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Holly Hovan's picture
Braden Scale: Mobility

By Holly Hovan, MSN, RN-BC, APRN-CNS, CWOCN-AP

What is mobility? Typically, when we hear the word mobility, we think about our ability to move, with or without assistance. In a long-term care setting, we often hear the words, "mobility aids," which are typically pieces of medical equipment that are used to enhance mobility—wheelchairs, walkers, canes, power wheelchairs, crutches, and even guide dogs for those who are sight impaired. There are many intrinsic and extrinsic factors that impact one's mobility, which will be discussed in this blog.

Hy-Tape International's picture
Neonatal skin

By Hy-Tape International, Inc.

Infants pose a major challenge for wound care professionals. Because neonatal skin is immature and thin compared with adult skin, it is more easily damaged and requires greater care. This makes it critical that health care professionals follow specialized best practices when caring for neonatal wounds to minimize skin damage and ensure optimal outcomes for patients.

Temple University School of Podiatric Medicine's picture
Temple University

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.

Article Title: A Randomized Trial of Early Endovenous Ablation in Venous Ulceration
Authors: Gohel, Manjit; Heatly, Francine; Liu, Xinxue; Bradbury, Andrew; Bulbulia, Richard; Cullum, Nicky; Epstein, David; Nyamekye, Isaac; Poskitt, Keith; Renton, Sophie; Warwick, Jane; Davies, Alun
Journal: N Engl J Med
Reviewed by: Kyle Miller, Class of 2020, Temple University School of Podiatric Medicine

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Holly Hovan's picture
Wound Drainage

By Holly Hovan MSN, RN-BC, APRN, ACNS-BC, CWOCN-AP

Wound assessment is one of the initial steps in determining the plan of care, changes in treatment, and which key players should be involved in management. However, wound assessment needs to be accurately documented to paint a picture of what is truly happening with the wound.

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Cheryl Carver's picture
Skin and Wound Management with Substance Abuse

By Cheryl Carver, LPN, WCC, CWCA, CWCP, DAPWCA, FACCWS, CLTC – Wound Educator

The challenges for all clinicians associated with substance abuse and addiction are at an all-time high. We are seeing more and more overdoses and skin and wound issues. There needs to be less judgment and more education. Not every person with substance abuse issues is addicted due to a poor choice. Reasons for abuse can be related to unmanaged mental illness, self-medication and family genetics, to name a few. Compassion is lacking for this group of folks. I have seen it firsthand. This topic hits close to home as I have a son in recovery. This problem is an epidemic and needs to be talked about more. I live in Ohio, and we are one of the top five states for heroin and methamphetamine (meth) abuse.

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Temple University School of Podiatric Medicine's picture
Temple University

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.

Article Title: Stem Cells Derived from Burned Skin – The Future of Burn Care
Authors: Saeid Amini-Nik; Reinhard Dolp; Gertraud Eylert; Andrea-Kaye Datu; Alexandra Parousis; Camille Blakeley; Marc G. Jeschke (Sunnybrook Research Institute, Canada)
Journal: EBioMedicine
Reviewed by: Akhil Korrapati, Temple University School of Podiatric Medicine Class of 2021, Temple University School of Podiatric Medicine

Heidi Cross's picture
Risk Factors for Unavoidable Ulcers

by Heidi H. Cross, MSN, RN, FNP-BC, CWON

According to the Agency for Healthcare Research and Quality, more than 17,000 lawsuits related to pressure ulcers (PUs) are filed annually in the United States, second only to wrongful death lawsuits. One of the greatest gifts to defense attorneys was when the Centers for Medicare & Medicaid Services (CMS) published F-Tag 314, finally acknowledging that some ulcers can occur despite best care. The facility essentially can maintain, “Hey, we did everything we were supposed to, and despite that, the patient developed that pressure ulcer”—that is, the ulcer was unavoidable. To prove unavoidability, proper documentation (proof) of best care needs to be in place, as well as documentation that all proper prevention and treatment measures were implemented.

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Keywords: 
Edema

By the WoundSource Editors

Edema is swelling that occurs when there is an excessive amount of fluids within the intracellular space, typically within subcutaneous tissues. Edema is more commonly experienced in the lower extremities and other areas that are farther from the heart. Edema may be dependent, caused by gravitational forces on the fluids that are greater than the mechanisms designed to overcome these forces. Edema may also be generalized throughout the entire body or localized, restricted to a single area.

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Emily Greenstein's picture
Morgellons Disease

By Emily Greenstein, APRN, CNP, CWON

I recently presented this topic as a Journal Club presentation for the Association for the Advancement of Wound Care Members. I feel like this is a very important and interesting subject, so I wanted to share it with more people. Morgellons disease (MD) is a disorder that can be considered controversial. One view of it is that the disorder is purely a psychological condition, and the other view is that the disorder is actually a byproduct of another infectious process. My goal is to give you some facts from both sides and allow you to make your own decision.

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WoundSource Practice Accelerator's picture
Wound Chronicity

by the WoundSource Editors

Chronic wounds affect over 6.5 million people annually in the United States, with a total cost of over $26.8 billion per year. Proper identification of chronic wounds is necessary to develop an effective treatment plan, although many elements—such as intrinsic and extrinsic factors, comorbidities, and mixed etiologies—may complicate this process.