Patient Issues

Cheryl Carver's picture

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

I have again been inspired by my son to blog on a not so talked about topic, scar tissue pain. I have had patients through the years report scar pain, and I admit I did not know too much about it. I decided to dive into this topic a bit more when my son started experiencing frequent pain in his chest. He had a traumatic injury to the chest 14 months ago that healed in six weeks. There is a large amount of thickened traumatic scar tissue because of the depth of the injury. The pain started approximately two months after the wound healed, and he described it as a sharp stabbing pain that would take his breath away.

Cathy Wogamon's picture

By Cathy Wogamon, DNP, MSN, FNP-BC, CWON, CFCN

Many questions arise and confusion develops when wound care providers mention Kennedy terminal ulcers (KTUs). Because these wounds are not frequently seen, and because they develop rapidly and observation ends abruptly with the death of the patient, wound care providers may have never observed a KTU, even in a long career in wound care. Although the literature reveals that there is a lack of knowledge regarding the exact cause of a KTU, let’s look at the facts currently known from published resources.

Paula Erwin-Toth's picture
Preventing Caregiver Burnout

Paula Erwin Toth, RN, MSN, FAAN
WOC nurse

November is National Family Caregiver Month. Family caregivers are the unsung heroes of the health care team. Without their loving care, hard work, and dedication our health care delivery system would crash and burn. They are the ones continuing our plans of care in the home. They are the nurse, physician, physical therapist, nursing assistant, home health aide, counselor, and social worker all rolled into one. They are expected to grasp complex care techniques that years ago were carried out only in the hospital.

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Thomas Serena's picture
The Importance of Clinical Trials

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

Editor's note:This blog post is part of the WoundSource Trending Topics series, bringing you insight into the latest clinical issues and advancement in wound management, with contributions by the WoundSource Editorial Advisory Board.

Thomas Serena's picture
Wound Care Clinical Trials

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

A recent article by Kaiser Health News misquoted me as saying that we enroll only "healthy" patients in our clinical trials. At moments like this, one feels that something has been overlooked. One of my research coordinators, recalling the serious adverse events (SAEs) of the previous week said, "The only patients sicker than ours are underground."

Margaret Heale's picture
personalized medicine

Margaret Heale, RN, MSc, CWOCN

"Personalized medicine" is apparently a new concept that has evolved from taking good family histories, then adding a genetic testing component. The idea is to help assess the risk of specific traits that may be evident, and confirm with genetic testing so people can make lifestyle changes that reduce risk. It has attracted a huge amount of attention over the past few years.

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Janet Wolfson's picture
evaluating medical information resources

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

It is hard to read a newspaper (my preferred news source) or an online news site without discovering false information. I recently read an NPR article about how to vet news yourself and how to recognize this.1 The vulnerability I felt made me think about protecting my decisions from this reporting and even more, how I can help my patients weed out fake reports.

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Paula Erwin-Toth's picture
nursing issues and being a family caregiver

By Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

November marks the beginning of National Family Caregiver Month. Many of us are not only health care providers, but we are also family caregiver; some of us are part of the so-called sandwich generation. Caring for aging parents along with raising children can leave you feeling squeezed in the middle. While being a family caregiver can be incredibly rewarding, it can be a challenge physically, emotionally and financially. Caring for a loved one with a chronic wound can be especially daunting since the time, skill and dedication required can be overwhelming. This is especially true for family caregivers who suddenly find themselves needing to learn a multitude of health related skills.

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Paula Erwin-Toth's picture
high touch patient care

By Paula Erwin-Toth MSN, RN, CWOCN, CNS, FAAN

My last blog discussed the need to be high touch in a high-tech environment. This generated a lot of discussion among readers. Everyone agreed 'high touch' is important, but wondered what can we do to actually create that environment in all clinical settings?

Diana Gallagher's picture
wound care deserts

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

Last month, the news shared two important stories that were closely linked. Walmart announced the closing of 102 Walmart Express stores as part of their overall restructuring and statistical analyses revealed the states with the highest levels of obesity. These two stories prompted discussions about food deserts and their tie to obesity.

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