Home Health

Cheryl Carver's picture

By Cheryl Carver, LPN, WCC, CWCA, MAPWCA, FACCWS

Many of us will eventually take on a caregiver role in one form or another. According to the 2020 update, the number of family caregivers in the United States increased by 9.5 million between 2015 and 2020. More than one in every five Americans is now a caregiver in their own home. Because of our aging population, there is an associated increase in demand for caregiving, and there should be an emphasis on education and support for this population.

Kari K. Harman's picture

By Kari K. Harman, RN-C, CCM, CWCA, WCN-C, CSWD-C, ACCWS, DAPWCA

For patients discharged from the acute care setting, the road home can be laden with potholes and speed bumps. For many patients, the fear of the unknown after being newly diagnosed with a wound or the exacerbation of a health condition can be overwhelming. Caregivers are likely to have the same feelings as patients. This blog will navigate through some avoidable roadblocks and barriers to ensure a smooth ride home. By establishing manageable expectations and partnering with home health agencies that have proficient wound care programs, the patient and caregiver can genuinely be on the road to recovery.

Margaret Heale's picture
Patient Education and Wound Cleansing

By Margaret Heale, RN, MSc, CWOCN

As patient-driven groupings model hits home care, patients or their caregivers will be expected to do more of the care. Subsequently, nursing staff are expected to provide more education, making "how to" information more crucial than ever.

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Holly Hovan's picture
Discharge Planning

Holly M. Hovan MSN, RN-BC, APRN, CWOCN-AP

You might notice the hospital halls seem a little quieter around the holidays, the unit census may be down, and patients may be asking about their discharge plans. The holidays can be a time when patients want to be home (when they're able to).

Cathy Wogamon-Harmon's picture
Telehealth

By Cathy Wogamon, DNP, MSN, FNP-BC, CWON, CFCN

Wound care has evolved into a massive specialty service in the past few decades, with new treatment modalities, advances in care, and thousands of wound care products. On the forefront of advancements in technology and wound care is a new way to provide care to the patient: telehealth.

Holly Hovan's picture
Pressure Injury Prevention

By Holly M. Hovan MSN, RN-BC, APRN.ACNS-BC, CWOCN-AP

Often when we hear the words "pressure injury," our brains are trained to think about staging the wound, considering treatment options, and obtaining a provider's order for care. Ideally, when we hear the words "pressure injury," we should think prevention! As Benjamin Franklin once said, "an ounce of prevention is worth a pound of cure." This is a very true statement and speaks volumes to our goals of care and education format when developing pressure injury prevention curriculum for our facilities.

Diane Krasner's picture
Wound Care Lawsuits

By Diane L. Krasner, PhD, RN, FAAN

Originally a poster first conceived in 2009, "Six Sticky Wickets That Commonly Occur in Wound Care Lawsuits" is as relevant today as it was a decade ago. In my review of wound care medical malpractice cases, I see these six difficult situations ("sticky wickets") occurring all too often. Strategies for avoiding the Six Sticky Wickets have been updated and are discussed here.

Cheryl Carver's picture
Worldwide Pressure Ulcer/Injury Prevention & Awareness Day

By Cheryl Carver, LPN, WCC, CWCA, DAPWCA, FACCWS

Worldwide Pressure Ulcer/Injury Prevention & Awareness Day is November 21st. This day is considered pretty much a holiday at my home. I have Stop Pressure Ulcer tee shirts, and I order a cake or STOP sign cookies every year from the bakery in memory of my mother. To some it might sound crazy, but my life was strongly impacted forever in 1996 after my mother passed away in my arms at only 47 years old because of complications of diabetes and what was called at that time "multiple decubitus." The image and smell will never leave my mind. It changed my life forever as a daughter, a caregiver, and later as a wound nurse. I needed more answers to heal my heart. How could my mother acquire such horrible wounds while at the hospital to get better? My mind was twirling nonstop with the 5Ws. Who, what, when, where, why? So, then it began. I wanted to learn everything I could. This ended up being sort of my therapy, which transitioned into my passion and purpose.

Temple University School of Podiatric Medicine's picture
Temple University School of Podiatric Medicine Journal Review Club

Article Title: Pressure Injury Progression and Factors Associated With Different End-Points in a Home Palliative Care Setting: A Retrospective Chart Review Study
Authors: Artico M, D’Angelo D, Piredda M, et al
Journal: J Pain Symptom Manage 2018;56(1):23-31
Reviewed by: Arden Harada, class of 2021, Temple University School of Podiatric Medicine

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Christine Miller's picture
Coordination of Care

By Christine Miller, DPM, DMM, PhD, FACCWS

One of the gratifying aspects of being a wound care physician is the ability to develop such rich relationships with our patients. The frequent and consistent contact with the same provider lays a strong foundation of open communication and trust. I work in an urban safety net hospital’s ambulatory care center, which sees a high volume of high-acuity patients. It is not uncommon for me to see patients with venous leg ulcerations with concomitant uncontrolled hypertension or diabetic foot ulcerations secondary to uncontrolled blood glucose levels. Patient education is a vital part of my clinical encounters, particularly focusing on the systemic nature of wound healing. I always emphasize that while we are treating your wound, it is the full body well-being that is needed for ultimate success.