Patient Outcomes

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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Bruce Ruben's picture

em>By Rob Striks, Special Writer
Encompass HealthCare and Wound Medicine

One of the most heartbreaking scenes in Forrest Gump is when Lieutenant Dan is coming to grips with the loss of his legs. Robbed of his perceived destiny of dying proudly in battle like his ancestors, and with the weight of his world collapsing down on him, an exhausted Lt. Dan Taylor sighs, "What am I going to do now?"

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Cheryl Carver's picture

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

National Nurse's Week (May 6-12) clearly influenced me for this month's blog topic. I think about teamwork among nursing staff members. A joint effort is not only paramount in delivering quality health care, but can also help us with job satisfaction. It makes me think of a favorite quote by Helen Keller: "Alone we can do so little, together we can do so much." We can refer to teamwork in many different ways, but one thing remains certain: pulling together results in positive outcomes.

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Bruce Ruben's picture

By Bruce E. Ruben MD

Today in 2014, there should be no question that tobacco use is one of the worst things you can do to your body. There have been hundreds of scientific studies. This subject is extremely well documented.

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.

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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.