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Lydia Corum's picture

By Lydia A Meyers RN, MSN, CWCN

I have been thinking for awhile about what to do for this month’s blog. During the time I worked for CTI nutritional I realized that many wound care nurses, including myself, are not well trained in nutrition. I also noted the impact that nutrition has on patients and their quality of life.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC


As I write my blog, I wonder whether anyone really reads it. I know that my wife and daughters do, because they have no choice. For all the foibles my 24 year old is quick to point out --Dad, you’re not really going to wear that; Dad, you have a stain on your shirt; Dad, you need to empty the cat litter (to which I reply, “why, they didn't eat what I poured them yet!”)--, she has commented on an occasion or two, “That was funny” or, “Yeah, it’s pretty good this time.”

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Joy Hooper's picture

By Joy Hooper RN, BSN, CWOCN

There are various types of urinary diversions. One of the most common urinary diversions is the ileal conduit. The ileal conduit actually borrows a segment of bowel to create the stoma, causing the patient to undergo surgery on the GI tract as well as the urinary system. An ileal conduit is an incontinent urinary diversion and will require the use of an external pouch.

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Paula Erwin-Toth's picture

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

Part 4 in a series discussing the challenges and opportunities in patient/family education
For Part 1, Click Here
For Part 2, Click Here
For Part 3, Click Here

Aletha Tippett MD's picture

By Aletha Tippett MD

Tetanus is a multisystem disease caused by the bacterium Clostridium tetani. This bacterium is present in feces and soil. Tetanus has been mostly eradicated in the U.S. due to childhood immunization, however, there have been reported cases among immigrants, with higher risk behaviors such as body piercing and tattooing among young adults, and with failure to maintain adult booster immunization. Often, as adults, tetanus is not considered in overall health as evidenced by significant under-immunization with less than half of adults having current immunization. Other risk factors not well-recognized include diabetes, gangrene or chronic wounds, which increase the risk of tetanus to 50%. It is fatal in approximately 10-30% of cases. It may take anywhere from 3-21 days after exposure to the bacterium for the symptoms to become apparent. There is no test to diagnose tetanus, it is strictly a clinical diagnosis.

Beth Hawkins Bradley's picture

By Beth Hawkins Bradley RN, MN, CWON

Wounds treated with negative pressure wound therapy (NPWT) are not often straightforward. They occur in interesting places, have anything from slough to hardware visible in the bases, and have nooks and crannies that are not visible to the clinicians peering into the wound. A gentle probe is necessary during wound assessment to identify tunnels and undermined areas. I prefer to gently probe first with my gloved finger (I have small hands) because I can identify hidden structures and other oddities. Then I will use a swab to measure how far the tunnel or undermining extends. Once hidden dead spaces have been identified, clinicians can select the best strategy to bring them to closure. Herein are several techniques employed by clinicians to close undermined and tunneled areas.

Ron Sherman's picture

By Ron Sherman MD, MSC, DTM&H

Like Rodney Dangerfield, maggot therapy sometimes gets no respect. Take, for example, the following comment which appeared on the WoundSource Facebook page, in response to a post by the publication’s editors about my blog discussing palliative maggot therapy use on a necrotic tumor.

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Sue Hull's picture

By Sue Hull MSN, RN, CWOCN

Here is an idea you will love!

What do you do with a blister? You know the problem. You discover a blister. If you don’t do anything, it will probably unroof and be open and vulnerable by the next time you see it.

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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

During the wound healing process, aggressive nutritional support can reverse the body's hypermetabolic state, which occurs when lean body mass is used for energy rather than tissue repair. When energy stores are rapidly depleted in a healthy adult, this can lead to acute malnutrition. In the already compromised individual, however, it can lead to severe protein-calorie malnutrition. Malnutrition increases the risk of morbidity and mortality, and decreases function and quality of life. When the return to the previous quality of life is anticipated, individuals with continued compromised intake along with the burden of increased nutrient needs from stress and chronic wounds may benefit from enteral nutrition (tube feeding). Parenteral nutrition should be used only when the GI tract is not functional, cannot be accessed, or when the individual cannot be adequately nourished by enteral nutrition.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC


First and foremost, I don't want any of you to think I am a fatalist. I always look for the silver lining while recognizing that a dark cloud at one point may engulf it. Nor do I want the reputation as a harbinger of doom. Like the Monty Python Troupe singing in their movie "The Life of Brian", I always look on the bright side of life. Need there always be a lesser of two evils? Yogi Berra resolved this dilemma by stating, "If you come to a fork in the road, take it."