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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

For many years clinicians have relied on serum proteins, such as albumin and pre-albumin, as markers of nutritional status. However, current research indicates that there is little data to support this practice. Albumin and pre-albumin (transthyretin) are acute phase proteins. The advent of the inflammatory process - including infection, trauma, surgery, burns, and other wounds - elicits the acute phase response. During this acute phase response, these proteins decline and are called negative acute phase reactants.

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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.

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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.

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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

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.

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