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Lower Extremity Ulcers and the Toe Brachial Pressure Index

By Keisha Smith, MA, CWCMS

Key Takeaways Lower extremity ulcers may require an evaluation of arterial blood flow, but the Ankle Brachial Index (ABI) can give misleading results in patients with calcified arteries due to conditions like diabetes or kidney disease. The Toe Brachial Pressure Index (TBPI) offers an effective alternative, allowing more accurate assessment of blood flow by focusing […]

Malpractice or Obesity: Can a 276-Pound Patient Heal a Pressure Injury?

By Keisha Smith, MA, CWCMS

Obesity presents challenges to wound healing, but with knowledge and appropriate care interventions, we can provide optimal conditions to support the best possible outcome for every patient, no matter what size. The US obesity epidemic reached a new all-time high in 2016, according to newly released Centers for Disease Control and Prevention data.1 Every single […]

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