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Recent Posts | page 24

Diabetic Toenails: Top Tips for Proper Trimming

By Angie Commorato

Check out these best practices for trimming your diabetic patient’s toenails to help prevent foot ulceration. Did you know that a whopping 10-25% percent of all patients with diabetes ultimately develop a foot ulcer – a diagnosis that brings a five-year mortality rate of nearly 50%? Consistent foot care, such as regular screenings, footwear assessment […]

12 Wound Care Fun Facts

By Keisha Smith, MA, CWCMS

Beer, honey and grease? The history of wound care includes all three, and much more. Go ahead … amaze your friends and colleagues with these wound care fun facts. We’ve come a long way in wound care, especially over the past 100 years or so. But wound care techniques are as old as humankind, with […]

Intake + Output = Big Documentation Problems

By Keisha Smith, MA, CWCMS

Inaccurate and incomplete intake and output (I&O) records pose a problem in litigation, as well as a risk to the patient who requires monitoring of fluid balance for medical reasons.  “Would you agree that the nurses did not know how to do basic arithmetic?” Of course nurses know how to add and subtract, yet I […]

Pressure Injuries with Cartilage? Stage Away

By Keisha Smith, MA, CWCMS

When it comes to wound care, staging pressure injuries with visible or palpable cartilage doesn’t have to be complicated. Here’s what to do.   If you’ve ever treated wounds around the ear or in the area just below the bridge of the nose, you know how very little subcutaneous tissue there is. As a result, […]

Your Patient Died: Should You Send the Family a Card?

By Keisha Smith, MA, CWCMS

Bereavement care is part of the job, no matter how difficult it is to talk about death and deal with grieving family members. “Callous disregard.” These two little emotionally loaded words are how the plaintiff complaint summed up the following story from a grieving daughter named Sally.* In her deposition, Sally recounted how nice and […]

Wound Detective Series: When Wounds Won’t Heal

By Keisha Smith, MA, CWCMS

Here’s how wound care detectives can solve the mystery of chronic wounds that fail to heal. Ready for some serious detective work? In this case, our focus is on those chronic wounds that just won’t heal, including epibole (which happens in full thickness wounds). And as we know, this rolled wound edge inhibits healing. But […]

Diabetic Foot Screening Guide

By Keisha Smith, MA, CWCMS

Five clinical tests for diagnosing loss of protective sensation in the diabetic foot, plus tips on inflammation assessment. How serious are diabetic foot ulcers? The statistics are sobering: It is estimated that between 10 and 25% of patients with diabetes will develop a foot ulcer in their lifetime. Diabetic foot ulcers precede 84% of all lower […]

Maceration and Hydrogels? Just Say Whoa

By Keisha Smith, MA, CWCMS

Key Takeaways This article explores the careful use of hydrogel dressings to maintain a moist wound environment without causing maceration, a condition where excessive moisture leads to skin breakdown. It highlights proper application techniques for hydrogels, such as confining the gel to the wound bed using a cotton swab and applying a moisture barrier to […]

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