Wound Treatments

Martin Vera's picture
Wound Assessment

By Martin Vera, LVN, CWS

Throughout my career I have been lucky enough to be part of several nursing branches: home health, long-term care, acute care, long-term acute care hospital, hospice, and even a tuberculosis hospital; wounds have no limitations on where they will appear. As a passionate clinician, teaching, coaching, and mentoring have become a huge part of what I do, as is true for most clinicians. We are teachers, coaches, and mentors driven by passion and wanting to help and put in our “two clinical cents” or “stamp” on the industry. I frequently converse with clinicians in my area, all part of SWAT (skin and wound assessment team), and talk about how it takes a village. I especially enjoy talking with my good friend and mentor Jesse Cantu, RN, BSN, CWS, FACCWS, who is a passionate clinician with a fire that gets you all excited—those who know him know what I am talking about.

Susan Cleveland's picture
Support Surfaces for Special Populations

By Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

Certain patient populations—such as the critically ill, those with spinal cord-injuries, and bariatric individuals—need special interventions and support surfaces to prevent pressure ulcers. These recommendations address the unique needs of these special populations in relation to pressure redistribution, shear reduction, and microclimate control.

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Susan Cleveland's picture
Support Surfaces

By Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

On occasion there are Administrators or a Director of Nursing who are amazed (not surprised) that despite their use of pressure-“relieving” mattresses and chair cushions, their facility is still experiencing in-house acquired pressure ulcers. Of course, a teaching moment presents itself, and the lesson begins. The items referred to are going to “redistribute” pressure, not relieve it, so there is either a lack of understanding or a misuse of terminology, and clarification is necessary

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WoundSource Practice Accelerator's picture
Evaluating Patient Risk Factors

by the WoundSource Editors

Surgical site infections (SSIs) are the most prevalent surgical wound complications, comprising approximately 15% of all health care–associated infections, with more than 500,000 reported yearly. Preventing SSIs is perhaps the best way to prevent further surgical wound complications. There is not a large, differentiable list of subsets of surgical wound complications that are treated with separate, discrete interventions; many complications, such as wound dehiscence, are direct results of SSIs. As such, an overview is provided with strategies to manage and prevent SSIs.

WoundSource Practice Accelerator's picture
Incision Management

by the WoundSource Editors

Appropriate surgical wound and incision management in the post-operative time period is imperative to prevent complications, including surgical site infection and wound dehiscence. The tenets of modern wound management are applicable to primarily closed incisions, as well as to subacute and chronic wounds. Preventing incisional infection by appropriate cleansing, skin care, and moisture management is a requisite part of the post-operative plan of care. A cursory knowledge of the phases of wound healing and healing by intention will assist with understanding the rationale and importance of post-operative surgical wound and incision management.

Thomas Serena's picture
Clinical Research

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

I have conducted numerous unblinded clinical trials, mostly evaluating cellular or tissue-based Products (CTPs). These trials do not easily lend themselves to blinding. However, when I slated this topic with the title “Unblinding the Blind" for my Association for the Advancement of Wound Care lecture track at next year’s spring Symposium on Advanced Wound Care, the organizers removed it and cited the lecture’s controversial nature. I thought that scientific research was the last frontier of free-wheeling discourse in the private sector, but here lurks the most challenging aspect of contemporary research in wound care: we woundologists do not demand increasing rigor in our trials. Outside of hyperbaric oxygen (HBOT) studies, we have not critically evaluated trial results.

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WoundSource Practice Accelerator's picture

by the WoundSource Editors

Diabetic foot ulcers (DFUs) are arguably among the most difficult types of wounds to manage; the etiology of these wounds poses some of the greatest clinical challenges for healing, considering the multifaceted nature of diabetes mellitus (DM). Multiple patient-related factors must be addressed and controlled through faithful adherence to the prescribed plan of care, which is developed by both the patient and clinicians to ensure success.

Hy-Tape International's picture
exudate management

By Hy-Tape International

Chronic venous insufficiency disease and resulting venous leg ulcers are serious and common conditions, particularly among older adults. More than half of lower extremity ulcers are caused by venous insufficiency disease. In a diseased venous system, the patient’s venous pressure will not be reduced on ambulation. This sustained pressure can lead to venous ulcerations and other complications.1,2

Aletha Tippett MD's picture
Lidocaine Chemical Makeup

by Aletha Tippett MD

Well known for its pain-relieving properties, lidocaine can help us with wound care in many other ways. It has been my go-to product for wound care for over 20 years. I always use viscous lidocaine squirted on any dressing. The viscous lidocaine is what is prescribed for people to gargle for sore throats, so I always knew it was safe to put on a wound. It is wonderful for pain relief. A patient might need systemic pain relief also, but the application of topical lidocaine is very effective to help alleviate local pain of wounds.

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Margaret Heale's picture
home care nurse with patient

By Margaret Heale RN, MSc, CWOCN

I watched a short PowerPoint DVD on the "bag technique" as part of our regular in-servicing the other day. The presentation started with the most important way to prevent cross infection—wash hands—which is fine. Then came the bag technique. I have no problem with the fundamentals of keeping your bag off the floor, only getting anything out of it after decontaminating your hands, and wiping before you store. I do have a problem with having to place the bag on a Chux or water-resistant wipeable or disposable surface, however.

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