Pressure Injuries

Jeffrey M. Levine's picture

by Jeffrey Levine MD

Please join me Thursday, November 16 from 3:00-4:00pm EST for a free webinar presented by myself and Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWOCN, ETN, MAPWCA, FAAN sponsored by the National Pressure Ulcer Advisory Panel (NPUAP), entitled, Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure: Where Are We and Where Are We Going?

WoundSource Practice Accelerator's picture
repositioning for pressure injury prevention

by the WoundSource Editors

Pressure ulcers/injuries are extremely prevalent, particularly in long-term and other care facilities, and primarily affect older adults, those with cognitive impairment, mobility issues or individuals who are bedfast. Understanding the best ways to prevent skin damage before it develops into a significant injury is critical to improving patient outcomes and reducing costs.1 This brief guide will introduce nurses and other health care professionals to pressure injury prevention best practices to reduce the risk of patients’ developing these preventable wounds.

WoundSource Practice Accelerator's picture
pressure injury prevention and management

by the WoundSource Editors

Nurses and other health care professionals providing care to patients regularly face challenges that can make it more difficult to perform routine tasks and ensure patient comfort and well-being, especially with regard to pressure ulcer/injury prevention and treatment. From a lack of mobility to chronic diseases, these challenges often coincide and interplay, creating unique risks and complications in managing the care of patients.

WoundSource Practice Accelerator's picture
pressure injury treatment

by the WoundSource Editors

Pressure ulcers/injuries are among the most costly and prevalent conditions faced by health care professionals. It is estimated that in the United States alone, pressure injuries cost up to $11.6 billion each year with an estimated per-injury cost of $20,900 to $151,700.1 The elderly, individuals with chronic conditions such as diabetes, and those with limited mobility are significantly more likely to develop pressure injuries than other patients. It is extremely important that health care professionals understand best practice treatments to help reduce the severity and longevity of these wounds.

Cheryl Carver's picture
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.

Cheryl Carver's picture
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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Paula Erwin-Toth's picture
questions in wound care

On April 26, 2017, I presented a webinar on WoundSource.com on the topic of Moisture-Associated Skin Damage (MASD). Afterwards, there was a Q&A session with the participants of the webinar. This is a selection of some of those questions and their answers.

Janet Wolfson's picture
preventing-pressure-injuries

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

As I read through wound care articles on pressure injuries and treatments, I keep going back to one thought: why are they still occurring? They are preventable! Staff are educated, have certifications and equipment, and have been oriented on policy to prevent pressure injuries. I think it comes down to opportunities and choices. A culture of care—bottom to top and back down again—can drastically reduce incidence.

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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.

Cheryl Carver's picture
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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