Wound Assessment and Documentation

Martin Vera's picture
barriers to wound healing

By Martin D. Vera, LVN, CWS

We hear this all too often, but it is so true: it takes a village to heal a wound. A village that's on the same page, with a thorough understanding of gaining progress and obtaining positive outcomes for the patient and removing the barriers to wound healing.

Industry News's picture
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By the WoundSource Editors

Washington, D.C. – January 17, 2017 – The National Pressure Ulcer Advisory Panel (NPUAP), which serves as a leading scientific voice for improved patient outcomes in pressure injury prevention and treatment, recently met with the Centers for Medicare & Medicaid Services (CMS) to discuss their new 2016 Pressure Injury Staging System, initially launched in April 2016.

Aletha Tippett MD's picture
arterial and vascular disease

By Aletha Tippett MD

This week I saw a patient with terminal peripheral vascular disease (PVD). Seeing him reminded me of how often the severity of this disease is misunderstood. He had had amputation of the toes on his right foot due to gangrene. The toes on his left foot had early gangrenous changes, similar to what had happened on his right. Of course, amputation of the toes did not solve his problem, it just moved the gangrene up further. He now has a gangrenous wound at the amputation site. Also, he has a new gangrenous round ulcer on his lateral foot. This came from tape which had been used to fasten a dressing to his foot.

Martin Vera's picture
wound healing

By Martin D. Vera, LVN, CWS

It is no surprise to coworkers, colleagues and even my patients that I am a huge advocate for education and of course, the building of a strong foundation. My personal experience has been that after I had built that strong foundation—as in, understanding the skin and cells involved in each layer, wound bed preparation framework and the phases of wound healing with the key cells involved in each phase—I became more efficient, provided better services and improved positive outcomes for my patients. And once the types of wounds came along, I felt prepared and ahead of the game to accept the challenges and complexities of each wound type, and educated myself to know the differences. As a clinician driven by a passion for healing patients, I can’t help but look for ways for me to improve and further educate myself, as well as bring others on board to join me and the thousands of clinicians out there gathered to fight for a good cause.

Terri Kolenich's picture
long-term care facility pressure injury staging at admission

By Terri Kolenich, RN, CWCA, AAPWCA

Question: What are Quality Measures, how does my long-term care facility measure up, and how can we improve?

WoundSource Editors's picture
signs of wound infection

By the WoundSource Editors

A break in the skin through injury or surgery allows bacteria to enter the body and begin to multiply. Recognizing the first signs of wound infection enables health care professionals to swiftly intervene with treatment. Here are some of the most common symptoms associated with a wound infection:

Martin Vera's picture
wound healing and wound bed preparation

By Martin D. Vera, LVN, CWS

Wound bed preparation has become the gold standard model for proper wound assessment. It allows us clinicians to identify and breakdown local barriers to wound healing. Throughout our health care careers, we have seen it over and over again: the collective emphasis on standards of care, evidence-based practice, and cost-effectiveness in order to achieve positive outcomes for our patients.The wound bed preparation model supports all of these aspects of care delivery.

Cheryl Carver's picture
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.

Lindsay Andronaco's picture
surgical wound bandage and drainage

By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Wound exudate and how to properly assess and manage it has been a long standing clinical challenge in wound care. Assessing the exudate color, odor, volume, viscosity, and if it is causing maceration of the periwound skin are all important to note when creating a care plan for the patient. If there is not proper management of the exudate, then the high protease levels and low growth factor levels will negatively impact wound healing time.

Temple University School of Podiatric Medicine's picture
WoundSource journal club blog

Temple University School of Podiatric Medicine Journal Review Club

Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.