Wound Treatments

Martin Vera's picture
Wound Assessment

By Martin Vera, LVN, CWS

Throughout my career I have been lucky enough to be part of several nursing branches: home health, long-term care, acute care, long-term acute care hospital, hospice, and even a tuberculosis hospital; wounds have no limitations on where they will appear. As a passionate clinician, teaching, coaching, and mentoring have become a huge part of what I do, as is true for most clinicians. We are teachers, coaches, and mentors driven by passion and wanting to help and put in our “two clinical cents” or “stamp” on the industry. I frequently converse with clinicians in my area, all part of SWAT (skin and wound assessment team), and talk about how it takes a village. I especially enjoy talking with my good friend and mentor Jesse Cantu, RN, BSN, CWS, FACCWS, who is a passionate clinician with a fire that gets you all excited—those who know him know what I am talking about.

Susan Cleveland's picture
Support Surfaces for Special Populations

By Susan Cleveland, BSN, RN, WCC, CDP, NADONA Board Secretary

Certain patient populations—such as the critically ill, those with spinal cord-injuries, and bariatric individuals—need special interventions and support surfaces to prevent pressure ulcers. These recommendations address the unique needs of these special populations in relation to pressure redistribution, shear reduction, and microclimate control.

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WoundSource Practice Accelerator's picture
Incision Management

by the WoundSource Editors

Appropriate surgical wound and incision management in the post-operative time period is imperative to prevent complications, including surgical site infection and wound dehiscence. The tenets of modern wound management are applicable to primarily closed incisions, as well as to subacute and chronic wounds. Preventing incisional infection by appropriate cleansing, skin care, and moisture management is a requisite part of the post-operative plan of care. A cursory knowledge of the phases of wound healing and healing by intention will assist with understanding the rationale and importance of post-operative surgical wound and incision management.

WoundSource Practice Accelerator's picture

by the WoundSource Editors

Diabetic foot ulcers (DFUs) are arguably among the most difficult types of wounds to manage; the etiology of these wounds poses some of the greatest clinical challenges for healing, considering the multifaceted nature of diabetes mellitus (DM). Multiple patient-related factors must be addressed and controlled through faithful adherence to the prescribed plan of care, which is developed by both the patient and clinicians to ensure success.

Margaret Heale's picture
Standardized Documentation

by Margaret Heale RN, MSc, CWOCN

Wound care can be so straightforward. The process starts with a comprehensive assessment, and then the wound care regimen can be planned and the frequency of dressing changes determined.

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WoundSource Editors's picture
Burn Treatment

by the WoundSource Editors

As the fourth of July rolls around, hospitals and clinics all over the country will begin to see an increase in burn incidents. According to the Consumer Product Safety Committee, 68% of the estimated total fireworks-related injuries in 2016 happened between June 18 and July 18.1 From simple blisters obtained by holding a sparkler too close, to third-degree, full-thickness burns obtained from a stray firework, it is important that health care providers know how to effectively manage burn injuries.

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Martha Kelso's picture
Reduction in Antibiotics Image

by Martha Kelso, RN, HBOT

Numerous brands of hypochlorous acid have emerged in the last few years and have been marketed as "ideal" products for use in wound cleansing. These statements, of course, should draw speculation because it is rare for a single product to be used on all wounds, all clients, in all care settings, all the time, thus making it "ideal." Let's explore the role of hypochlorous acid in wound management and wound healing and see how it assists with reduction in antibiotic usage.

Holly Hovan's picture
fistula management

By Holly Hovan MSN, APRN, CWOCN-AP

A fistula is an abnormal opening between two areas that typically shouldn't be connected, or with an epithelialized tract. An example is an opening from the bowel to the abdominal wall, termed enteroatmospheric or enterocutaneous (the terms are sometimes used interchangeably) because this fistula is exposed to the atmosphere, or is open from the abdomen to the skin, and typically needs to be pouched or some type of containment of the effluent.

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WoundSource Editors's picture
tunneling wound assessment

Perhaps the most difficult type of wound for health care professionals to treat is a tunneling wound. Tunneling wounds are named for the channels which extend from the wound, into or through subcutaneous tissue or muscle. These tunnels sometimes take twists or turns that can make wound care complicated. Tunneling is often the result of infection, previous abscess formation, sedentary lifestyle, previous surgery at the site, trauma to the wound or surrounding tissue, or the impact of pressure and shear forces upon many tissue layers causing a “sinkhole-like” defect on the skin. Tunneling wounds need careful wound assessment and management.

WoundSource Practice Accelerator's picture
pressure injury treatment

by the WoundSource Editors

Pressure ulcers/injuries are among the most costly and prevalent conditions faced by health care professionals. It is estimated that in the United States alone, pressure injuries cost up to $11.6 billion each year with an estimated per-injury cost of $20,900 to $151,700.1 The elderly, individuals with chronic conditions such as diabetes, and those with limited mobility are significantly more likely to develop pressure injuries than other patients. It is extremely important that health care professionals understand best practice treatments to help reduce the severity and longevity of these wounds.