Archive for the ‘pressure injuries’ Category

Skin and wound management course helps you prep smart

Monday, August 12th, 2019

skin and wound management course

“We should remember that good fortune often happens when opportunity meets with preparation.” – Thomas Edison

wound expert

Nancy Morgan, MBA, BSN, RN, WOC, WCC, DWC, OMS

As the inventor of the phonograph, the motion-picture camera and, of course, the electric light bulb, Edison took on plenty of challenges in his time.

For healthcare clinicians of today, one of the biggest challenges is chronic wounds, which include diabetic foot ulcers, pressure ulcers and venous, arterial leg ulcers. An estimated 67 million people are suffering with chronic wounds across the globe.

According to our co-founder Nancy Morgan, MBA, BSN, RN, WOC, WCC, DWC, OMS, “as of last count, 6.5 million chronic wounds are being treated in the U.S., at a cost of $11 billion — not to mention the pain and suffering for patients.”

The reason, said Morgan, is patients are living longer with chronic diseases, such as diabetes and obesity.

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Nurse expert witness impacts pressure injury case

Monday, August 5th, 2019

nurse expert witness

Many of you have provided expert testimony in lawsuits in your own state, or other states, concerning wound care and whether that care was consistent with the applicable standard of care and standards of practice in that situation.

wound care

By Nancy J. Brent, MS, JD, RN

The following Arizona case — Rasor and Donald Miller, Wife and Husband, v. Northwest Hospital LLC — determined if a wound care nurse expert could testify to the cause of a wound sustained by the plaintiff (patient).

The female patient had open-heart surgery at the hospital and received an intra-aortic balloon pump “threatened through her femoral artery.” This required immobilization of her leg.

The patient was in the ICU for several days and the nursing staff discovered a pressure injury on her coccyx that reached stage IV and required 31 debridement procedures.

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Study: Wound care certified nurses reduce pressure injury rates

Tuesday, July 23rd, 2019

pressure injury

Just how much of an impact do wound care certified (WCC) nurses and other clinicians have on their patients? More than you might imagine.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

A formal study was conducted under the auspices of a Centers for Medicare and Medicaid Services (CMS) program known as the Hospital Improvement Innovation Network (HIIN). The findings of the study revealed a correlation with the presence of onsite WCC staff and a reduction in pressure injury rates for patients.

More than 2.5 million people in the U.S. are affected by pressure injuries, and more than 60,000 patients die each year as a direct result of the condition, according to the Agency for Healthcare Research and Quality.

The HIIN study was funded by a grant program through the CMS using civil monetary penalty funds. These funds are used to support projects that benefit patients and residents of nursing homes with the goal of improving the quality of care they receive.

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Learn why many organizations need a wound expert today

Monday, June 17th, 2019

wound expert

Organizations need for trained wound experts is on the rise.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

The reasons for this increase are multifactorial, said wound expert Nancy Morgan, MBA, BSN, RN, WOC, WCC, DWC, OMS, cofounder and clinical consultant with the Wound Care Education Institute.

We sat down with Morgan to learn why more patients than ever need expert wound care.

Q: What role do chronic diseases play in creating a need for wound care?

People are living longer with chronic diseases such as diabetes and obesity, which predisposes these patients to the development of chronic wounds.

Chronic wounds require treatment with the skills of knowledge of wound experts over the course of several weeks, months and sometimes years.

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Top 6 facts you need to know about pressure injuries today

Monday, May 27th, 2019

pressure injuries

Wound care is an exciting specialty that can sometimes prove challenging.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

With various wound types and multiple wound care products and treatments available, clinicians strive to stay up to date on the best practices to ensure they are providing their patients with the current standard of care.

Managing pressure injuries is one area of wound care that many wound care professionals encounter regularly, as pressure injuries are pervasive across the healthcare continuum.

Whether you work in home health, acute care or long-term care, below are some of the top facts to know about managing pressure injuries today from Don Wollheim, MD, FAPWCA, WCC, DWC.

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Case illustrates importance of clear wound care delegation

Friday, April 12th, 2019

delegation

In the following case, the issue of delegation of wound care was the focus of the case.

wound care

By Nancy J. Brent, MS, JD, RN

A female patient’s doctor ordered home healthcare services after her hospitalization for renal disorders and congestive heart failure. The patient employed a local home healthcare agency to provide skilled nursing care for the patient’s many health problems.

Six months later, the physician discovered his patient had developed four decubitus ulcers, including one on her right hip, which measured 5-1/2 centimeters in diameter and 7-1/2 centimeters deep.

The physician ordered the nurses to clean the wounds regularly and two months after the orders were being carried out, he delegated to the nurses to begin to pack the right hip wound with Betadine gauze.

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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 Turn and Reposition 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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When Your Patient Refuses to Be Turned and Repositioned—And Then Sues!

Friday, February 3rd, 2017

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

The battle between optimal medical care and patient rights is one to fight with empathy and finesse to keep it out of the courtroom.

When Your Patient Refuses to Be Turned and Repositioned—And Then Sues!

 

I recently reviewed a lawsuit filed by the family of a patient* with a spinal cord injury. The patient was involved in a car accident and sustained multiple traumatic injuries. The medical team worked tirelessly over the course of many weeks to stabilize him. Because of this catastrophic accident, the patient was understandably quite devastated and depressed. He refused all physical therapy and spent most days lying in bed on his back, despite encouragement from his medical team and pleading from his family. He frequently stated that he wished he was dead and that he wanted everyone to leave him alone, often escalating things to the point of screaming.

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Wound Care Myths: 5 More Debunked

Friday, November 25th, 2016

Whether it involves heel protectors, anti-embolism stockings, or letting wounds “breathe,” there are still plenty of wound-care myths circulating out there. Ready for the truth? You can handle it.

Wound Care Myths: 5 More Debunked

 

Do you use wet-to-dry dressings in order to save money? Have you administered oral antibiotics to treat infected wounds? And do you follow physicians’ orders for wound treatments even though you know they’re inappropriate?

If you answered yes to any of these questions, then you are not alone. You are among a host of other professionals who have believed or participated in some of the most common wound care myths. In an earlier post, we revealed why these and other wound care myths simply need to go away. But wait! Here are five more myths that run counter to the evidence and wound care standards that guide our clinical practice.

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Pressure Injuries with Cartilage? Stage Away

Wednesday, September 14th, 2016

When it comes to wound care, staging pressure injuries with visible or palpable cartilage doesn’t have to be complicated. Here’s what to do.  

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(Photo: NPUAP copyright & used with permisson)

 

If you’ve ever treated wounds around the ear or in the area just below the bridge of the nose, you know how very little subcutaneous tissue there is. As a result, pressure injuries in these areas tend to be quite shallow, and they typically reveal cartilage.

So when encountering a pressure injury with visible or palpable cartilage, how should you stage it? We’ve got the answer.

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