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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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pressure-injuries

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

Incorrect staging of pressure injuries can cause many types of repercussions. Incorrect documentation can also be worse than no documentation. Pressure injuries and staging mistakes are avoidable, so educating clinicians how to stage with confidence is the goal.

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fat grafting for pressure injuries

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

This month's blog topic idea came about from a recent conversation with a middle-aged patient with paraplegia. She had a stage 4 pressure injury due to being in her wheelchair long hours, along with a low BMI. I made the comment, "I wish I could give you a fat transplant." She laughed. She then asked, "Well, why not?" Later that day the topic of fat grafting popped up on social media in a spinal cord injury group I follow. I ended up chatting with a few spinal cord injury folks that were serious about coming up with funds to get fat grafting done. They all had a fear of, or a previous history of pressure injuries. These folks with past pressure injuries had used advanced wound care dressings, support surfaces, high-end cushions, supplements, negative pressure wound therapy, a slew of antibiotics, and even flap closures.

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long-term care wound education

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

I tell everyone that long-term care is the toughest arena for a wound consultant. However, it can also be the most rewarding. The focus of this month's blog is to give you an inside look of what really goes on in nursing homes versus other health care settings.

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Telemedicine Wound Care

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

Let's be frank: wound care telemedicine cannot replace a visit to a physician's office or the wound care center. Telemedicine was primarily developed to reduce visits and help serve people living in rural communities. However, telemedicine can supplement advanced wound care in many ways, and has been proven to be time saving and effective. Telemedicine in wound care has its pros and cons (like anything else), but with a protocol-driven approach, it is effective for wound healing.

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Managing shear and pressure in preventing pressure injuries

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

Let us start off this post with a typical scenario. You walk into any facility or institution and you see a patient slouched in their wheelchair, with no wheelchair cushion. You notice part of their brief hanging out of the top of their pants, so you assume the patient may be incontinent. So let’s think about this for a minute. We most likely have friction, shear, and moisture going on with this patient

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fungi candida albicans 3D

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

It doesn't matter where exactly I am educating, I see it everywhere: the vicious cycle of chronic intertrigo and or candida infections (candidiasis) of the skin in the long-term care arena. Skin and soft tissue infections are the third most common infection in long-term care.

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Stage 1 Pressure Injury - Darkly Pigmented Skin

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

I have worked all over the country as an educator. The same gaps in education arise everywhere. A few years ago, I began teaching skin color awareness as part of my course curriculum. I feel strongly about it being a part of my inservices and course education. Understanding skin color as it relates to assessment is critical in the prevention of pressure injuries.

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off label drug prescription

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

Providers may view off label drug use (OLDU) for wounds as the "new wave". However, if there is little or no scientific evidence supporting the practice, it can possibly lead to more problems than good. Keep in mind that not every health care setting embraces off label drug use. For example, state surveyors view OLDU differently in long-term care versus home care. Providers should avoid any risk of being involved in a pressure injury investigation. OLDU may be considered a factor in the event of such an investigation. Hospice patients are considered to be in more of a "dying with dignity" category, therefore OLDU may be considered more acceptable.

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making wound product selection decisions

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

Whether you are a provider or a clinician, the challenge of wound dressing selection is ongoing. I have been an educator for quite some time now, and have found that the easiest way to teach dressing selection is by dressing category and wound depth.

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