Wound Classifications

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Classification Systems for Diabetic Foot Ulcers

By the WoundSource Editors

In patients with diabetes, the lifetime risk of diabetic foot ulcers (DFUs) is approximately 25%, and these wounds are frequently a source of pain and discomfort. Severe cases can even result in amputation of a portion of or the entire affected extremity. Proper classification of DFUs is essential for selecting the appropriate treatment course and coordinating care for the patient. Several systems are frequently used in classifying DFUs, although there is no universally agreed-on standard.

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by Bruce E. Ruben MD

In order to understand the use of Hyperbaric Oxygen Therapy (HBOT) to heal burns, it is first important to understand the four burn classifications.

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James McGuire, DPM, PT, LPed, FAPWHc

It is essential that the various offloading devices available to the wound care professional are applied appropriately to redistribute destructive forces that develop in the diabetic or neuropathic foot during standing and ambulation.1,2 The 6 "W" approach was first introduced in an article in 20063 to help practitioners better understand the biomechanical risk profile of patients at risk for ulceration so that they could better choose between the various offloading interventions available for their everyday footwear.

Diane Krasner's picture

Reviewed by
Dr. Diane L. Krasner
PhD RN CWCN CWS MAPWCA FAAN

Originally published in World Wide Wounds (http://www.worldwidewounds.com/Common/Reviews.html). Used with permission.

Dr. Stephen Thomas has given a gift to the wound care community. This is a tome that every serious wound care clinician should have on his/her reference shelf.

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Kathi Thimsen's picture

by Kathi Thimsen RN, MSN, WOCN

Why do we have the FDA

In the late 1800s the government saw the potential danger that “snake oil” salesmen posed to society. Potions and elixirs were said to calm women prone to hysteria during the pre-menstrual cycle or cure headaches. Some of the most dangerous elixirs claimed to calm colicky babies and irritable children. These potions and elixirs were formulated with water, alcohol, and in some cases, poisons like toxic herbal extracts and tar.