Outcomes

Thomas Serena's picture
Wound Care Clinical Trials

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

A recent article by Kaiser Health News misquoted me as saying that we enroll only "healthy" patients in our clinical trials. At moments like this, one feels that something has been overlooked. One of my research coordinators, recalling the serious adverse events (SAEs) of the previous week said, "The only patients sicker than ours are underground."

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Janet Wolfson's picture
patient interview questions

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

I was recently listening to one of my favorite news sources, NPR, enjoying an interview with James E. Ryan, the author of "Wait, What? - and Life's Other Essential Questions". The premise was that asking the right questions can lead to a happier and more successful life. A physician called in to relate that this was something he had been doing in his medical practice. I couldn't have agreed more – the questions I ask my patients (and then listening to their answers) can go a long way toward making an intervention in their health care more successful.

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Holly Hovan's picture
wound care education

by Holly Hovan MSN, APRN, ACNS-BC, CWON-AP
Unit specific, evidence-based training and continued follow up are integral to the success of our pressure injury prevention program. The unit-based skin care nurses (UBSCNs) are at the frontline of prevention, along with all nursing staff, especially nursing assistants (NAs).

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Lindsay Andronaco's picture
patient centered care

by Lindsay Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Medicine changes constantly, and we must stay up to date on the best options for our patients. However, being "better" doesn't always mean reading articles or attending national conferences. We can often become better wound care providers just by being present and taking a few minutes to actually listen to the patient, read the situation, and show compassion.

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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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Paula Erwin-Toth's picture
nursing issues and being a family caregiver

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

November marks the beginning of National Family Caregiver Month. Many of us are not only health care providers, but we are also family caregiver; some of us are part of the so-called sandwich generation. Caring for aging parents along with raising children can leave you feeling squeezed in the middle.

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Catherine Milne's picture
do the right thing

by Catherine T. Milne, APRN, MSN, BC-ANP, CWOCN-AP

From Nike's "Just Do It" ad campaign to Google's corporate "Don't be evil" code, I've always been struck by the many marketing campaigns that remind us to pay attention to our conscience. A similar focus should apply to health care. In 2000, the Institute of Medicine (IOM) published a scathing report showing that the number of people who died from medical errors surpassed the combined total of those who died from breast cancer and car accidents.1

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Aletha Tippett MD's picture
balancing choice with outcomes

by Aletha Tippett MD

How do you know if you are making right choice for a patient? Or, how do you know if you are even making a choice? This is true in the world of limb salvage. I have witnessed too many patients for which the risk of amputation was too much, and they died. But how do you know what the outcome will really be? You never really know, but you can make your best guess.

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Margaret Heale's picture
delivery of high quality bedside care

by Margaret Heale, RN, MSc, CWOCN

Stepping forward into a model of care that is quantitative and objective is essential and most definitely the way we are headed in wound care and beyond. Using the word "care" in the same sentence with "quantitative" and "objective" may sound like an oxymoron, but care does not have to be fluffy and old-fashioned. What it must be is kind, gentle and authentic. My question is: how can the care we provide be kind, gentle, and authentic when the emphasis is so obviously on cold, hard measures and stark black and white comparisons with little value placed on the people who are the care providers?

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Diana Gallagher's picture
wound care deserts

by Diana L. Gallagher MS, RN, CWOCN, CFCN

Last month, the news shared two important stories that were closely linked. Walmart announced the closing of 102 Walmart Express stores as part of their overall restructuring and statistical analyses revealed the states with the highest levels of obesity. These two stories prompted discussions about food deserts and their tie to obesity.

Food deserts are identified as areas without easy access to healthy food choices. They have been thought to be a contributing factor for obesity and the cascade of comorbidities that are tied to it. The Centers for Disease Control and Prevention (CDC) have funded Prevention Research Centers (PRC) in an attempt to ensure healthy food options in neighborhood markets. The lack of readily available fresh fruits, vegetables and lean protein options is problematic in some communities. The existing research, however, is not clear and more research is needed.

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