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Aletha Tippett MD's picture

by Aletha Tippett MD

Palliative wound care is a relatively new field targeting wound treatment for patients at the end of life, or patients with terminal disease or inability to tolerate standard care. The traditional goal of wound care is to heal or prepare for surgical closure, but techniques and procedures used to “heal” a wound can be painful or uncomfortable and very costly, plus patients who qualify for palliative care may not live long enough to heal a wound.

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Mary Ellen Posthauer's picture

by Mary Ellen Posthauer RDN, CD, LD, FAND

Food is a major part of our lives with strong emotional and symbolic implications that encompasses nurturing, cultural, religion, tradition and social values. Nutrition and hydration has an effective role in healing wounds, but cannot prevent an individual with co-morbid conditions at the end of life from suffering or imminent death. This concept is often difficult to explain to the individual and especially to the caregivers who view nutrition and hydration as essential for life.

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Sue Hull's picture

Part 1 in a series examining the reduction of facility costs and the continuation of quality care

by Sue Hull MSN, RN, CWOCN

Remember W. Edwards Deming? We all learned about him in business management, right? He taught and demonstrated that systematic approaches were necessary to improve quality and control costs. Maybe I’m the only one, but I couldn’t really grasp how that principle could be applied to wound care.

Karen Zulkowski's picture

by Karen Zulkowski DNS, RN, CWS

The past few months I have written about legal cases and palliative care. My plan was to combine them for March. However, my husband had a partial knee replacement at the end of February and I wanted to write about that. My apologies for no March column.

Laurie Swezey's picture

by Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

There are more than 3,000 types of wound dressings available on the market today, and more are being launched every day. Although there are a number of protocols and algorithms available to help with the selection of wound dressings,1,2 and individual facilities are likely to have their own dressings of choice, the decision can still seem overwhelming. Even the most seasoned wound care practitioner can find it difficult to assess the advantages and disadvantages of each dressing available and to make the appropriate choice for a particular patient. Rather than consider each dressing in isolation, a useful technique can be to mentally place each type of dressing on a continuum of occlusion.3

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Mary Ellen Posthauer's picture

by Mary Ellen Posthauer RDN, CD, LD, FAND

One component of the nutritional assessment process in wound care is reviewing and evaluating biochemical data. In a previous blog I discussed the relationship of albumin and pre-albumin (transthyretin) to nutritional status. Many lab values are affected by hydration status and/or medications, which may increase or decrease levels.

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Ron Sherman's picture

by Ron Sherman MD, MSC, DTM&H

Numerous controlled studies of maggot therapy have been published during the past 20 years, each one demonstrating equality or superiority over standard care methods for debridement. It is almost as though we are trying to compensate for the previous 60 years of extensive clinical use supported only by case histories, but no clinical trials.