Blogs

Aletha Tippett MD's picture
arterial and vascular disease

by Aletha Tippett MD

This week I saw a patient with terminal peripheral vascular disease (PVD). Seeing him reminded me of how often the severity of this disease is misunderstood. He had had amputation of the toes on his right foot due to gangrene

Paula Erwin-Toth's picture
Affordable Care Act

by Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

As we embark on our journey into 2017, many are concerned about the road ahead. A new President and GOP dominated Congress have promised to make health care reform a priority. There have been numerous articles and opinion pieces written about the path these changes will take and what they will mean to patients, caregivers, and clinicians alike

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Janet Wolfson's picture
evaluating medical information resources

by Janet Wolfson, PT, CLWT, CWS, CLT-LANA

It is hard to read a newspaper (my preferred news source) or an online news site without discovering false information. I recently read an NPR article about how to vet news yourself and how to recognize this.1 The vulnerability I felt made me think about protecting my decisions from this reporting and even more, how I can help my patients weed out fake reports.

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Temple University School of Podiatric Medicine's picture
wound care journal club

While opioids are routinely prescribed for painful and chronic wounds, the effects of the medications are not well described in literature. Past studies suggest that stimulation of mu-opiate receptors on keratinocytes may induce transforming growth factor-beta (TGF-beta) and cytokeratin 16 (CK16), which are molecules that appear in wound healing environments. However, other studies suggest opioids may impede immune activation and negatively affect healing.

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Margaret Heale's picture
patient repositioning for pressure injury prevention

by Margaret Heale, RN, MSc, CWOCN

This past fall, I attended the New England WOCN Society regional conference. While I am still processing all the great information that I absorbed there, I'd like to share with you some of the important discussions that came up on the topics of pressure injury staging and patient compliance with repositioning protocols.

Samantha Kuplicki's picture
surgical site infection prevention

by Samantha Kuplicki, MSN, APRN-CNS, ACNS-BC, CWS, CWCN, CFCN

Surgical site infections (SSIs) are the most common hospital-acquired infections, accounting for 20% of total documented infections each year and costing approximately $34,000 per episode. SSIs are responsible for increased readmission rates, length of stay, reoperation, patient morbidity and mortality, as well as increased overall health care costs.

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Temple University School of Podiatric Medicine's picture

Temple University School of Podiatric Medicine Journal Review Club
Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.

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Aletha Tippett MD's picture
medical leech therapy

by Aletha Tippett MD

I was recently reflecting on a past patient that I was treating for toe wounds on his right foot, trying to avoid amputation. His toes kept getting necrotic, to the point he went for a transmetatarsal amputation (TMA) by a fine surgeon.. The surgery was very successful and there was a beautiful flap covering the amputation site of his TMA. Unfortunately, within a day, this flap started turning blue and was showing signs of failure.

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Martin Vera's picture
wound healing

by Martin D. Vera, LVN, CWS

It is simply mind blowing how meticulous and intricate our bodies were created and how it responds through adversity and of course, simple wear and tear. When our body experiences injury and our skin gets altered or wounded, it starts a cascade of events within the body that masterfully react to the situation at hand and takes care of the damage, allowing the healing process begins

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Jeffrey M. Levine's picture
medical community discussion

by Jeffrey M. Levine MD, AGSF, CWS-P

The phenomena of terminal skin injury and skin failure is fraught with challenges of terminology which is often confusing, and experts do not always agree on diagnostic criteria and classification.

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