Archive for the ‘Pressure injury’ 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.

(more…)

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.

(more…)

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.

(more…)

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.

(more…)

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.

(more…)

Advances in wound care technology lead to bioprinting and more

Thursday, May 9th, 2019

bioprinting

Printing human skin to heal large wounds might sound like something straight out of science fiction, but patients suffering from chronic wounds and pressure ulcers soon might have access to this treatment.

wound care

By Heather Cygan, BA

Scientists at Wake Forest Institute for Regenerative Medicine in North Carolina have created the first mobile skin bioprinting system, which will allow bi-layered skin to be printed directly into a wound.

“The unique aspect of this technology is the mobility of the system and the ability to provide on-site management of extensive wounds by scanning and measuring them in order to deposit the cells directly where they are needed to create skin,” Sean Murphy, PhD, a WFIRM assistant professor, said in a news release.

Murphy was the lead author of a paper published earlier this year in Nature’s Scientific Reports journal.

(more…)

What happened to practicing wound care basics?

Tuesday, April 30th, 2019

wound care basics

Having been involved in wound care for about 25 years, I have seen many changes in our understanding of wound healing, research evidence and technology.

wound care

By Bill Richlen, PT, WCC, DWC

As I hear my students describe common practices today and the many myths of wound care, I’m led to wonder, “What happened to starting with wound care basics for healing?”

A colleague of mine once stated there are basically two fundamentals to healing wounds: a healthy patient and a healthy wound environment. Once those are accomplished, topical treatments will not make that big of a difference.

However, clinicians often cling to some “holy grail” treatment in the form of a dressing or adjunctive modality that will somehow overcome the need to practice solid, evidence-based wound care.

(more…)

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.

(more…)

World Wide Pressure Injury Prevention Day: Resources, Resources, Resources!

Wednesday, November 15th, 2017

Join Wound Care Education Institute (WCEI), the National Pressure Ulcer Advisory Panel (NPUAP), and healthcare organizations across the globe in promoting awareness about pressure injury prevention!

World Wide Pressure Injury Day - WCEI Resources

To celebrate, we’ve brought together WCEI resources– webinars, blogs, journal articles, slideshows and downloads— to help keep you on top of the current pressure injury guidelines and definitions.

(more…)

Pressure Injuries and Medical Device Dilemmas

Friday, June 16th, 2017

Medical device-related pressure injuries (MDRPIs) are a standard part of wound care, but preventative practices can make a big difference.

Medical Device-Related Pressure Injuries

 

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 of the pressure injury is a medical device which is not only necessary, but literally sustaining a patient’s life?

While some medical device-related pressure injuries are unavoidable, there are things clinicians can do to relieve the pressure and heal the injury. Here’s what you need to know.

(more…)