Pressure Ulcer Prevention

Margaret Heale's picture
delivery of high quality bedside care

By Margaret Heale, RN, MSc, CWOCN

Stepping forward into a model of care that is quantitative and objective is essential and most definitely the way we are headed in wound care and beyond. Using the word "care" in the same sentence with "quantitative" and "objective" may sound like an oxymoron, but care does not have to be fluffy and old-fashioned. What it must be is kind, gentle and authentic. My question is: how can the care we provide be kind, gentle, and authentic when the emphasis is so obviously on cold, hard measures and stark black and white comparisons with little value placed on the people who are the care providers?

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Margaret Heale's picture
nurse transporting patient in wheelchair

By Margaret Heale, RN, MSc, CWOCN

It has become quite easy to look at pressure ulcer prevention in most health care settings. From acute care, through the ED and on to the OR and ITU, then to the various floors of med surg, orthopedic, not forgetting rehab and community nursing. Pediatric and neonatal units have better defined pressure ulcer risk assessment tools to utilize that have made assessment and planning care much less haphazard for those patients than in the past.

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Cheryl Carver's picture

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

It's November, and most people are thinking about turkey, stuffing, pumpkin spice, and the fall colors. But I think of Worldwide Pressure Ulcer Prevention and Awareness Day (November 19, 2015), National Caregivers Month, and how I can help. I have shared a holding sign video and personal photos on social media to share my story in hopes of educating others. My passion for wound care is driven by my mother dying in my arms at the young age of 47, due to complications of diabetes and stage IV pressure ulcers.

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Mary Ellen Posthauer's picture
Pressure ulcer prevention

by Mary Ellen Posthauer RDN, CD, LD, FAND

Despite all of the advances in risk assessment, prevention and treatment guidelines, support surfaces, nutritional products and vigorous educational efforts, pressure ulcers continue to be a major health care problem worldwide.

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Margaret Heale's picture
Accountability

By Margaret Heale, RN, MSc, CWOCN

Most of the residents here are elderly, though some of the more acute rehab patients are quite a bit younger than me. We actually have five women over a 100 out of 116 people, quite impressive with the eldest being 105 years old. As for me, I am a retired British matron just doing a little volunteer work near where my granddaughter works.

Mary Ellen Posthauer's picture
Nutrition

By Mary Ellen Posthauer RDN, CD, LD, FAND

When I attend wound care conferences both nationally and internationally, I am frequently asked how I became interested in nutrition and wound care. In 1995, I was involved in a quality assurance project for the Academy of Nutrition and Dietetics – previously known as the American Dietetics Association (ADA) – examining clinical indicators associated with unintentional weight loss and pressure ulcers in elderly residents in nursing homes. The result of study was published in the ADA Journal and noted the relationship between unintended weight loss, poor dietary intake and pressure ulcers.

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Terri Kolenich's picture
Caregiver

by Terri Kolenich, RN, CWCA, AAPWCA

As a nurse who was once a caregiver for a family member, I have a unique and personal perspective on the needs of caregivers. I cared for my mother-in-law, who was also my best friend and mentor, during the last several months of her life. At the time I provided care for her, I hadn't yet started my education to become a nurse. Knowing what I know now as a nurse causes me to reflect often on the daily struggles I encountered performing the very basic elements of her care.

Cheryl Carver's picture

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

Being an independent wound care education consultant in long-term care, I get a lot of questions regarding moisture-associated skin damage (MASD). Is it MASD or a pressure ulcer? When do I change it from MASD to pressure ulcer in my documentation?

Thomas Serena's picture
the emperor's new clothes

By Thomas E. Serena MD, FACS, FACHM, FAPWCA

The Emperor's New Clothes was one of my favorite childhood stories. In this Hans Christian Anderson tale, two weavers clothe the emperor in what today would be referred to as "virtual finery." All of his ministers, advisers, factotums and subjects praise the beauty of the unseen linens until a small boy states the obvious truth, "Look, the Emperor is naked."

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Temple University School of Podiatric Medicine's picture

By Tasneem Masqati and James McGuire DPM, PT, CPed, FAPWHc

The majority of the wounds of the lower extremity are of arterial, venous or neurotrophic(diabetic) origin.

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