Patient Management

Janet Wolfson's picture
preventing-pressure-injuries

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

As I read through wound care articles on pressure injuries and treatments, I keep going back to one thought: why are they still occurring? They are preventable! Staff are educated, have certifications and equipment, and have been oriented on policy to prevent pressure injuries. I think it comes down to opportunities and choices.

A culture of care – bottom to top and back down again – can drastically reduce incidence.

Cheryl Carver's picture
Telemedicine Wound Care

by Cheryl Carver LPN, WCC, CWCA, CWCP, FACCWS, DAPWCA, CLTC

Let's be frank: wound care telemedicine cannot replace a visit to a physician's office or the wound care center. Telemedicine was primarily developed to reduce visits and help serve people living in rural communities. However, telemedicine can supplement advanced wound care in many ways, and has been proven to be time saving and effective. Telemedicine in wound care has its pros and cons (like anything else), but with a protocol-driven approach, it is effective for wound healing.

Lindsay Andronaco's picture
patient centered care

by Lindsay Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Medicine changes constantly, and we must stay up to date on the best options for our patients. You're reading this because you want to be a better caretaker for the sick and injured - you want to be a better provider.

We should all strive to be better and know more.

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Margaret Heale's picture
Holding hands

by Margaret Heale, RN, MSc, CWOCN

Matron Marley is back after a small break (that allowed me to vent about the lack of 'clean' with a 'clean dressing technique').

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Cheryl Carver's picture

by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA, CLTC

A long-term care facility is paid thousands of dollars monthly to take care of our loved ones. This should assure us to feel a healthy sense of entitlement to quality of care. So why were there more than 2.5 million pressure ulcers reported by AHRQ in 2013? The cost of treating a single full-thickness pressure ulcer can now be estimated as high as $20,900 to $151,700. Pressure ulcers are not only exceedingly costly to treat, but prevention is by far cheaper. Yet, the economic impact is poorly recognized by many in the health service, as is the ability to make massive changes for a small investment.

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Paula Erwin-Toth's picture

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

I hope this missive finds all of you safe and warm. For many, this has been an exceptionally brutal winter. Blizzards, ice storms, avalanches and a drought. All that is missing are zombie snowmen and a plague of locusts.

Aletha Tippett MD's picture

by Aletha Tippett MD

There has been a very interesting and disheartening development in the past two years. My practice has always had a small private wound care clinic, and we have always been busy with referrals from local physicians. But lately those referrals have evaporated, the reason being that the local physicians have become part of larger hospital-based systems. So now if they have a wound they refer it to the hospital wound center that is a part of their system.

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