Patient Education

Mary Ellen Posthauer's picture

By Mary Ellen Posthauer, RDN, CD, LD, FAND

Lindsay Andronaco's blog, "How Can Wound Care Nurses Provide Culturally Sensitive Care" prompted me to reflect on similar situations that I have encountered in the nutrition arena. In particular, when individuals with non-healing wounds are either not ingesting or unable to ingest adequate calories to promote healing, the interdisciplinary team meets with the individual and/or caregiver or surrogate to discuss the consideration of enteral nutrition. While the burden and benefit of enteral nutrition is discussed, the team is often challenged by both the cultural and religious beliefs that impact the final decision. Consider this case study.

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Paula Erwin-Toth's picture

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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Lindsay Andronaco's picture

By Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

In the past two blogs I have discussed a controversial topic, skin failure. We all have strong feelings on this topic and have experienced different cases in our practice. Dispute the controversial feelings on KTUs and skin failure; I would like to now just address the viewpoint of the family and how to approach these difficult conversations.

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Paula Erwin-Toth's picture

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

November is National Caregiver Month. Unpaid caregivers are the unsung army of health care providers. They give their time, energy, resources and most importantly love to those in need. Years ago images in television and movies depicted multi-generational families living under one roof in peace and harmony. Today's realities of caring for a loved one with significant medical, psychological and psychiatric needs largely go unacknowledged and unappreciated.

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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

In September, the Journal of the Academy of Nutrition and Dietetics, Journal of Parenteral and Enteral Nutrition, and the MEDSURG Nursing Journal simultaneously published the article "Critical role of nutrition in improving quality of care: an interdisciplinary call to action, to address adult hospital malnutrition." The Alliance to Advance Patient Nutrition (Alliance) includes representatives from the Academy of Nutrition and Dietetics, the Academy of Medical-Surgical Nurses, the Society of Hospital Medicine, the American Society of Parenteral and Enteral Nutrition and Abbott Nutrition.

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Paula Erwin-Toth's picture

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

I hope everyone is doing well in the midst of challenging world and domestic events. I was having a discussion with my 7-year-old grandson and was amazed at what young minds pick up on and how they interpret world events. He was discussing the possibilities of World War III and checked out a book on modern ground weapons from the library. I listened, respected his efforts to express his understanding of chemical weapons, terrorism and war and yet tried to offer information and reassurance.

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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer, RDN, CD, LD, FAND

Part 2 in a series discussing nutritional status and diabetic foot ulcer risk.
To read Part 1,Click Here

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Karen Zulkowski's picture

By Karen Zulkowski DNS, RN, CWS

I have talked about treating wounds, assessing wounds and care planning, but have not discussed the patient as a person. I always talk to the patient and family about options for care, how aggressive they want to be in their treatment plan and explain to them what I am doing and why I am doing it. The importance of this communication process is one of the reasons why I got involved in the Wound App project. I realized rural facilities don’t have wound expertise available and additional testing may mean many miles of travel. The consultation plan calls for patient/family involvement. But the communication with the patient and family is important regardless of how or where you are doing wound care.

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Paula Erwin-Toth's picture

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

Spring is finally here. I hope that you were able to enjoy SAWC earlier this month, and have been enjoying the May weather. This time of year is one of renewal and promise. This can be a time of year when individuals with wounds find hope and encouragement or fall prey to despair. It is essential as health care providers that we do not become so focused on the wound of our patients that we fail to see the complexities affecting the individual.