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Diane Krasner's picture

Reviewed by
Dr. Diane L. Krasner
PhD RN CWCN CWS MAPWCA FAAN

Originally published in World Wide Wounds (http://www.worldwidewounds.com/Common/Reviews.html). Used with permission.

Dr. Stephen Thomas has given a gift to the wound care community. This is a tome that every serious wound care clinician should have on his/her reference shelf.

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Aletha Tippett MD's picture

by Aletha Tippett, MD

In my work as a wound physician, most of the patients I treat have diabetes because of this, much of my time is spent working with these patients to manage their diabetes.

The problems that results from their condition include: diabetic neuropathy that is often severe enough to cause limb loss, wounds, obesity, renal failure, vision loss, plus the expense of medications and the intrusion on their lives to manage diet and lifestyle.

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

Cleansers for skin and wound care have always been a topic of much discussion. How and why do we use skin cleansers? What are the differences between skin cleansers and soap? Can you use a skin cleanser in a wound? Why not? What should you use for wound cleansing?

Laurie Swezey's picture

by Laurie Swezey RN, BSN, CWOCN, FACCWS

Making decisions in today’s wound care world must take several entities into account. The patient/client and the practitioner must work together to decide on a dressing protocol that meets the needs of both. Additionally, the needs of the practitioner’s employer, whether home care agency, hospital, or other facility, must also be considered (i.e. cost). Appropriate wound care product use must maintain a balance, satisfying the demands of all three entities.

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Kathi Thimsen's picture

by Kathi Thimsen RN, MSN, WOCN

Over The Counter (OTC) Drug Labels

Understanding how to read the label of an over the counter (OTC) drug is essential for safe and effective use. Many skin and wound care products are FDA approved by compliance to a specific monograph relating to a particular product type.

Laurie Swezey's picture

by Laurie Swezey RN, BSN, CWOCN, FACCWS

Heels are particularly vulnerable to skin breakdown. The posterior heel is only covered by a thin layer of skin and fat, and that makes breakdown a very real risk. When patients lie supine, all of the pressure of their lower legs and feet rest on the heels, which have relatively poor skin perfusion and a paucity of muscle tissue to absorb stress.

Kathi Thimsen's picture

by Kathi Thimsen RN, MSN, WOCN

Why do we have the FDA

In the late 1800s the government saw the potential danger that “snake oil” salesmen posed to society. Potions and elixirs were said to calm women prone to hysteria during the pre-menstrual cycle or cure headaches. Some of the most dangerous elixirs claimed to calm colicky babies and irritable children. These potions and elixirs were formulated with water, alcohol, and in some cases, poisons like toxic herbal extracts and tar.

Aletha Tippett MD's picture
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by Aletha Tippett MD

A Different Mindset

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. It is inappropriate to ignore wounds or declare them untreatable in patients at the end of life even though that patient’s lifespan may not allow cure. Palliative wound care requires a different mindset than traditional wound care, yet is based on the same fundamental scientific principles.

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