Debridement

Ron Sherman's picture

by Ron Sherman MD, MSC, DTM&H

Numerous controlled studies of maggot therapy have been published during the past 20 years, each one demonstrating equality or superiority over standard care methods for debridement. It is almost as though we are trying to compensate for the previous 60 years of extensive clinical use supported only by case histories, but no clinical trials.

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Laurie Swezey's picture

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

The rate of wound closure is affected by systemic and local factors, as well as a number of the wound’s own inherent characteristics. It is important to understand these factors so that they can be managed optimally as part of an overall strategy to help achieve wound closure.

The eight wound characteristics that affect healing are described briefly below:

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Laurie Swezey's picture

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

Whirlpool therapy, or hydrotherapy, is one of the oldest adjuvant forms of treatment for wounds still in use today. It was originally used in pain management, but later found a use in wound management, particularly in the management of burn patients.

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Aletha Tippett MD's picture

by Aletha Tippett MD

Biotherapy is the use of living creatures for the diagnosis or treatment of a human ailment. Creatures most commonly used include service animals (such as guide dogs or therapeutic horses), fly larvae (maggots), leeches, honey bees, and even viruses (phages). How does this relate to us in the wound care community?

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Laurie Swezey's picture

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

Diabetic foot ulcers are one of the most dreaded complications of diabetes, and represent a significant cause of morbidity and mortality. It is estimated that a lower limb is sacrificed every 30 seconds somewhere in the world due to diabetes, and that diabetes is the reason for almost 50% of non-traumatic amputations of the lower leg throughout the world. Considering these facts, proper management of diabetic foot ulcers is of paramount importance.

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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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Laurie Swezey's picture

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

Health care professionals encounter burns in their patient populations frequently, and must be able to differentiate between types of burns, as well as know how to treat burn injuries using current practice standards. The following is an overview of first and second degree burns, including pathophysiology and treatment.