Archive for the ‘Wound assessment’ Category

Primary Skin Cancer: Types of Wounds You Might Encounter

Wednesday, November 18th, 2020
primary skin cancer

No matter your practice environment, you’ll likely encounter patients with wounds related to primary skin cancer at some point.

To learn more about primary skin cancer wounds, we spoke with Joni Brinker, MSN/MHA, RN, WCC, an Ohio-based consultant and clinical nurse educator with Optum Hospice Pharmacy Services of Eden Prairie, Minnesota.

She also spoke during a session at our Wild on Wounds (WOW) national conference, for an overview of the need-to-know fundamentals.

Skin cancer is the most common cancer in humans, Brinker said. “Generally, skin cancers are seen in older patients, so if you’re working with the elderly such as in long-term care, you’ll likely see skin cancers.”

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Legal Case Highlights Importance of Wound Care Documentation

Wednesday, November 4th, 2020
wound care documentation

We have discussed the importance of nurse expert testimony in cases alleging professional negligence against you.

One blog addressed a breach of your standard of care when providing wound care.

A second reviewed the importance of your wound care documentation in the patient’s medical record.

This article takes a look at the 2016 case, Henson v. Grenada Lake Medical Center, to underscore both of these important points.

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Hospice Wound Care: 3 Strategies for Better Patient Outcomes

Wednesday, October 21st, 2020
hospice wound care

Providing wound care for hospice patients is an important aspect of delivering comprehensive, end-of-life care.

While some hospice services have wound care specialists on staff or access to on-call, contracted wound care services, others do not.

Hospice providers without wound experts on staff often try to manage patients’ wounds on their own, said Joni Brinker, MSN/MHA, RN, WCC.

Brinker is an Ohio-based consultant and clinical nurse educator with Optum Hospice Pharmacy Services of Eden Prairie, Minn.

They only summon a wound care specialist if a problem develops, she added.

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Non-Weightbearing vs. Offloading: Is There a Difference?

Wednesday, October 14th, 2020
offloading

Have you ever been confused about the difference between non-weightbearing and offloading?  

These wound care terms are often used when referring to the treatment of diabetic and neuropathic ulcers and pressure injuries.

Both can be critical in the successful healing of either type of wound. However, they are not the same thing.

Let’s begin with defining the terms.

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Wound Healing Research: The Need for Grants Is Widespread

Wednesday, October 7th, 2020
wound healing research

If you’re a wound care clinician, you’re well-aware more research is needed on wound care and wound healing.

Locating evidence-based findings on wound healing from literature can be a difficult undertaking.

There is a great need for more research and evidence regarding wound healing not only because of its scarcity, but also because of the pervasiveness and cost of chronic wounds.

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Learn When You Should Apply a Hydrogel Dressing to a Wound

Wednesday, September 30th, 2020
hydrogel dressings

As wound care clinicians, you must be aware of the different types of wound care dressings, such as hydrogel dressings.

A hydrogel dressing — also known as hydrated polymer dressings — consist of 90% water in a gel base that regulate fluid exchange from the wound surface.

It absorbs small amounts of fluid and donating moisture to the wound bed.

These dressings are available in sheets, amorphous gels, or impregnated gauze and packing strips.

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Wound Treatment: 3 Questions to Help You Determine Appropriate Care

Thursday, September 24th, 2020
wound treatment

How many times have you wondered, or questioned, whether an ordered wound treatment was appropriate? 

I would not be not surprised if you said, “More often than I would like.” Unfortunately, that is the reality for wound care specialists today.

According to a 2018 BMJ Open article, nurse researchers found an overuse of wound treatments with limited evidence and low value. They also found an underuse of evidence-based treatments.

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Explore when to use a collagen wound dressing on your patients

Wednesday, September 9th, 2020
collagen wound dressing

As wound care certified (WCC) clinicians, you should be aware of the types of dressings available to treat patients in your care.

Wound care dressings come in various shapes, sizes and have indications for their use, including collagen wound dressings.

Let’s explore which types of dressings are focused on collagen.

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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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