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Michael Miller's picture

by Michael Miller DO, FACOS, FAPWCA

RAMBLINGS OF AN ITINERANT WOUND CARE GUY PT. 2

I recently recognized a puzzling aspect of my wound care practice; I am just not seeing that many infected wounds. Moreover, I seem to use much fewer antibiotics and antimicrobial agents than almost everybody else I know practicing in wound care.

Aletha Tippett MD's picture

by Aletha Tippett MD

Every six minutes, somewhere in the United States, someone loses a limb due to amputation because of peripheral neuropathy. Neuropathy can cause pain, balance problems, loss of dexterity, and loss of sensation, all of which can lead to foot ulcers.

Glenda Motta's picture
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by Glenda Motta RN, MPH

Centers for Medicare and Medicaid Services (CMS) just released regulations for acute and long-term care hospitals that include a new set of quality measures that will determine payment starting in the fiscal year 2015. The initial set of 10 quality measures was put in place in 2004 as mandated by the Medicare Prescription Drug, Improvement and Modernization Act (MMA).

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Diane Krasner's picture
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From The Clinical Editor

by Diane Krasner PhD, RN, CWCN, CWS, MAPWCA, FAAN

Introduction

The push towards safety by regulators and payers reflects the evidence that safe healthcare practices have numerous benefits – from reducing sentinel events to improving quality outcomes and helping to avoid litigation (1, 2, 3, 4). The wound care community has been slow to adopt the safety mantra . . . but the time has come to put your “safety lenses” on and to view wound prevention and treatment as a safety issue.

Kathi Thimsen's picture
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by Kathi Thimsen RN, MSN, WOCN

Skin protectants and moisture barrier products serve two purposes in patient care: first is to protect the skin from harmful stimuli (incontinence, wound drainage, saliva, gastric juices, etc.); second is to create a barrier between the skin and the environment. It is amazing that one product and basically one classification of ingredient can get the job done!

Laurie Swezey's picture

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

The sheer number of dressings available makes choosing the correct dressing for clients a difficult proposition. Clinicians today have a much wider variety of products to choose from, which can lead to confusion and, sometimes, the wrong type of dressing for a particular wound. Knowing the types of dressings available, their uses and when not to use a particular dressing may be one of the most difficult decisions in wound care management.

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Mary Ellen Posthauer's picture

by Mary Ellen Posthauer RDN, CD, LD, FAND

Metabolic Roles of Vitamin C

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Aletha Tippett MD's picture
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by Aletha Tippett MD

What is palliative care relative to wound treatment? In short, it is about humanity, caring and compassion. Today I saw a 90 year-old woman in a nursing home. She had hip and ankle fractures, and developed a sacral ulcer in the hospital. She was in excruciating pain, screaming at every touch. To correct her turned-in hips, she was trussed up in a hip abductor device – she called this “the dragon” – that was both uncomfortable and painful.

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Michael Miller's picture

by Michael Miller DO, FACOS, FAPWCA

Ramblings of An Itinerant Wound Care Guy pt. 1

I want to thank the WoundSource folks for inviting me to vent my spleen as a blogger. By way of introduction, I have been a full-time wound care doctor since 1997. My practice takes place in acute care and long-term care facilities, two free-standing (non-hospital affiliated) clinics, and I make about 25 house calls per month on behalf of many home health care agencies, all in the great State of Indiana.