Holly Hovan

Content from this Writer

Pressure Injury Prevention
November 14th, 2019

By Holly M. Hovan MSN, RN-BC, APRN.ACNS-BC, CWOCN-AP

Often when we hear the words "pressure injury," our brains are trained to think about staging the wound, considering treatment options, and obtaining a provider's order for care. Ideally, when we hear the words "pressure injury...

Wound Documentation Mistakes
October 17th, 2019

By Holly M. Hovan MSN, RN-BC, APRN.ACNS-BC, CWOCN-AP

Documentation is a huge part of our practice as wound care nurses. It is how we take credit for the care we provide to our patients and how we explain things so that other providers can understand what is going on with the...

Professional Development
September 5th, 2019

By Holly M. Hovan, MSN, RN-BC, APRN-CNS, CWOCN-AP

As wound, ostomy, and continence (WOC) nurses, and nurses in general, we are often so busy taking care of others that sometimes we forget to take care of ourselves. A wise instructor in nursing school once told me, "If you don't...

Ostomy Certification
July 25th, 2019

By Holly M. Hovan, MSN, RN-BC, APRN, CWOCN-AP

As someone who holds tricertification, I often feel as though my ostomy patients are the ones in whose lives I am making the biggest difference. Watching them progress, gain confidence in independent ostomy management, and enjoy their...

Wound Care Certification
June 13th, 2019

Holly M. Hovan MSN, RN-BC, APRN-CNS, CWOCN-AP

Not many people wake up one day and say, "Wow, I really want to be a continence nurse!" In fact, sometimes people don't even really understand what a continence nurse is, their role, or the specialty in general. I often tell nurses...

Wound Care Certification
May 31st, 2019

By Holly M. Hovan, MSN, RN-BC, APRN-CNS, CWOCN-AP

As discussed in a prior blog, reflecting on why you want to become certified and how to begin the process are some important initial steps when considering certification. Understanding certification, how it relates to or...

Braden Scale: Mobility
May 2nd, 2019

By Holly Hovan, MSN, RN-BC, APRN-CNS, CWOCN-AP

What is mobility? Typically, when we hear the word mobility, we think about our ability to move, with or without assistance. In a long-term care setting, we often hear the words, "mobility aids," which are typically pieces of medical...

Wound Drainage
April 19th, 2019

By Holly Hovan MSN, RN-BC, APRN, ACNS-BC, CWOCN-AP

Wound assessment is one of the initial steps in determining the plan of care, changes in treatment, and which key players should be involved in management. However, wound assessment needs to be accurately...

Peristomal Skin Complications
March 5th, 2019

by Holly Hovan MSN, RN-BC, APRN, ACNS-BC, CWOCN-AP

As discussed in a prior blog, stoma location is certainly one of the key factors in successful ostomy management and independence with care at home. However, even with proper stoma siting, peristomal skin complications may occur...

Medical Device Related Pressure Injury
February 13th, 2019

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

Recently, one of my awesome staff nurses coined a phrase that stuck with me—Mr. DoctoR Pressure Injury (MDRPI), also known as medical device-related pressure injury. MDRPIs are a common yet usually preventable problem. We wanted to...

Skin Tear Protocol
January 17th, 2019

Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

Payne and Martin brought skin tears to the attention of wound and skin specialists and to the wound care community when they reported an incidence rate of 2.23% in individuals aged 55 years and older, living in a long-term care...

Pressure Injury Prevention
December 13th, 2018

By Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

What does your facility do to raise awareness regarding pressure injury prevention? We have lots of educational opportunities throughout the year, but one of our most important and prepared for days is the third Thursday in November...

Interdisciplinary Journal Club
November 8th, 2018

By Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

Wound, ostomy, continence (WOC) nurses wear many hats. A significant role that we play is that of an educator, both with our patients and with our staff. I'm sure we've all heard "How on earth did you ever get interested in wounds?...

Wound Certification
October 11th, 2018

by Holly M. Hovan, MSN, APRN, ACNS-BC, CWOCN-AP

Geriatric Skin
September 14th, 2018

by Holly M. Hovan, MSN, APRN, ACNS-BC, CWOCN-AP

With a growing population of Americans aged 65 or older, it is important to know what skin changes are normal and abnormal and what we can do in terms of treatment, education, and prevention of skin injuries.

Medical Device-Related Injury
August 29th, 2018

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

Causes of Incontinence
June 20th, 2018

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

With World Continence Week upon us, it is an appropriate time to discuss some types and causes along with treatment of urinary...

Nurse Removing Adhesive Bandage to Prevent MARSI
May 24th, 2018

by Holly M. Hovan MSN, APRN-ACNS-BC, CWOCN-AP

woundwound assessment - skin tear on arm assessment - skin tear on arm
April 25th, 2018

By Holly M. Hovan MSN, APRN-ACNS-BC, CWOCN-AP

After determining our goals of wound treatment (healing, maintaining, or comfort/palliative), we need to choose a treatment that meets the needs of the...

The Importance of Palliative Care
April 5th, 2018

by Holly Hovan MSN, APRN-ACNS-BC, CWOCN-AP

fistula management
February 15th, 2018

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...

patient repositioning
January 11th, 2018

By Holly Hovan MSN, APRN, CWOCN-AP

Friction and shear… what’s the difference and how do they cause pressure injuries? Are wounds caused by friction and shear classified as pressure injuries? What’s the easiest way to explain the differences between these critical components of...

patient mobility and activity
December 14th, 2017

By Holly Hovan MSN, APRN, CWOCN-AP

The Braden Scale for Predicting Pressure Sore Risk® category of activity focuses on how much (or how little) the resident can move independently. A resident can score from 1 to 4 in this category, 1 being bedfast and 4 being no real limitations...

enteral nutrition feeding
November 16th, 2017

By Holly Hovan MSN, APRN, CWOCN-AP

A common misconception by nurses is sometimes predicting nutritional status based on a resident's weight. Weight is not always a good predictor of nutritional status. Nutritional status is determined by many factors and by looking at the big...

Moisture on Skin
October 25th, 2017

By Holly Hovan MSN, APRN, CWOCN-AP

When nurses hear the term moisture, they usually almost always think of urinary or fecal incontinence, or both. There are actually several other reasons why a patient could be moist. Continued moisture breaks down the skin, especially when the...

peroperative ostomy siting
October 4th, 2017

By Holly Hovan MSN, APRN, CWOCN-AP

When marking a patient for a stoma, it is important to consider the practice based on evidence acquired by the wound, ostomy and continence (WOC) nurse during training and experience. Stoma siting procedures are based on evidence-based practices...

neuropathy testing for sensory perception (Braden Scale)
September 13th, 2017

By Holly Hovan MSN, APRN, CWOCN-AP

As wound care professionals, the Braden Scale for Predicting Pressure Sore Risk® is near and dear to our hearts. With that in mind, our evidence-based tool needs to be used correctly in order to yield accurate results. Working with long-term...

comparison
August 3rd, 2017

By Holly Hovan MSN, APRN, CWOCN-AP

As wound care clinicians, we are aware that part of the process of consulting requires a comprehensive wound assessment, looking at wound characteristics, causative factors, and drainage. As I've previously mentioned, we've all heard the term, "...

elderly patient skin tear prevention
June 29th, 2017

By Holly M. Hovan MSN, APRN, ACNS-BC, CWON-AP

I'm sure you're all familiar with the terms "prednisone skin," "thin skin," "fragile skin," or "easily bruises." One or all of these phrases are commonly used to describe our geriatric population's aging skin. As we age, so does our...

Calciphylaxis
June 2nd, 2017

By Holly Hovan MSN, APRN, ACNS-BC, CWON-AP

In patients with end stage renal disease (ESRD), there is a decreased renal clearance that causes an increase in phosphorus, then calcium, in the body. Elevation of these two electrolytes causes the parathyroid gland to secrete...

staff education in wound care
May 19th, 2017

By Holly Hovan MSN, APRN, ACNS-BC, CWON-AP

As I am sure we are all well aware, not everyone loves wounds, ostomies, and continence as much as we do. Some nurses just do not have the passion (or desire) to perform wound care and learn about different modalities. On the other hand...

wound care education
April 13th, 2017

By Holly Hovan MSN, APRN, ACNS-BC, CWON-AP

As a wound, ostomy, and continence nurse in long-term care, education is a huge part of my role working in our Community Living Center (CLC), Hospice, and Transitional Care Unit (TCU). Unit specific, evidence-based training and continued...