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Laurie Swezey's picture

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

Compression therapy is the “gold standard” for the treatment of venous ulcers. However, compression therapy is not a one-size-fits-all treatment and the clinician must decide on the right type of compression therapy for the individual client in order to prevent complications from occurring, such as ischemia and necrosis.

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Jonathan Rosenfeld's picture

By Jonathan Rosenfeld, JD

Even as an injury lawyer who sometimes feels he has seen it all, I am surprised by the tricks that I have seen used by some nursing homes in order to avoid responsibility for their actions. It is unbelievable how poorly kept the patients’ charts generally are in a large number of nursing facilities to begin with, but if a facility feels that there is impending litigation in its future, they may stoop so low as to alter those records in order to cover up its actions. This type of behavior is both unethical and illegal and I am both saddened by the tactic and happy to see punitive damages awarded in cases involving such nursing homes.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC


There is a particularly memorable scene in the 1976 Film “Network” in which Anchorman Howard Beale (played by acting maven Peter Finch), learns that he has just two more weeks on the air because of declining ratings. His angst finally comes to the surface and in a burst of splenic venting ecstasy, he persuades his viewers to shout out of their windows "I'm as mad as hell, and I'm not going to take this anymore!"

Beth Hawkins Bradley's picture

By Beth Hawkins Bradley RN, MN, CWON

I am frequently asked for solutions relating to maceration to periwound skin in wounds being treated with negative pressure wound therapy (NPWT). As a clinician practicing in the outpatient and home care settings, it was not unusual for patients to have to take a "holiday" from negative pressure. Treatment was often put on hold for several days to allow skin to recover. Putting negative pressure on hold not only caused a potential delay in forward progress in the wound, but it also created the need for increased dressing change visits for the home care patient. While maceration is reported in wounds located anywhere on the body, it seems to be most prevalent on skin of the lower extremity.

Lydia Corum's picture

By Lydia A Meyers RN, MSN, CWCN

I am a Certified Wound Care Nurse (CWCN) and received my Certification with the Wound Ostomy Continence Nurse Association (WOCN). I will not say one certification is better than another, just do your homework and find one that challenges your knowledge. When I was working in the Wound Care Center, I started classes and education journey toward my certification. I had been working in Home Health Care as a wound care nurse and psychiatric nurse. This knowledge and experience gives me a different view of patients and wound care.

Paula Erwin-Toth's picture

By Paula Erwin-Toth MSN, RN, CWOCN, CNS

Part 2 in a series discussing the challenges and opportunities in patient/family education
For Part 1, Click Here

James McGuire's picture

by James McGuire, DPM, PT, LPed, FAPWHc

It is essential that the various offloading devices available to the wound care professional are applied appropriately to redistribute destructive forces that develop in the diabetic or neuropathic foot during standing and ambulation.1,2 The 6 "W" approach was first introduced in an article in 20063 to help practitioners better understand the biomechanical risk profile of patients at risk for ulceration so that they could better choose between the various offloading interventions available for their everyday footwear.

Aletha Tippett MD's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

"Our food should be our medicine and our medicine should be our food."

This statement by Hippocrates rings true today as hospitals, rehabilitation centers and nursing homes strive to improve the quality of their meals. The day of “bland, cold, tasteless hospital food with limp vegetables and hard, dry meat” should be distant memory. When the meals and supplements served are not consumed, poor intake often results in weight loss and inadequate consumption of calories required for pressure ulcer prevention and healing.

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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

My first year in practice, I volunteered with the local dietetic association when they launched “Dial a Dietitian”. The goal of the program was to capture the attention of the community and encourage people to phone a dietitian and seek help to solve their nutritional problems.

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Beth Hawkins Bradley's picture

By Beth Hawkins Bradley RN, MN, CWON

Negative Pressure Wound Therapy (NPWT) has become standard of care for many wound types. Any clinician who works with NPWT dressings will report that a significant number of wounds will develop a malodor, commonly referred to as a “VAC stink.” In response to malodor, clinicians often opt to give the wound a NPWT holiday, which can delay wound closure. In thi article we will look at factors that contribute to malodor, and interventions that might reduce it.