Pressure Ulcer Prevention

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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Aletha Tippett MD's picture
Braden Scale

By Aletha Tippett MD

I was recently asked to speak on best practices for prevention of pressure ulcers for a group of state surveyors. This is an excellent subject and here is how I would address it:

Temple University School of Podiatric Medicine's picture
Remedy Products by Medline

By Cerise Adams and James McGuire DPM, PT, CPed, FAPWHc

Our skin is the largest organ in our body requiring a significant amount of vascular support to stay healthy and protective. As we get older, our circulation slows down just when our skin needs more support and more nutrition to continue to function. Besides regular cleansing and proper moisturizing, our skin needs nutrients to maintain its ideal function. The Medline Remedy skin care line has attempted to provide that with a topical, bioavailable formula that is antinflammatory and easily absorbed by skin cells.

Cheryl Carver's picture

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

As a traveling wound care educator for physicians, I am observing many changes within the state survey process for long-term care. Wound care physicians working in long-term care are feeling the same anxiety that facility leaders and staff members are, as the time nears the window for an annual state survey.

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Janis Harrison's picture

By Janis E. Harrison, RN, BSN, CWOCN, CFCN

Monday came with expectations of fixing the problem. It wasn't to be. Daryl was weak and hated the NG tube in his nose and throat. I arrived early at his bedside and waited for the doctor to let us know what the plan of action would be for the blockage problem. I left to use the public restroom and missed the doctor's visit. No one quite new what the plan was when I questioned the staff. So I created my own plan. I made Daryl get out of bed and started walking him in the halls throughout the entire hospital. I did not want him to get any weaker and I wanted to see if the mobility would increase the gastrointestinal motility. He was not happy with me at first but with education and the explanation of why, he was more than willing to try.

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Bruce Ruben's picture

By Bruce E. Ruben MD

This particular blog is not necessarily intended to educate, but to be a thinking piece that asks more questions than it answers.

Aletha Tippett MD's picture
heart

By Aletha Tippett MD

In a previous blog I told about the heartbreak of limb salvage when one of your patients was swooped out of your care and had an amputation. The patient I mentioned did have an amputation—a guillotine amputation just above the ankle. She stated she had become very sick and her foot was infected. Now what happens with this patient?

Michel Hermans's picture

By Michel H.E. Hermans, MD

To do a Randomized Controlled Trial within a reasonable time frame, the disease to be studied should be common and the patient population large and accessible. In addition, preferably the effect of the treatment should be fast and specific.

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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

The great medical pioneer, Dr. Paul Brand, was right when he said it's not about medicine, it's about mechanics. Think of the ulcers you are asked to see and treat. I hope the first question you ask about any wound is "how did this get here?" If the mechanics of a wound are not addressed, the medicine will not be successful.

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