Patient Outcomes

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.

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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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Lindsay Andronaco's picture

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

Cultural sensitivity and awareness is something that as healthcare providers, we say we practice – but do we always practice what we preach?

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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.

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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?

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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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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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Diana Gallagher's picture

By Diana L. Gallagher MS, RN, CWOCN, CFCN

Frank Reagan's character in the popular TV drama, Blue Bloods, frequently explains his role as Police Commissioner, by saying, "I work for the people of New York City, but I serve at the pleasure of the Mayor." It is a very clear description of where his priorities lie. His statement leaves no doubt as to who he works for. This clarity of purpose clearly outlines his responsibility. It is a simpler view of the world that eliminates any confusion regarding whose needs take priority when priorities collide.

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Michael Miller's picture

By Michael Miller DO, FACOS, FAPWCA, WCC

I always wanted to be a doctor. Family and friends cannot remember me identifying myself in adulthood as anything but a medical healer. I am not sure from whence this devotion came. I was not an especially sickly child, nor did I have more than the usual number of medical visits expected from a boy growing up on the East Coast. My family doctor, Marvin Malamut, DO encouraged my dreams but not to the point of obsession. In my medical school interviews, I can report that my answers regarding wanting to be a doctor to help people were genuine.

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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