Wound Assessment

Samantha Kuplicki's picture
Pain

By Samantha Kuplicki, MSN, APRN-CNS, AGCNS-BC, CWS, CWCN, CFCN

The Patient Assessment
You've been asked to evaluate a patient for negative pressure wound therapy (NPWT). It turns out they're a perfect candidate, so you start the process to have the unit placed immediately! The order is entered into the EHR for the recommended settings, and the initial dressing application is scheduled.

Lydia Corum's picture
Bacteria culture

By Lydia A. Meyers RN, MSN, CWCN

Wound infections are discussed in the media and are a major reason for admission into the hospital. With the importance in health care today to decrease costs, I was encouraged to do research into where infections come from and the causes for hospitalization and death among wound patients. In the current data I found there is information showing how the government has increased surveillance related to reportable admission to hospital in relation to infections in wounds by home health and hospice organizations.

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:

Lindsay Andronaco's picture
depression

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

I have been in wound care my entire nursing career. I have been in a variety of positions, but it always involved wound management. It wasn't until recently that I became more interested in pressure ulcers than I ever thought possible. A close friend of mine, "Karla", was diagnosed with a rare condition that left her basically paralyzed from the waist down. Karla is an extremely intelligent, independent, successful young woman who woke up one day and couldn't feel her feet due to her condition. The progression of the paralysis was rapid, but luckily seemed to have stopped about waist high.

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Mark Hinkes's picture
leg bones

By Dr. Mark Hinkes, DPM

Unequal limb length (ULL) is a clinical problem that is more common than most clinicians realize and is one for which most patients are rarely evaluated. Common problems associated with unequal limb length include instability in gait, falling, low back pain, sciatica, joint pain, IT Band Syndrome, chronic muscle strain, tendonitis, and failure of diabetic foot wounds to heal.

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WoundSource Editors's picture

By the WoundSource Editors

Litigation over hospital-acquired pressure ulcers represents a significant fraction of a medical malpractice attorney's caseload. The liability issues have shifted since October 1, 2008 when the Centers for Medicare and Medicaid Services and several private payers began denying reimbursement for care related to hospital-acquired stage III and IV pressure ulcer. Prior to October 2008, the experts battled over whether a pressure ulcer was avoidable. Now, they still do, but plaintiff attorneys and their experts can point to the government's stance that pressure ulcers are avoidable, "never events". Defense experts must assert that everything possible was done to avoid the ulcer, or it was not really caused by pressure.

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WoundSource Editors's picture

By the WoundSource Editors

Writing up a case report is an important professional activity in not only wound care, but in any other field as well. A case report records the details of the presentation of signs and symptoms, assessment, diagnosis, treatment and outcomes of a patient case or series of cases. Case reports typically describe an unusual presentation or complication relating to the patient's condition, or a new clinical approach to a common problem. The publication of a case report in a peer-reviewed journal, if that is your intent, is a great addition to your CV, especially if you are new to the profession.

Diana Gallagher's picture

By Diana L. Gallagher MS, RN, CWOCN, CFCN

I recently had the honor of participating in a meeting of the Wound Ostomy Continence Nursing Certification Boar> (WOCNCB®). My role was to assist the Foot Care Committee with the evolution of the exam for certification in foot care nursing. All WOCNCB exams are expanding to a larger format based on the recommendations of the testing industry. The committee worked diligently to assure that item inclusion matched the test blueprint which in turn matched the job analysis that had been completed earlier this year. There is SO MUCH work that goes on behind the scenes to maintain examinations that are worthy of the WOCNCB's "Gold Standard." Participating in this meeting was truly an honor. As one of the members of the original committee for foot care nursing, I could not have been prouder of the progress that has been made in the past decade.

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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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