Skin Failure

Diane Krasner's picture
Wound Care Lawsuits

By Diane L. Krasner, PhD, RN, FAAN

Originally a poster first conceived in 2009, "Six Sticky Wickets That Commonly Occur in Wound Care Lawsuits" is as relevant today as it was a decade ago. In my review of wound care medical malpractice cases, I see these six difficult situations ("sticky wickets") occurring all too often. Strategies for avoiding the Six Sticky Wickets have been updated and are discussed here.

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

Blog Category: 
Holly Hovan's picture
Geriatric Skin

by Holly M. Hovan, MSN, APRN, ACNS-BC, CWOCN-AP

With a growing population of Americans aged 65 or older, it is important to know what skin changes are normal and abnormal and what we can do in terms of treatment, education, and prevention of skin injuries.

Jeffrey M. Levine's picture

By Jeffrey Levine MD

Please join me Thursday, November 16 from 3:00-4:00pm EST for a free webinar presented by myself and Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWOCN, ETN, MAPWCA, FAAN sponsored by the National Pressure Ulcer Advisory Panel (NPUAP), entitled, Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure: Where Are We and Where Are We Going?

Blog Category: 
Jeffrey M. Levine's picture
medical community discussion

By Jeffrey M. Levine MD, AGSF, CWS-P

As Co-Chair of the NPUAP Education Committee it is my pleasure to invite all clinicians to the NPUAP Biennial Conference in New Orleans from March 10 to 11, 2017. Featured topics will include best practices for staging and treatment, pressure injury recidivism, and pressure injury as a quality measure. In addition to these timely topics, NPUAP will host a full day featuring national experts who will discuss terminal ulceration, skin failure, and unavoidable pressure injury. Attendees are invited to submit cases that illustrate these lesions, and a select number of submissions will be presented for discussion with the group.

Laurie Swezey's picture

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

Skin tears are a common problem among the elderly due to increased skin fragility associated with aging. Due to the increasing prevalence of this problem, and the potential for poor and/or delayed wound healing in the elderly population, nurses should be aware of prevention strategies for skin tears, as well as management of skin tears once they have occurred.

Lindsay Andronaco's picture

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

In the past two blogs I have discussed a controversial topic, skin failure. We all have strong feelings on this topic and have experienced different cases in our practice. Dispute the controversial feelings on KTUs and skin failure; I would like to now just address the viewpoint of the family and how to approach these difficult conversations.

Blog Category: 
Lindsay Andronaco's picture

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

Part 2 in a series on skin failure
For Part 1, Click Here

In March of 1989 the National Pressure Ulcer Advisory Panel (NPUAP) convened, during which Karen Lou Kennedy first described the Kennedy Terminal Ulcer (KTU) phenomenon. A KTU is an unavoidable skin breakdown or skin failure that is thought to be a perfusion problem exacerbated by vascular/profusion insufficiency, organ failure, and/or the dying process. A KTU is a visible sign, an explanation, of what is transpiring within the patient.