Pressure Ulcers

Heidi Cross's picture
Turning and Positioning

by Heidi H. Cross, MSN, RN, FNP-BC, CWON

Failure to T&P (turn and position) is always part and parcel of a pressure ulcer lawsuit and a key element of a complaint related to pressure ulcers, as illustrated in the opening quotation. T&P documentation is a dominant focus in chart analysis and is usually one of the first things that an attorney and the expert witness look for. If T&P documentation is satisfactory, the defendant is likely to prevail; if not, then the plaintiff may have a pretty rock-solid case. But as I have opined in previous blogs, is there such a thing as perfect documentation? Alas...NO! (Or at least, rarely.)

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Margaret Heale's picture
Details

By Margaret Heale, RN, MSc, CWOCN

In our point, click, fill-in-the -blanks world of ever increasing wound care algorithms and MOs, I have an ax to grind (straight into my so-called smart phone if I had the courage).

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Cheryl Carver's picture
Terminology

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

It is 2018, and health care professionals around the world are still debating what to call skin damage. I totally immersed myself in wound care because of losing my 47-year-old mother to what was then called "decubitus ulcers." I was young when my mother died, and I wanted to know why and how this could happen. My perspective is different from that of most clinicians because of my personal experience.

WoundSource Practice Accelerator's picture
Palliative Care

by the WoundSource Editors

Pressure Injury/Ulcer Risk Management in Palliative Care and Hospice

Palliative care and hospice care are not the same, but they both share one goal. They both focus on a patient's physical, mental, social, and spiritual needs. Palliative care can begin at diagnosis and treatment or for patients at any stage of their illness. Patients may not want to receive aggressive treatment of non-healing wounds because of underlying diseases, pain, and/or cost.1

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WoundSource Practice Accelerator's picture

By the WoundSource Editors

Adherence – A term used to replace "compliance" in reference to a patient following clinician orders for wound care. The updated term reflects patient choice in treatment recommendations.

Bottoming Out – A support surface has bottomed out if the clinician is able to place their hand under the support surface and is then able to palpate the bony prominence the support surface is meant to be protecting. The surface should be replaced immediately if this occurs.

Braden Scale for Predicting Pressure Sore Risk© – A risk assessment tool commonly used in the United States to determine the likelihood of an adult patient developing a pressure injury. The lower the score, the more at risk the patient is. For pediatric patients, the Braden Q Scale is used.

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Heidi Cross's picture
Legal Issues

by Heidi H. Cross, MSN, RN, FNP-BC, CWON

Part 1 in a multi-part series looking at the basics of avoiding litigation as a health care provider.

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Susan Cleveland's picture
Support Surfaces for Special Populations

By Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

Part 2 in a two-part series looking at the basics of correctly using support surfaces to help redistribute pressure. Read Part 1 here.

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