Fabiola Jimenez's picture
Nurse helping to educate coworker

by Fabiola Jimenez, RN, ACNS-BC, CWOCN

I consider the art of communication one of my greatest deficits as a health care professional. Learning about words and how we communicate sparks my interest. How amazing is it that someone can understand exactly what we are saying, since what we hear is influenced by perception, context, time, tone of voice, and so much more? I can easily relate to the Bible story about the Tower of Babel. At times I feel like I am living it. I am very interested in learning ways in which I can communicate better and share with everyone what I know and feel about wound care and the opportunity to do it all within the wound, ostomy, and continence (WOC) role.

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Temple University School of Podiatric Medicine's picture
Temple University

Chronic wounds are seen mainly in those individuals that are already patients (not healthy individuals). Ischemia involves lowered blood supply to the wound which decreases the amount of oxygen available to help the healing process. Peripheral vascular disease commonly causes Ischemia as well as Diabetes melllitus, renal failure, hypertension, and inflammatory diseases. Collagen dressings give structural support and promote granulation tissue formation. Proteolytic enzymes degrade ECM proteins (a major constituent of dermal ECM) thus slowing or stopping wound healing. Modified collagen gel (MCG) is used in the study to test its effects on wound angiogenesis with the porcine model of chronic ischemic wounds.

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Temple University School of Podiatric Medicine's picture
Temple University

Diabetic foot ulcers do not always respond well to conventional wound healing methods for a multitude of reasons. Fibroblasts in people with diabetes have decreased migration and proliferation potential as a result of increased metalloproteinase levels in the wound bed of diabetic foot ulcers. These patients are also prone to bacterial infection within the wound because of the immunocompromised status of a patient with diabetes. Negative-pressure wound therapy (NPWT) can mediate these issues. The precise mechanism of action of NPWT is not clearly defined, but some possibilities have been conceptually determined. NPWT stimulates cell activity and migration, decreases bioburden in the wound by removing fluid, and reduces edema. However, the authors theorized that the increased pressure induced by NPWT on the skin could cause decreased tissue oxygenation in the wound bed.

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Jeffrey M. Levine's picture

by Jeffrey Levine MD

Pressure injury prevention and management are sometimes overlooked in the hospital setting, where the focus is generally on acute illness. Given the immense implications in terms of cost, complications, reputation, and risk management, it is in the interest of all facilities to maximize quality of care with regard to wounds. This post will offer some suggestions on how this can be accomplished in hospitals by tweaking the system for maximum quality.

Holly Hovan's picture
staff education in wound care


As I am sure we are all well aware, not everyone loves wounds, ostomies, and continence as much as we do. Some nurses just do not have the passion (or desire) to perform wound care and learn about different modalities. On the other hand, some nurses are so eager to learn, obtain certification, and be the unit-based experts! In my experience, taking a hands-on approach to wound care education has been the most successful in terms of teaching wound assessment and dressing changes/techniques.

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WoundSource Editors's picture
Fabiola Jimenez, RN, ACNS-BC, CWOCN

Fabiola Jimenez is a Wound Ostomy Continence Nurse and Adult Clinical Nurse Specialist at Detroit Medical Center Huron Valley Sinai Hospital, a small community hospital of 158 beds in eastern Michigan. She has been a nurse since 1988, when she entered the field after graduating from the University of Oklahoma. Throughout her accomplished career, her work has demonstrated a dedication to caring for patients and a lifelong commitment to educating herself and others.

Cheryl Carver's picture
long-term care wound education


I tell everyone that long-term care is the toughest arena for a wound consultant. However, it can also be the most rewarding. The focus of this month's blog is to give you an inside look of what really goes on in nursing homes versus other health care settings.

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Ron Sherman's picture
wound care conference speaker

by Ronald Sherman MD, MSC, DTM&H

I am seeing more and more expert lecturers being disqualified from speaking at wound care conferences, simply because their qualifications include significant positions or associations in the corporate world. When did these speakers' qualifications become disqualifications?

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Catherine Milne's picture
do the right thing

by Catherine T. Milne, APRN, MSN, BC-ANP, CWOCN-AP

From Nike's "Just Do It" ad campaign to Google's corporate "Don't be evil" code, I've always been struck by the many marketing campaigns that remind us to pay attention to our conscience. A similar focus should apply to health care. In 2000, the Institute of Medicine (IOM) published a scathing report showing that the number of people who died from medical errors surpassed the combined total of those who died from breast cancer and car accidents.1

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Janet Wolfson's picture
the role of physical therapy in wound care

by Janet Wolfson, PT, CLWT, CWS, CLT-LANA

A story was related to me from someone living in a rural part of the US. A family member was in need of ongoing wound care. They were referred to a specialist who was of all things… a physical therapist! This is a response with which I am quite familiar. I have been referred to by a number of "titles" including Wound Coordinator, Wound Specialist, 'Skin Lady', and Wound Nurse, to name a few.

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