Archive for the ‘Wound Assessment & Documentation’ Category

Lower Extremity Ulcers and the Toe Brachial Pressure Index

Friday, January 19th, 2018

To treat patients with lower extremity ulcers, you need to find out if there’s impaired arterial blood flow. For some patients, however, the standard Ankle Brachial Index (ABI) yields misleading results. Fortunately, there’s an easy alternative: the Toe Brachial Pressure Index (TBPI).  Here’s when and how to perform this simple test.

 

Lower Extremity Ulcers and the Toe Brachial Pressure Index

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Wound Care Minute: Wound Assessment Equipment

Friday, July 7th, 2017

What wound assessment equipment do you need? In this short video, WCEI co-founder Nancy Morgan discusses the key items you should gather before you begin.

 

To learn even more tips, view the 1-hour webinar “Wound Assessment” for FREE using the code WCMINUTE. Education credit is available.

Wound Care Education Institute® provides online and onsite courses in  Skin, Wound, Diabetic and Ostomy Management. Clinicians who meet the eligibility requirements may sit for the prestigious WCC®, DWC® and OMS national board certification exams through the National Alliance of Wound Care and Ostomy® (NAWCO®). For details see wcei.net.

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

Thursday, May 18th, 2017

How do you spot an unhealthy wound edge? Learn more about the causes, prevention and treatment of epibole.

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

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 you ready to meet this condition head-on and get your patients on their way to recovery.

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9 Wound Care Documentation Pitfalls to Avoid

Friday, May 12th, 2017

Nancy Collins, PhD, RDN, LD, FAPWCA, FAND

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.

9 Wound Care Documentation Pitfalls to Avoid

 

After reviewing hundreds of medical charts involved in litigation, I noticed many of the same problems occurring in the wound care documentation over and over again. From New York to Florida to California, it is remarkable how the same inconsistencies, errors, and oversights tend to stymie the defense of a case. The goal of every healthcare practitioner is to have complete, accurate, and timely documentation of the medical care given to each and every patient. Here are nine wound care documentation pitfalls to avoid.

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Wound Care Minute: How to Measure Wounds on a Foot

Friday, April 14th, 2017

In this 90-second video, WCEI co-founder Nancy Morgan explains how to use the clock method to measure foot wounds.

 

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The Great (Legal) Debate About Turn and Reposition Documentation

Friday, April 7th, 2017

Nancy Collins, PhD, RDN, LD, NWCC, FAND

Documentation of turning and repositioning often leads to legal problems as some healthcare providers chart by exception and others chart at the point of care.

The Great (Legal) Debate About Turning and Repositioning Documentation

Dr Nancy Collins

Nancy Collins, PhD, RDN, LD, NWCC, FAND

“The hospital never turned the patient, and therefore the patient suffered a serious pressure injury,” declared the plaintiff attorney. The defense team shot back, “Whoa. Slow down. Never is long time, and of course we turned the patient.” How can a basic care intervention such as turning and repositioning have two totally opposing views?

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Wound Care Minute: How to Measure Depth of a Wound Covered by Slough or Eschar

Friday, February 17th, 2017

In this 90-second video, WCEI co-founder Nancy Morgan answers a common measurement question: how do you measure wound depth when there’s slough or eschar in the way?

 

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Wound Detective Series: Is It (Or Is It Not) Infected?

Friday, January 13th, 2017

How can you tell if a wound is really infected? Learn how to spot the signs of infection and be a skilled wound investigator.

Signs of infection

Are you ready, wound detectives, to tackle a new case? This time, we’re learning how to spot the signs of infection. Remember, the wound will tell us what we need to know, we just have to pay careful attention and know what to look for. After all, treatment depends primarily on our clinical assessment (and then a wound culture, if indicated). Sharpen up those investigative skills, and let’s get to work.

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Ankle-Brachial Index? It’s Easier Than You Think

Wednesday, December 7th, 2016

Determining a patient’s ABI is a vital part of wound care, but unfortunately this step is often avoided … or even omitted. Here’s why this happens, and how you can change it.

Ankle-Brachial Index? It’s Easier Than You Think
Have you ever faced a seemingly daunting task, and so you do everything in your power to avoid it? Like renewing a driver’s license, for example. Or maybe cleaning out the refrigerator. But then once it’s done, you look back and say, “Hey, that wasn’t so bad!”

That’s kind of how it is when it comes to determining a patient’s ankle-brachial index (ABI). While this is a key component of the lower-extremity vascular exam, it’s often overlooked – and even omitted – just because it seems so overwhelming. Hang in there, folks: we’re here to help make it easier.

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Wound Detective Series: How to Get Away with Killing Biofilm

Friday, October 21st, 2016

Even the best wound care detectives are challenged by this sneaky culprit that delays healing. Here’s how to identify biofilm bacteria and solve the case.

Wound Detective Series: How to Get Away with Killing Biofilm

 

Ready for some serious detective work? In this wound-care case, we will try to find and invade the elusive biofilm bacterial hide-out. So the questions are: where are those microbes holed up, how do I know if they are even there, and how do I get rid of them?

Put on your Wound Detective hat – this one’s going to be tough. Even with your trusty magnifying glass, it’s not easy to spot the signs and symptoms of biofilm in your patients’ wounds.

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