Wound Types

Holly Hovan's picture
Nurse Removing Adhesive Bandage to Prevent MARSI

by Holly M. Hovan MSN, APRN-ACNS-BC, CWOCN-AP

Medical adhesive-related skin injury, or MARSI, is a common type of skin injury, often seen in inpatient settings and in vulnerable populations with fragile skin such as older adults (decreased elasticity, usually multiple pre-existing comorbidities) or pediatric patients (skin is not fully developed). MARSI is caused by trauma to the skin from medical adhesives (think of things such as… tape used to secure a dressing after a blood draw, clear film dressings, ostomy pouches, external catheters in men, tube securement devices, surgical dressings, etc.). MARSI is not a pressure injury and is not caused by pressure.

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Hy-Tape International's picture
exudate management

By Hy-Tape International

Chronic venous insufficiency disease and resulting venous leg ulcers are serious and common conditions, particularly among older adults. More than half of lower extremity ulcers are caused by venous insufficiency disease. In a diseased venous system, the patient’s venous pressure will not be reduced on ambulation. This sustained pressure can lead to venous ulcerations and other complications.1,2

Holly Hovan's picture
fistula management

By Holly Hovan MSN, APRN, CWOCN-AP

A fistula is an abnormal opening between two areas that typically shouldn't be connected, or with an epithelialized tract. An example is an opening from the bowel to the abdominal wall, termed enteroatmospheric or enterocutaneous (the terms are sometimes used interchangeably) because this fistula is exposed to the atmosphere, or is open from the abdomen to the skin, and typically needs to be pouched or some type of containment of the effluent.

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Martin Vera's picture
sickle cell anemia testing - atypical wound etiology assessment

By Martin D. Vera LVN, CWS

Part 1 in a series discussing the etiology, assessment and management of atypical wounds.

As devoted clinicians to the field of wound management we take a responsibility to educate ourselves and others about wound etiologies and characteristics, as well as management of barriers to achieve positive outcomes. We spend a great deal of our careers learning about the most common offenders, such as pressure injuries, diabetic foot ulcers, venous stasis ulcers, arterial wounds, amputations, and traumatic wounds, to name a few. However, as our careers unfold we are faced with extra challenges, and atypical wounds are among them.

Janet Wolfson's picture
lymphedema management and prevention

By Janet Wolfson PT, CLWT, CS, CLT-LANA

With increased awareness of the impact of the lymphatic system on all other systems of the body, there are now multitudes of research studies on lymphedema and thus new approaches and treatments by the medical profession. These include medications, prevention, detection, surgery, and regeneration. Despite cursory education on the lymphatics in medical school, research in the United States and elsewhere has managed to progress treatment.

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Janet Wolfson's picture
post-surgical cancer patient

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

So, if you are following my series on the lymphatic system, then recall that last month the topic was causes of lymphedema. Today I will dive into how modern medical care and disease processes can affect the lymphatic system.

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WoundSource Editors's picture
venous system

A venous ulcer, also known as a stasis ulcer or venous leg ulcer, is a shallow wound that usually occurs on the sides of the lower leg, between the calf and ankle. Since venous ulcers often are slow in healing and frequently recur if not properly treated, it is important for health care providers to understand their diagnosis and treatment.

Janet Wolfson's picture
lymphedema and the lymphatic system

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

If you had a chance to read last month's blog on the lymphedema and the lymphatic system, you're probably still amazed that such a wonderful system that provides immunity and handles fluid in our bodies exists in such secrecy. This blog discusses what can go wrong with the lymphatic system. Because this network has many parts throughout the body, with cells that generated and living in different areas, whose complexity needs consideration with other disease processes or surgery, and must be constructed in 9 months of gestation... A lot could go wrong!

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Cheryl Carver's picture
Stop Pressure Injuries - Pressure Injury Prevention

By Cheryl Carver LPN, WCC, CWCA, CWCP, FACCWS, DAPWCA, CLTC

I consider myself to be beyond blessed. I know that my purpose in life is to be useful, compassionate, and to make a difference in wound care… In any capacity I can. I have no problem sharing my mother's story with my patients. I think it shows that I am genuine and compassionate. I do whatever works to help my patients understand the importance of pressure injury prevention and/or treatment. My point is: do whatever works. It is good to think outside of the box!

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Janet Wolfson's picture
the lymphatic system

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

When I talk to my patients with lymphedema, I often need to tell them about their lymphatic system. Beyond knowing of lymph nodes or glands in their neck, most don't recall having heard anything about it. Surprisingly, today's medical students often have less than one hour on the lymphatic system education in medical school.

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