Wound Dressings

WoundSource Editors's picture

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

Should pain management interventions be put in place before debriding a venous ulcer?

Without question, yes. Any comprehensive wound treatment plan must include a thorough pain assessment, accounting for cyclical and non-cyclical pain sources. This will best guide interventions based on patient’s unique history, which can potentially include complicating factors such as complex personal pain management secondary to chronic pain, inability to tolerate specific interventions because of existing comorbid conditions, limited financial or social resources, etc. Multimodal pain management is standard of care, using the least invasive options and beginning pharmacologic therapy with the lowest necessary dosage possible.

Alton R. Johnson Jr.'s picture

By Alton R. Johnson Jr., DPM

It all started with a phone call at close to midnight on a Saturday night from my physician’s phoneline app. It was an established wound care patient calling me to state that his negative pressure therapy device went awry. He was requesting advice to resolve the issue. Out of these growing concerns, he stated that if there was no solution, he would be immediately reporting to our hospital emergency room, which was not his preference in such a situation. In response, I simply informed the patient it was safe to turn off the device and that I would make a home visit to him at 5 o’clock the next morning. With a sigh of relief, he agreed to the plan.

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WoundSource Practice Accelerator's picture

By the WoundSource Editors

Chronic wounds pose an ongoing challenge for clinicians, and there needs to be a clearer understanding of the pathophysiology of wound chronicity and treatment modalities available.

WoundSource Practice Accelerator's picture

By the WoundSource Editors

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.

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Thomas Serena's picture
Frequently Asked Questions

By Thomas E. Serena, MD, FACS

Conceived in the operating theater and born in the home, surgical site infections (SSIs) reach maturity in the outpatient wound clinic. The woundologist, whether surgically trained or not, must understand the prevention and treatment of SSIs and wound dehiscence. For the past two years I have had the honor of giving the SSI lecture for the WoundSource Practice Accelerator™. This year listeners had more questions than I could answer on the call or address individually. I decided to dedicate this blog to the most frequently asked questions from the October presentation.

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Hy-Tape International's picture
Management Strategies for Diabetic Foot Ulcers

By Hy-Tape International

According to a published study, the global prevalence of diabetic foot ulcers (DFUs) is 6.3%, with male patients and older adults being the most likely to be affected.1 This prevalence, coupled with the potential for complications and the severe effect on quality of life the condition can have, makes DFUs one of today's most serious health care issues. To reduce the effects of DFUs and improve outcomes for patients, it is critical that health care professionals rapidly identify DFUs and implement best practice dressing and management strategies.

Temple University School of Podiatric Medicine's picture
Entropic Wound Cycle

Temple University School of Podiatric Medicine Journal Review Club

Article Title: Using the Entropic Wound Cycle as the Basic for Making Effective Treatment Choices
Authors: Mcguire, J, Sebag JA, Solnik, J
Journal: WoundSource
Reviewed by: Cindy H. Duong, class of 2021, Temple University School of Podiatric Medicine

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WoundSource Practice Accelerator's picture
Biofilm

By the WoundSource Editors

Biofilm: this term is frequently used in the wound care space, but biofilm continues to be largely undertreated in wound care. What do the bedside nurse or clinician need to know about biofilm? Should clinicians care less about biofilm on a maintenance or palliative wound versus a wound they are actively trying to heal? Let's address these questions and get to the root of the biofilm in managing complex wound cases.

Hy-Tape International's picture
Secondary Dressings

By Hy-Tape International, Inc.

Secondary dressings can be an effective tool to protect the primary dressing or provide additional functionality beyond the primary dressing. Hydrocolloid or foam dressings can provide protection for the wound area and manage excess exudate. However, they can also significantly add to the cost and time of wound care. This makes it critical that health care professionals implement effective practices to maximize the wear time of secondary dressings.

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Margaret Heale's picture
Clean Technique

By Margaret Heale, RN, MSc, CWOCN

Having read a recent article on clean versus sterile dressing technique, commenting again on this issue seems highly appropriate. The conclusion of the paper essentially is that a clean technique for acute wound care does not affect the incidence of infection.1 There is insufficient evidence in the literature relating to chronic wound care. I particularly appreciated the comment that nurses need to decide which approach to have by using critical thinking skills. I was reminded of a visit to a patient to utilize a fancy new dressing that I had never used before.

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