assessment is key. Wound clinicians know how devastating foot amputations are for diabetic patients. But what you might not know is that a whopping 50% of diabetic foot amputations are a direct result of patients wearing improper footwear. Surprised? Unfortunately, […]

Pressure Injury (Ulcer) Staging: More Real-World Answers

By Keisha Smith, MA, CWCMS

More real-world wound care questions and answers relating to pressure injury staging, including slough, debridement and skin breakdown. Can’t get enough of pressure injury staging? Neither can we. That’s why we’re excited to present even more questions and answers about this topic, based on what wound clinicians experience out in the field (versus what we […]

Real World Pressure Injuries: Staging Can Be Tricky

By Keisha Smith, MA, CWCMS

This wound care Q&A answers five of the most common questions about pressure injury staging dilemmas (that you probably didn’t learn from textbooks). In the world of wound care, just as in real life, the phrase, “Expect the unexpected” couldn’t be more appropriate. Clinicians can do everything exactly by the book, only to find that […]

It’s Complicated! Ostomy Patients and Peristomal Skin

By Keisha Smith, MA, CWCMS

This overview details the five main categories of peristomal skin complications that wound specialists commonly treat in ostomy patients. If you’ve worked with ostomy patients for any length of time, you know that maintaining a proper seal can be difficult once the peristomal skin (the skin surrounding a stoma) has been compromised. The resulting complications […]

Diabetic Wound Care: Monofilament Testing

By Keisha Smith, MA, CWCMS

Detecting neuropathy in the diabetic foot is crucial for patient care, which is why the 10-step monofilament test is a must when it comes to injury and ulceration prevention. Healing patients and helping them get on the road to recovery are always at the top of any wound clinician’s list. We are always on alert […]

Moisture Associated Skin Damage: Know Your Type

By Keisha Smith, MA, CWCMS

Know how to correctly identify these four common types of Moisture Associated Skin Damage (MASD) for best wound care practices. It might sound reasonable to assume that Moisture Associated Skin Damage (MASD) is the result of, well … moisture. The fact is that it takes more than just moisture to cause MASD, which is the […]

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