Wound Assessment and Documentation

Janet Wolfson's picture
compression therapy for lymphedema

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

The intersection of wounds and lymphedema has been on my mind this week as challenging patients and a new reduction garment cross my dual specialty life. One patient with chronic swelling with weeping for more than a decade, another referred a few days before discharge who will need a few weeks Complex Lymphatic Therapy and a reduction garment that he and his spouse can manage for showering. Still another experiencing light weeping, chronic edema and is post-heart failure. They are all inpatient rehab clients attempting to improve their mobility and self care enough to go home. So, the wish list for reduction compression and absorbent wound care products needs to fit some special needs.

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.

WoundSource Editors's picture

By Karen Zulkowski, DNS, RN Wound Course Instructor, Excelsior College

Dr. Karen Zulkowski is recently retired from her role as associate professor at Montana State University-Bozeman, where she taught evidence based practice and lead field research for nearly 20 years. She began wound care research in her early days in graduate school, eventually obtaining her DNS from New York State University at Buffalo. She is currently working on the International Ostomy Guidelines for 2020 and is executive edit for the WCET Journal. Throughout her accomplished career, Dr. Zulkowski has displayed a commitment to advancing knowledge of wound care through research, mentoring and teaching.

WoundSource Editors's picture
Martin Vera, LVN, CWS

By the Wound Source Editors

Martin D. Vera, LVN, CWS is the Coordinator of Wound Management at Patience Home Health Care in San Antonio, Texas. He has been working in the wound care field for nearly 20 years, helping countless patients, teaching wound care best practices, and improving standards at his care facility. His career has demonstrated an extraordinary passion for patient care, a commitment to doing the right thing, and a strong faith.

WoundSource Editors's picture
Fabiola Jimenez, RN, ACNS-BC, CWOCN

By Fabiola Jimenez, RN, ACNS-BC, CWOCN

Fabiola Jimenez is a Wound Ostomy Continence Nurse and Adult Clinical Nurse Specialist at Detroit Medical Center Huron Valley Sinai Hospital, a small community hospital of 158 beds in eastern Michigan. She has been a nurse since 1988, when she entered the field after graduating from the University of Oklahoma. Throughout her accomplished career, her work has demonstrated a dedication to caring for patients and a lifelong commitment to educating herself and others.

Janet Wolfson's picture
patient interview questions

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

I was recently listening to one of my favorite news sources, NPR, enjoying an interview with James E. Ryan, the author of "Wait, What? - and Life's Other Essential Questions". The premise was that asking the right questions can lead to a happier and more successful life. A physician called in to relate that this was something he had been doing in his medical practice. I couldn't have agreed more – the questions I ask my patients (and then listening to their answers) can go a long way toward making an intervention in their health care more successful.

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?

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
Keywords: 

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.