Archive for the ‘Diabetic Wound Management’ Category

Hyperbaric Oxygen Therapy: Learn the Fundamentals in Wound Care

Thursday, August 27th, 2020
hyperbaric oxygen therapy

When you hear the words hyperbaric oxygen, you probably think of a troubled scuba diver with decompression sickness in need of immediate live-saving medical care.

But hyperbaric oxygen therapy — HBOT for short — is also a go-to therapy routinely used in wound care.

To learn the basics about HBOT, we spoke with wound care experts in the U.S. and abroad.

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Decoding Foot Wounds: Pressure Injury Vs. Diabetic Foot Ulcer (DFU)

Wednesday, August 5th, 2020
Foot wounds

How often have you found yourself in the conundrum of deciding whether a wound on the foot of a diabetic patient is a diabetic foot ulcer or a pressure injury? 

Probably more than once. This is a hotly debated issue among wound care clinicians.

In this post, we’ll dissect the facts and provide a clear understanding of how to differentiate the two types of foot wounds.

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How to Treat Diabetic Foot Ulcers with a Total Contact Cast

Thursday, October 10th, 2019
A man sits with his total contact cast elevated on a chair.

There are times when clinicians and patients have done all they can to prevent diabetic foot ulcers, and they still develop.

“The patients who develop a diabetic foot ulcer are the ones who fell through the cracks,” said Don Wollheim, MD, FAPWCA, WCC, DWC, a board-certified surgeon of the American Board of Surgery.

Wollheim has 25 years of experience in general/vascular surgery and 13 years as a wound care specialist and educator. He also is a medical-legal consultant, college science instructor and clinical instructor for the Wound Care Education Institute.

“Once a diabetic foot ulcer develops, it’s essential it is treated aggressively with proven, standardized methods, as 85% of the amputations performed on diabetic patients began as a diabetic foot ulcer,” Wollheim said.

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Learn about the Cause and Prevention of Diabetic Foot Ulcers

Tuesday, July 2nd, 2019

diabetic foot ulcers

With more than 30 million people in the U.S. afflicted with diabetes, clinicians are very likely to encounter diabetic patients.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

Diabetic foot ulcers occur in approximately 15% of diabetic patients. And if you’re a wound care clinician, you’ll likely find yourself caring for patients with diabetic foot ulcers more often than not.

To learn more about the causes and how to prevent diabetic foot ulcers, we spoke with Don Wollheim, MD, FAPWCA, WCC, DWC, a board-certified surgeon of the American Board of Surgery.

He has 25 years of experience in general/vascular surgery and 13 years of experience as a wound care specialist and educator. Wollheim is also a medical-legal consultant, college science instructor and clinical instructor at the Wound Care Education Institute (WCEI).

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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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How to Pick the Best Wound Care Certification to Fit Your Role

Tuesday, April 16th, 2019

wound care certification

If you’re working in wound care and seeking to earn wound care certification, kudos because your skills are in great demand.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

“The wound care industry in general lacks enough knowledgeable clinicians to handle the challenges of chronic wounds, as rarely is comprehensive wound care training included during college training of all disciplines, this includes MDs, NPs, PAs, RNs, PTs, OTs and LVNs,” said Bill Richlen, PT, WCC, DWC, one of our clinical wound care instructors.

The lack of standardized, pervasive wound care training for clinicians, sets the foundation for why clinicians working with wound patients on a routine basis, may want to get certified in wound care, said Richlen, who also owns Infinitus LLC, in Santa Claus, Ind., a wound care instruction and consulting company.

If you’re having difficulty trying to decide which wound care certification to start with, the info below may be just what you’re looking for to help you decide which certification route to go.

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How to Care for Diabetic Foot Ulcers and Other Diabetic Wounds

Monday, March 4th, 2019

diabetic foot ulcers

Whether you are new to wound care, or a seasoned veteran, you’ll most likely encounter patients with diabetes on a regular basis. And by far, the most common wounds seen in these patients are diabetic foot ulcers, said Bill Richlen, PT, WCC, DWC, clinical instructor for the Wound Care Education Institute.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

According to the American Diabetes Association, diabetes has affected more than 31 million people in the U.S. since 2015.

“In addition to diabetic foot ulcers, diabetics can also get venous and pressure ulcers too,” said Richlen who also owns Infinitus LLC in Santa Claus, Ind., a wound care instruction and consulting company. “Having a diagnosis of diabetes can complicate and delay the healing process of any type of wound.”

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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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8 Reasons to Get Diabetes Under Control Now!

Friday, January 12th, 2018

Patients with diabetes are more likely to suffer many serious health issues besides foot wounds and amputations. This makes it imperative that they resolve to get their blood glucose levels under control.

Diabetes: 8 Reasons to Get It Under Control Now!

All of the lawsuits I review have a common theme. The plaintiff suffers from a chronic wound and some degree of malnutrition and/or dehydration. I have started to notice that in addition to these problems, the plaintiff also quite often has diabetes. This trifecta of problems leads to pain, suffering, disability, and discontent.

Dr Nancy Collins

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

People with diabetes are 10 to 20 times more likely to have a lower extremity amputation than those without diabetes.1 This is a scary statistic compounded by the fact that people with diabetes may not even notice a foot wound developing because they cannot feel it because of neuropathy. A foot ulcer is the initial event in more than 85% of major amputations that are performed on people with diabetes.2 Knowing this should provide enough motivation for patients to get their diabetes under control, but some people need even more reasons. Here are eight more consequences you can discuss with your patients. Hopefully, one will hit home.

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Diabetic Toenails: Watch for Change

Thursday, February 23rd, 2017

Changes in the diabetic foot can happen fast: here are the signs and types clinicians in wound care need to look for.

Diabetic Toenails: Watch for Change

As a wound care professional, chances are you’ve treated a number of nail conditions and abnormalities that occur among the general population. But when you’re working with diabetic patients, noticing and identifying variations is even more crucial. This is because change can happen more rapidly in the diabetic foot, and pathologies in diabetic toenails can ultimately lead to skin breakdown, foot ulcerations and infection. So, what causes the nails to change? What exactly should you look for? We’ve got you covered.

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