Palliative Wound Care

WoundCon Faculty's picture

By: Mary Brennan, RN, MBA, CWON, Karen Lou Kennedy-Evans, RN, FNP, APRN-BC, and Diane Krasner, PhD, RN, CWCN, CWS, MAPWCA, FAAN

What is the best way to differentiate between a Trombley-Brennan terminal tissue injury (TB-TTI) and deep tissue injury (DTI)?

Mary: This is the most challenging because these injuries resemble one another. The difference is that a TB-TTI does not evolve as a DTI does. There may be an increase in surface area but no change in the appearance or type of tissue. A TB-TTI will look the same in color and appearance on day 3 or 5 as it does on day 1.

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Temple University School of Podiatric Medicine's picture
Temple University School of Podiatric Medicine Journal Review Club

Article Title: Pressure Injury Progression and Factors Associated With Different End-Points in a Home Palliative Care Setting: A Retrospective Chart Review Study
Authors: Artico M, D’Angelo D, Piredda M, et al
Journal: J Pain Symptom Manage 2018;56(1):23-31
Reviewed by: Arden Harada, class of 2021, Temple University School of Podiatric Medicine

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WoundSource Practice Accelerator's picture
Palliative Care

by the WoundSource Editors

Pressure Injury/Ulcer Risk Management in Palliative Care and Hospice

Palliative care and hospice care are not the same, but they both share one goal. They both focus on a patient's physical, mental, social, and spiritual needs. Palliative care can begin at diagnosis and treatment or for patients at any stage of their illness. Patients may not want to receive aggressive treatment of non-healing wounds because of underlying diseases, pain, and/or cost.1

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Aletha Tippett MD's picture
doctor giving patient hope

By Aletha Tippett MD

I have written about so many things over the past years… Maybe now is a good time to announce that I am writing a book called Hear Our Cry, an autobiographical story about 20 years of wound care and limb salvage. The process has had quite an impact on me, reviewing all the pictures and notes from my wound patients from the past two decades.

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Mary Ellen Posthauer's picture
patient centered care

By Mary Ellen Posthauer RDN, CD, LD, FAND

Recently there have been numerous articles and webinars focusing on the methods health care professional can employ to effectively communicate and engage in end of life conversations with patients receiving palliative and/or hospice care.

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Aletha Tippett MD's picture
Aletha Tippett demonstrating Maggot Therapy

By Aletha Tippett MD

There is lots in store for the new year, and a great many wound care conferences just chock-full of information. There is one conference this year that you may not know about—small, quiet, highly informative and productive. That is the 2015 Palliative Wound Care Conference that will be held in Orlando, Florida, in May this year.

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Aletha Tippett MD's picture
grief

By Aletha Tippett MD

The topic of grief and bereavement is near to my heart right now as I just lost my beloved therapy dog, Barney, suddenly to hemangiosarcoma after years of service. He was an important and valued part of our healing community and will be mourned for a long time.

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Michael Miller's picture
Keywords: 

By Michael Miller DO, FACOS, FAPWCA, WCC

A friend and colleague is going to die. This of itself is not news as the process of dying unquestionably begins from the moment of conception. This case is perhaps a bit sadder and more morose than many. As health care providers, we relish in the success of prolongation of life. The birth of a baby, healing after an illness and returning to our usual lives, the successful healing of a wound of longevity and strife. And yet the measurement of successful healing, like the measurement of a successful life, is one defined by an infinite number of parameters from an infinite number of opinions.

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Diana Gallagher's picture

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

While watching the CBS news show, Sunday Morning, my attention was captured by a piece offered by Steve Hartman. I admit that I am a fan of Steve Hartman. I always enjoy his sense of which stories are really important. Today's news is filled with turmoil, tragedy, and drama; a lot like life but on a much larger scale. There simply has to be something positive trapped in the midst of so much overwhelming negative information. Once again, Steve Hartman found that thread of optimism in the midst of tragedy. It is that invisible thread and hope that there is something positive to reap out of overwhelming tragedy that serves as a lifeline to so many of us.

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