Pressure Ulcers

WoundSource Editors's picture

By the WoundSource Editors

Over the course of a wound’s existence, several tissue types can be identified. In order to properly stage a pressure ulcer (injury) and determine the best treatment option, it is important for the clinician to be able to determine the tissue type that is present. The following represent the most commonly identified tissue types seen in pressure ulcers, and also in other open wounds:

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Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

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

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Laurie Swezey's picture

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

This article is designed to provide a review of cellulitis, an infection affecting the skin which can be life-threatening if not treated.

Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

For the past two years I have been involved in the research and development of the second edition of the Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Members of the Pan Pacific Pressure Injury Alliance joined National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP) in producing a document that could be used by health professionals around the world.

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Mary Ellen Posthauer's picture

B Mary Ellen Posthauer RDN, CD, LD, FAND

Last month, I discussed the results of the NPUAP's 2014 "Unavoidable Pressure Injury: State of the Science and Consensus Outcomes" conference and their goal to establish a pressure ulcer registry for clinicians.

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Cheryl Carver's picture

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

Deciding on a blog topic for this month was simple. August 12th marked 18 years since my 47-year-old mother passed away due to pressure ulcer complications. A flood of memories came rushing through, realizing just how much wound care has evolved throughout the years. A feeling of "if I only knew then, what I know now" type emotions. I cannot help but have a great deal of heartfelt empathy for caregivers and their loved ones with chronic wounds. My personal experiences have led me to my sense of gratification in what I do every day.

Margaret Heale's picture

By Margaret Heale, RN, MSc, CWOCN

Another day at Rose Cottage is over and I am remembering some events and pondering as I wait for my granddaughter to finish work and drop me off home. I have been volunteering here a while now and am getting used to being in a position of watching, listening and not having to react to everything as I am just an outsider helping out. I was a matron though, and the patterns within my brain are such that I must at least ponder at where we are, where we came from and where we are heading. ‘Ahhh,’ you are thinking she is going to bemoan modern nursing and call for a return to the good old days, well you’d be wrong. I am not sure it was all so good and with new blood, new technologies and modern versions of Flo, we will see our Scutari change and develop into a new and exciting place. Well you will, I will join my fellows here at some point and allow you to care and listen.

Mary Ellen Posthauer's picture

By Mary Ellen Posthauer RDN, CD, LD, FAND

In 2010, experts at a consensus conference convened by the National Pressure Ulcer Advisory Panel (NPUAP):

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Lindsay Andronaco's picture

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

Patient safety is always of the utmost importance. Health care providers aim to improve the health of others. Having been in many settings during my career, I have been privileged to see the transition of how nursing has changed due to technological advances. Long gone are the days sitting in rural Vermont trying to decipher handwritten orders, counting drips on a dial control IV set and doing pediatric drug calculations while a parent hovers over you. Luckily, we have made strides to eliminate such frustrations, ways of frequent error, and time consuming tasks. Nursing has been forced to evolve as technology evolves.

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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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