Skin Grafts

By Samantha Kuplicki, MSN, APRN-CNS, AGCNS-BC, CWS, CWCN, CFCN This is the account of a patient case in which technology, clinician experience, and patient adherence converged to save a limb.

Venous ulcers are known to be complex and costly. There is an array of evidence-based treatment options available to help formulate a comprehensive treatment plan toward wound closure. Health care professionals should utilize treatment options while encompassing a holistic approach to venous ulcer management. Involving the patient and/or caregiver in developing a treatment plan will increase the chances of successful wound healing outcomes. Wound closure is the primary goal of a treatment plan; however, preventing recurrence and infection should be considered just as important.

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS Skin grafting of surgical wounds is performed for wounds that are difficult to close using traditional closure methods, such as staples or sutures. They may also be used for wounds that are expected to result in severe scarring, which may have psychological or physical repercussions for the patient. Skin grafting serves three main purposes: it covers the wound, minimizes scarring and speeds healing.