Archive for the ‘Wound Healing’ Category

Wound Temperature Can Affect the Wound Healing Process

Wednesday, September 2nd, 2020
wound temperature

A patient’s core body temperature must be above 91.4 degrees Fahrenheit and below 107.6 for wound healing to occur.

The loss of moisture from any surface by evaporation is accompanied by cooling of the surface. So, as wound tissues lose moisture, a cooling effect occurs resulting in lower wound temperature.

Even a decrease of only 2 degrees Celsius is sufficient enough to affect the biological healing process of your patients. This is because cells and enzymes function optimally only at normal body temperature.

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TIMERS Wound Care: Strategies for Wound Bed Preparation

Wednesday, July 29th, 2020
TIMERS wound care

Whether you’ve been in wound care for many years, or are a newcomer to the field, you have likely heard the terms TIME and maybe TIMERS.

The two words are acronyms pertaining to clinical categories related to comprehensive wound assessment, management and wound bed preparation for hard-to-heal wounds, said Donald Wollheim, MD, FAPWCA, WCC, DWC, a board-certified surgeon of the American Board of Surgery and clinical instructor with the Wound Care Education Institute (WCEI).

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Learn How to Determine What Wound Exudate Is Telling You

Wednesday, July 1st, 2020
wound exudate

An integral part of a wound assessment includes analyzing the type and amount of wound exudate coming from the wound.

Knowing how to correctly make those observations and documenting accordingly is critical to a comprehensive assessment. Ultimately, we want a wound with an optimal level of moisture to support healing and not an overly moist or dry environment.

However, as wound care specialists or experts, we need to take it one step further and ask a few more questions.

  • Is this the type and amount of drainage I expect to see based on the wound’s current healing path? 
  • If it is not, why is the exudate presenting this way? 
  • How do we correct that? 

A good wound care clinician does more than just make observations and note them. They are continually critically thinking and asking “why” and seeking solutions. 

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Maggot Debridement Therapy and Leech Therapy Are Viable Options

Wednesday, May 13th, 2020
maggot debridement therapy

Using maggots and leeches in the healthcare setting can make many people cringe, including seasoned wound care clinicians.

But the age-old treatments of maggot debridement therapy and leech therapy are relatively inexpensive and fairly effective.

“Maggot therapy can save a limb in approximately 40% to 60% of patients scheduled for amputation,” said Ronald Sherman, MD, MSc, DTM&H, director at BioTherapuetics, Education & Research (BTER) Foundation, co-founder.

Sherman also works as the laboratory director at Monarch Labs and a practicing physician in Orange County, Calif.

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How to Teach Patients to Manage Wound Care at Home During Covid-19

Monday, April 20th, 2020
wound care at home

Some wound care centers are closed because of the COVID-19 pandemic.

More patients are opting to perform their own wound care at home because they are concerned about venturing out and risking exposure to the virus.

We spoke with three wound care professionals to learn more about care provided in the home and teaching patients and families to care for wounds until life returns to normal. 

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Your Essential Guide to Wound Packing Dead Space

Wednesday, February 19th, 2020
wound packing

Let’s face it, there is nothing fun, exciting or sexy about this topic.

Wound packing is just a necessary part of performing good wound care treatments in the event your patient has notable depth in their wound. 

However, there is a purpose and a proper way to pack a wound with the goal of promoting healing in the most effective and efficient manner.

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How to Prevent and Treat Wounds in Skin Folds

Wednesday, February 5th, 2020
skin folds

Wounds in skin folds can be a challenge to prevent and, once present, involve ongoing surveillance and care.

Donald Wollheim, MD, FAPWCA, WCC, DWC, a board-certified surgeon of the American Board of Surgery, shared his insight on best practices for preventing and treating wounds in skin folds if they develop.

As a clinical instructor with our Wound Care Education Institute (WCEI), Wollheim has 25 years of experience in general/vascular surgery and 13 years of experience as a wound care specialist, educator and case reviewer.

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Acetic Acid and Dakin’s Solution: Are They Proper Wound Care Today?

Wednesday, January 15th, 2020
Dakin's solution and acetic acid can help minimize bacterial infections

We must ensure we provide wound care treatments based on solid medical rationale and science or clinical evidence. 

This applies to wound care clinicians, especially certified wound care clinicians, and includes all aspects of wound care — even applying Dakin’s solution and acetic acid.

Unfortunately, in my 25 years of wound care experience, I still see many practices that do not meet those criteria. I am guilty too.

Back in the early days of my wound care career, I promoted practices that didn’t meet those criteria because I trusted the clinicians teaching me were doing the right thing. 

However, I began to question things as my knowledge grew. After doing the research, I was shocked to learn some tried-and-true practices weren’t so tried and true after all.

In this blog post, we delve into one of those methods — the use of Dakin’s solution and acetic acid in wound care.

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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.

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5 Common Myths Debunked about Nutrition for Wound Healing

Tuesday, March 26th, 2019

nutrition for wound healing

Wound care clinicians work diligently to find the most relevant products while using the latest evidence-based treatments to provide the best patient care.

Carole Jakucs

By Carole Jakucs, MSN, RN, PHN

For optimum wound healing to occur there is another important factor – a nutritious diet.

Proper nutrition for wound healing includes a diet with the right number of calories, vitamins, minerals and nutrients necessary to maintain skin integrity and promote wound healing.

To learn more about nutrition for wound healing, we spoke with Julie Stefanski, MEd, RDN, CSSD, LDN, CDE, FAND, spokesperson for the Academy of Nutrition & Dietetics and content writer for food, nutrition and dietetics at Relias Healthcare, about five of the most common myths regarding nutrition and wounds.

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