Paula Erwin-Toth's blog

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Caregiver and Client

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

Fall is in full swing. The leaves in Ohio are just past their full glory, the Cleveland Browns are having another disappointing season and the debate about health care reform goes on. In other words, not much has changed from the past several years. Our clients with chronic wounds may feel the same: different day, different year, same problems with no end in sight. One wound may have healed only to recur or another erupt in a different location.

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Patient and Provider

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

As summer gives way to fall, one of the first thoughts most of us have is back to school. Patients and caregivers often feel as though every day is the first day of school and they are being asked to take the final exam before they have learned anything. Learner readiness is the cornerstone of an effective teaching/learning process.

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Resolution List

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

January is the month for committing to new goals and resolutions for the year ahead. Several years ago I made a New Year's resolution to stop making New Year's resolutions. Like most New Year's resolutions I have not had much success in keeping it. Therefore I am sharing a few resolutions.

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Caregiver

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

This November marks the second annual National Family Caregivers Month. Family caregivers are the unsung, unpaid giants of health care. Some are suddenly thrust into the role; others take on caregiver duties more gradually. In fact many people do not even self-identify with the term 'caregiver'. They think of themselves as husband, wife, son or daughter doing what they want and need to do for their loved one.

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

Bloggers usually do not begin their discussion by admitting they are not well versed in the topic they have selected for their blog. But I openly admit my relative ignorance on the history and indication for use of alternative and complementary therapies, especially in the prevention and management of acute and chronic wounds.

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

The signs of summer winding down are everywhere. Leaves are beginning to look 'tired', fall clothes fill the stores and 'back to school' ads are everywhere—to the chagrin of kids and joy of parents everywhere.

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

Health care professionals recognize there seem to be 'seasons' for certain diseases and conditions. Spring and fall see a rise in flare ups of gastrointestinal disorders, such as inflammatory bowel diseases and seasonal allergies. Summer months bring an increase in traumatic events such as drownings, gunshot wounds and automobile accidents. Development of pressure ulcers does not follow a seasonal pattern—they occur at a higher than acceptable frequency throughout the year.

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

Happy Spring! At least that is what the calendar indicates, but recent temperatures across much of the US seem to dispute that fact.

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

I hope this missive finds all of you safe and warm. For many, this has been an exceptionally brutal winter. Blizzards, ice storms, avalanches and a drought. All that is missing are zombie snowmen and a plague of locusts.

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

As we say goodbye to 2013 and usher in 2014, most of us reflect on the past and plan for the future. What does 2014 mean when we look ahead to wound care? This past year saw health care dominating the news in the USA; add a government shutdown, political divisiveness that polarized and in some cases paralyzed the nation, and of course continued worldwide economic and political upheavals, and the overall challenges can seem overwhelming.

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