Patient Outcomes

Aletha Tippett MD's picture

By Aletha Tippett MD

Welcome, Colton Mason, to the WoundSource blog forum. I enjoyed your opening blog on cost versus price and love your Healthcare Caffeine image. You are so correct, looking at overall cost is what is important, not necessarily the price of a product. And it reminds me how we need to look at the whole picture to determine the correct approach for controlling cost

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

As much as I detest bureaucratic oversight and mandates from those above who have no idea what they are doing in their own day to day lest my own, I am coming to the conclusion that a big hammer is needed and fortunately, it seems to be coming. At first, when I heard the whisper that there would be a single amount paid for each wound care case, I shuddered because I was concerned that it would make me look harder at how I spend my patients' money. Diabetic foot ulcer debridements weekly to every other week... going to advanced biologics after the basics have not produced the desired results... tough decisions when economics is the ultimate gatekeeper.

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Colton Mason's picture

By Colton Mason

I love coffee. I often joke with my friends that drinking coffee is the only way I can get my eight glasses of water in every day. Now if you're a coffee junky like me, you can probably tell the difference between a great cup of coffee and one that's just so-so.

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Cheryl Carver's picture

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

If you could trade places with one person for one day, who would it be? Your first thought may be an Olympian, celebrity, or even a superhero. Who wouldn't want to be awarded a gold medal, walk the red carpet, or wear a cape to soar above the big city? One thing remains certain, not one of us would choose to be one of our wound care patients. There is definitely nothing appealing about having a chronic wound.

Lindsay Andronaco's picture

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

The use of Hyperbaric Oxygen Therapy (HBOT), according to Medicare, is a modality in which the entire body is exposed to oxygen under increased atmospheric pressure. HBOT is a CMS covered adjunctive therapy and should be used in conjunction with standard care, which include modalities like surgery, debridement, medications, topical wound care and offloading the wound. It is also important to have plans of care that include monitoring nutritional status and glucose control to help ensure a positive outcome for the patient.

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Michel Hermans's picture

By Michel H.E. Hermans, MD

A recent article in Mayo Clinic's Proceedings studies contamination of stethoscopes. After a standardized physical examination, several parts of the physicians' hand were cultured and the results were compared to cultures of the stethoscope diaphragm and tube. As it turned out, fingertip contamination was highest but the diaphragm of the stethoscope showed a higher level than the thenar eminence of the physician's hand. The conclusion of the article stated that the stethoscope may play a serious role in cross contaminating patients.

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.

Lindsay Andronaco's picture
Blood Pressure Cuff

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

Patients who come in with venous insufficiency ulcers and lower extremity arterial disease (LEAD) should be evaluated for compromised vascular status and the use of compression. The purpose of the ankle-brachial index (ABI) test is to support the diagnosis of vascular disease by providing an objective indicator of arterial perfusion to a lower extremity.

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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.

Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

We have all seen the use of the term "Entitlement Mentality" in the media. Liberals decry its use by pointing out that the government has a duty to all citizens to assure that all people have the same rights. This argument tends to fall short when there is juxtaposition of families with multiple generations of "welfare" against those who chose to delay gratification to further their educations and become health care professionals and other occupations of service. We have all seen patients whose corpulence rivals that of Jabba the Hut and wondered not only how someone could allow themselves to mutate into such a state but more, how their loved ones could allow it. Of course, in the grand scheme of things, it does make for interesting reality television. Like the 55 year old male who had the equivalent of a '57 Chevy bypassed from him. Let's face it–regardless of how mechanistic you would like to believe we all are, regardless of your occupation, personal feelings always play a role. If not, then why would it matter if there were Republicans or Democrats sitting on our judiciary, as shouldn't the laws be interpreted based on their meaning and relationship to the US constitution and Bill of Rights and not which President appointed you to the bench?