Evidence-based

Fabiola Jimenez's picture
Nurses communicating about patient

by Fabiola Jimenez, RN, ACNS-BC, CWOCN

To tell you the truth, I was not exactly sure what I was getting into when I decided to go to Wound Ostomy and Continence (WOC) nursing school. My reference was my experience during my Clinical Nurse Specialist (CNS) clinical rotations where I worked with a colorectal surgeon and the Nurse Practitioner (NP). The patients we saw had everything to do with a WOC’s expected body of knowledge.

Samantha Kuplicki's picture
surgical site infection prevention

By Samantha Kuplicki MSN, APRN-CNS, ACNS-BC, CWS, CWCN, CFCN

Great news! Data suggest that surgical site infection (SSI) incidence could be halved with implementation of evidence-based interventions. So, why are interventions not ubiquitously utilized across health care institutions and SSIs not nearly eradicated?

Thomas Serena's picture
Wound Care Clinical Trials

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

A recent article by Kaiser Health News misquoted me as saying that we enroll only "healthy" patients in our clinical trials. At moments like this, one feels that something has been overlooked. One of my research coordinators, recalling the serious adverse events (SAEs) of the previous week said, "The only patients sicker than ours are underground."

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Thomas Serena's picture
clinical research in wound care

by Thomas E. Serena, MD, FACS, FACHM, FAPWCA

"Oh, keep the dog far hence that's friend to man."
-T.S. Eliot, The Waste Land

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Catherine Milne's picture
do the right thing

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

Editor's Note: This letter originally appeared in the 19th edition of WoundSource™, published July 2016.

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Bruce Ruben's picture
NPWT affixed to a lower extremity wound

by Bruce E. Ruben MD

Little has been shown by specific randomized controlled trials to effectively speed the healing of a non-healing wound. Biologically, the human body is capable of healing once constitutional barriers are relieved. These barriers include venous and arterial insufficiency, nutritional deficiency, deep-seated infection, and environmental barriers such as repetitive trauma.

Thomas Serena's picture
Evolution of the wound care specialist

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

"The average isn't average because its average. The average is average because its best." – J.B.S. Haldane

Paula Erwin-Toth's picture
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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Thomas Serena's picture
the emperor's new clothes

by Thomas E. Serena MD, FACS, FACHM, FAPWCA

The Emperor's New Clothes was one of my favorite childhood stories. In this Hans Christian Anderson tale, two weavers clothe the emperor in what today would be referred to as "virtual finery." All of his ministers, advisers, factotums and subjects praise the beauty of the unseen linens until a small boy states the obvious truth, "Look, the Emperor is naked."

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Karen Zulkowski's picture

by Karen Zulkowski DNS, RN, CWS

Back in 2012, I blogged about glove change frequency and hand washing during dressing changes. Your comments were very informative. It is sad that facilities are being cited for not changing gloves, and rewashing and sanitizing hands during a dressing change. There is no evidence this does anything but add to the cost. What's important is to protect yourself from the patient's bacteria.

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