Wound Healing

Martin Vera's picture
chronic wounds

By Martin D. Vera LVN, CWS

What is a chronic wound? What changes must happen within a wound for clinicians to classify it as "chronic"? Is there a time frame for healing chronic wounds? And what should we clinicians do to prevent and/or reverse chronic wounds? These are all great questions that keep us on our toes, from the dedicated seasoned clinician to the clinicians new to our field. In this blog I will define what a chronic wound is, what it consists of, and whether there is a way to convert or reverse a wound.

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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.

WoundSource Editors's picture
wound healing

The Wound Healing Process

Promoting the wound healing process is a primary responsibility for most health care practitioners. It can take 1-3 days for a closed wound to actually establish a seal. Infections usually occur in 3-6 days but may not appear for up to 30 days, according to the CDC guidelines for preventing surgical infections.

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Tissue Analytics's picture
wound care assessment system

by Amanda Steinhauser, LVN, WCC

Everyone has heard the numbers; wound care costs in the United States are reported to be in excess of fifty billion dollars annually. Moreover, more than six million Americans suffer from chronic wounds. According to the American Diabetes Association, over one million Americans are diagnosed with diabetes every year. Despite these jaw-dropping statistics, wound care assessment techniques remain, for the majority, one of the most antiquated parts of health care.

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Aletha Tippett MD's picture
Zinc in wound healing

by Aletha Tippett MD

Well, what a surprise to find that what you have been doing all along is really the right thing to do even though you didn’t know the reason. Always, over the years doing wound care, I applied a thick layer of zinc oxide ointment around the patient’s wound, then put my dressing on the wound and covered it with a topping, usually plastic wrap pressed into the zinc oxide ointment.

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Martin Vera's picture
venous assessment

by Martin D. Vera, LVN, CWS

Wound clinicians across the nation (and the world) are commonly faced with the difficult task of managing lower extremity wounds. Lower extremity wounds come in many different forms. We are not faced with a generic type, but several—in fact, we never know what we'll be presented with day-to-day.

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Janet Wolfson's picture
delayed wound healing

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

Delayed wound healing: how did it start, what are we doing to prevent delay, and what could we be doing differently when delay is noted?

If you have worked in wound care a long time, there are those wounds we recall that were a real puzzle. Why wouldn't they heal when we were doing everything right? Sometimes it is as simple as finding out that the client has been sleeping in a recliner instead of a bed, in which case edema and sacral wounds will suffer. Or perhaps that the patient has resumed smoking now that their mobility allowed getting outdoors.

Temple University School of Podiatric Medicine's picture
literature review

Chronic wounds are clinically defined as wounds that have failed to proceed through a healing process in a timely and biologically efficient manner. They are easily identified due to their presence of a raised, hyperproliferative, and non-advancing wound margin. They often are not responsive to initial therapy, and still continue to exist even with adequate wound treatment and sharp debridement.

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Temple University School of Podiatric Medicine's picture
literature review

Temple University School of Podiatric Medicine Journal Review Club

Keloids are fibrous lesions made of collagen types I and III that arise from an area of wound healing, outside the margins of the original wound and are an unfortunate consequence of irregular wound healing. Treating keloids is difficult because there is limited understanding on why they arise, which is why many treatments fail to prevent their recurrence. It has been shown that no single treatment modality is effective to treat keloids; therefore, a multifaceted approach must be taken to lower recurrence rates.

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Temple University School of Podiatric Medicine's picture
literature review

Diabetic foot ulcers often present in patients with diabetes mellitus, and are a serious and challenging complication that often requires time and costly procedures to treat. Diabetic foot ulcers are very difficult to heal and often become chronic, which increases the incidence of progressing to infection. The goal of diabetic foot ulcer management is to promote reepithelization of ulcerative areas, as well as address deficits of the ulcer such as necrotic tissue, inadequate perfusion, and inflammation.

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