Skip to content
Friday, February 26, 2021
Search

More results...

Exact matches only
Search in title
Search in content
Filter by Custom Post Type
Filter by Categories
Apple Bites
Blog
Business Consult
Clinical Articles
Assessment
Lymphedema
Ostomy
Pressure Injury
Skin Tear & Treatment
Community Mega Menu
Home Page Featured
Home Page Recent Articles
Itinerant Wound Care Guy
Journal
Quiz Time - Home Page
Resources
Best Practices
Web exclusive
Webinar
Wound Care Advisor
Wound Care Industry News
Wound Care Advisor Practical Issues in Wound, Skin and Ostomy Management

Practical Issues in Wound, Skin and Ostomy Management

  • Journal Archives
    • Newsletter
    • Archives
    • Subscribe
    • Editorial Advisory Board
    • About
  • Clinical Topics
    • Assessment
    • Skin Care & Treatment
    • Pressure Injury
    • Ostomy
    • Lymphedema
    • Business Consult
  • Resource Center
    • 2018 Nurse Education Guide
    • White Papers
    • Apple Bites
    • Infection Prevention
    • Infographics
    • Itinerant Wound Care Guy
    • Free Samples
    • Test Your Wound Care IQ
    • ToolKit
    • Educational Webinars
    • Industry News
  • eBooks
  • Best Practices
  • Subscribe
  • Search
  • Careers
  • Silk wound dressing helps eliminate scar tissue formation
    Silk wound dressing helps eliminate scar tissue formation
    Researchers from Huazhong University of Science and Technology, China...
    Wound Care Advisor Wound Care Industry News 
  • Predicting diabetic foot ulcer healing improves with thermal imaging
    Predicting diabetic foot ulcer healing improves with thermal imaging
    A first of its kind study between RMIT University,...
    Wound Care Advisor Wound Care Industry News 
  • Biotech startup announces patent for regenerative tissue therapy
    Biotech startup announces patent for regenerative tissue therapy
    BioLab Sciences, an innovator in regenerative medicine technologies, has...
    Wound Care Advisor Wound Care Industry News 
  • FDA approves shock wave device for treatment of diabetic foot ulcers
    FDA approves shock wave device for treatment of diabetic foot ulcers
    On December 28, 2017, the FDA gave approval for...
    Wound Care Advisor Wound Care Industry News 
  • Electrically charged bandages help to heal burn wounds, combat antibiotic resistance
    Electrically charged bandages help to heal burn wounds, combat antibiotic resistance
    Ohio State University Wexner Medical Center researchers have created...
    Wound Care Advisor Wound Care Industry News 
  • Diabetic foot ulcers heal faster with probiotic supplementation
    Diabetic foot ulcers heal faster with probiotic supplementation
    Findings from a randomized controlled trial revealed that patients with...
    Wound Care Advisor Wound Care Industry News 
  • Topical gel containing blood pressure drugs shown effective in healing chronic wounds
    Topical gel containing blood pressure drugs shown effective in healing chronic wounds
    An international research team led by Johns Hopkins University...
    Wound Care Advisor Wound Care Industry News 
  • New smartphone app measures wound depth
    New smartphone app measures wound depth
    Swift Medical, a wound care company based in Toronto, has...
    Wound Care Advisor Wound Care Industry News 
  • UVA student invents a new type of five-layered wound technology
    UVA student invents a new type of five-layered wound technology
    Ashwinraj Karthikeyan, a student in UVA’s School of Engineering and...
    Wound Care Advisor Wound Care Industry News 
Wound exudate types

Wound exudate types

Assessment

Patient assessment is critical to ensure good wound healing outcomes. A ‘unified patient centred approach’ should be adopted which takes into account the systemic, regional and local factors which may affect wound healing.

  • How to assess wound exudate

    how to assess wound exudateBy Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Each issue, Apple Bites brings you a tool you can apply in your daily practice. Exudate (drainage), a liquid produced by the body in response to tissue damage, is present in wounds as they heal. It consists of fluid that has leaked out of blood vessels and closely resembles blood plasma. Exudate can result also from conditions that cause edema, such as inflammation, immobility, limb dependence, and venous and lymphatic insufficiency. [Read More] →

  • When and how to culture a chronic wound

    how to culture a chronic woundBy Marcia Spear, DNP, ACNP-BC, CWS, CPSN Chronic wound infections are a significant healthcare burden, contributing to increased morbidity and mortality, prolonged hospitalization, limb loss, and higher medical costs. What’s more, they pose a potential sepsis risk for patients. For wound care providers, the goal is to eliminate the infection before these consequences arise. Most chronic wounds are colonized by polymicrobial aerobic-anaerobic microflora. However, practitioners continue to debate whether wound cultures are relevant. Typically, chronic wounds aren’t cultured unless the patient has signs and symptoms of infection, which vary depending on whether the wound is acute or chronic. (See Differentiating acute and chronic wounds.) [Read More] →

  • What you need to know about transparent film dressings

    transparent film dressingsBy Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Each issue, Apple Bites brings you a tool you can apply in your daily practice. Transparent film dressings are thin sheets of transparent polyurethane (polymer) coated with an adhesive. These dressings are available in a variety of sizes and shapes. [Read More] →

Skin Care & Treatment

  • Wound exudate types

    Wound Exudate TypesBY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC What exactly is wound exudate? Also known as drainage, exudate is a liquid produced by the body in response to tissue damage. We want our patients’ wounds to be moist, but not overly moist. The type of drainage can tell us what’s going on in a wound. Let’s look at the types of exudates commonly seen with wounds. Read more… →

  • Understanding stoma complications

    By Rosalyn S. Jordan, RN, BSN, MSc, CWOCN, WCC, OMS; and Judith LaDonna Burns, LPN, WCC, DFC About 1 million people in the United States have either temporary or permanent stomas. A stoma is created surgically to divert fecal material or urine in patients with GI or urinary tract diseases or disorders. A stoma has no sensory nerve endings and is insensitive to pain. Yet several complications can affect it, making accurate assessment crucial. These complications may occur during the immediate postoperative period, within 30 days after surgery, or later. Lifelong assessment by a healthcare provider with knowledge of ostomy surgeries and complications is important. Read more… →

  • How dietary protein intake promotes wound healing

    dietary protein intake promotes wound healingBy Nancy Collins, PhD, RD, LD/N, FAPWCA, and Allison Schnitzer Nutrition is a critical factor in the wound healing process, with adequate protein intake essential to the successful healing of a wound. Patients with both chronic and acute wounds, such as postsurgical wounds or pressure ulcers, require an increased amount of protein to ensure complete and timely healing of their wounds. Elderly patients with wounds pose a special challenge because of their decreased lean body mass and the likelihood of chronic illnesses and insufficient dietary protein intake. To promote a full recovery, wound care clinicians must address the increased protein needs of wound patients, especially elderly patients. Read more… →

Pressure Injury

Localized damage to the skin and underlying soft tissue, usually over a bony prominence or related to a medical or other device. It can present as intact skin or an open ulcer and may be painful. It occurs as a result of intense or prolonged pressure or pressure in combination with shear.

  • FAQs for pressure ulcer staging

    pressure ulcer stagingBy Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS Staging pressure ulcers can be challenging. Below are some common questions—and answers—about staging. Q. If a pressure ulcer heals (completely epithelialized over), but later reopens at the same site, how should it be staged? Read more… →

  • Guidelines for safe negative-pressure wound therapy

    safe negative-pressure wound therapyBy Ron Rock MSN, RN, ACNS-BC Since its introduction almost 20 years ago, negative-pressure wound therapy (NPWT) has become a leading technology in the care and management of acute, chronic, dehisced, traumatic wounds; pressure ulcers; diabetic ulcers; orthopedic trauma; skin flaps; and grafts. NPWT applies controlled suction to a wound using a suction pump that delivers intermittent, continuous, or variable negative pressure evenly through a wound filler (foam or gauze). Drainage tubing adheres to an occlusive transparent dressing; drainage is removed through the tubing into a collection canister. NWPT increases local vascularity and oxygenation of the wound bed and reduces edema by removing wound fluid, exudate, and bacteria. Read more… →

  • Pressure mapping: A new path to pressure-ulcer prevention

    pressure-ulcer preventionBy: Darlene Hanson, MS, RN, Pat Thompson, MS, RN, Diane Langemo, PhD, RN, FAAN,  Susan Hunter, MS, RN, and Julie Anderson, PhD, RN, CCRC Faced with the nursing diagnosis of Impaired skin integrity, we've all written care plans that state our goal as "redistributing or reducing pressure." But how do we do that? Which measures do we take? And how do we know that our interventions have relieved pressure? Do we rely solely on a skin assessment? A patient's self-assessment of comfort? What if the patient can’t feel pressure relief because of neurologic impairment? The answers to these questions may be that nurses should use pressure mapping, a tool used by occupational and physical therapists to determine seat-interface pressures and by other healthcare professionals to perform foot assessments. Read more… →

Ostomy

refers to the surgically created opening in the body for the discharge of body wastes.

  • Colostomy, ileostomy, and urostomy

    Ostomy 101: Colostomy, ileostomy, and urostomy

    By Jackie Doubleman, BSN, RN, CWOCN Most patients are distressed to learn they need ostomy surgery to divert stool, urine, or both. Adapting to ostomy surgery can be difficult at best, even with today’s advanced technology and the wide assortment of ostomy supplies available. While recovering from the surgery itself, patients must learn how to contain or control feces or urine and how to minimize odor—without feeling like a social outcast. This article reviews three types of ostomy surgery—colostomy, ileostomy, and urostomy. Subsequent articles will discuss ostomy management and treatment of stomal and peristomal skin complications. Read more… →

  • ostomy supplies they need

    Making sure patients have the ostomy supplies they need

    By Connie Johnson, BSN, RN, WCC, LLE, OMS, DAPWCA No matter where you work or who your distributors are, ensuring the patient has sufficient ostomy supplies can be a challenge. Whether you’re the nurse, the physician, the patient, or the family, not having supplies for treatments can heighten frustration with an already challenging situation, such as a new ostomy. Here’s how to reduce the chance of experiencing frustrations related to ostomy supplies. Read more… →

  • Compassionate care

    Compassionate care: The crucial difference for ostomy patients

    By Gail Hebert, RN, MS, CWCN, WCC, DWC, LNHA, OMS; and Rosalyn Jordan, BSN, RN, MSc, CWOCN, WCC, OMS Imagine your physician has just told you that your rectal pain and bleeding are caused by invasive colon cancer and you need prompt surgery. She then informs you that surgery will reroute your feces to an opening on your abdominal wall. You will be taught how to manage your new stoma by using specially made ostomy pouches, but will be able to lead a normal life. Like most people, you’d probably be in shock after hearing this. More than 700,000 people in the United States are living with ostomies. Every year, at least 100,000 ostomy surgeries are done, preceded by a conversation much like the one above. So how do patients recover from the shock of learning about their pending surgery—and then return to a full life? Read more… →

Business Consult

  • Medicare reimbursement for hyperbaric oxygen therapy

    hyperbaric oxygen therapyBy Carrie Carls, BSN, RN, CWOCN, CHRN, and Sherry Clayton, RHIA In an atmosphere of changing reimbursement, it’s important to understand indications and utilization guidelines for healthcare services. Otherwise, facilities won’t receive appropriate reimbursement for provided services. This article focuses on Medicare reimbursement for hyperbaric oxygen therapy (HBOT). (See What is hyperbaric oxygen therapy?) Indications and documentation requirements Read more… →

  • How do you prove a wound was unavoidable?

    unavoidable pressure ulcersBy Jeri Lundgren, BSN, RN, PHN, CWS, CWCN A pressure ulcer that a patient acquires in your facility or a patient’s existing pressure ulcer that worsens puts your organization at risk for regulatory citations as well as litigation. Unless you can prove the pressure ulcer was unavoidable, you could find yourself burdened with citations or fines, or could even end up in court. Read more… →

  • How to set up an effective wound care formulary and guideline

    wound care formulary and guidelineBy Jeri Lundgren, BSN, RN, PHN, CWS, CWCN Navigating through the thousands of wound care products can be overwhelming and confusing. I suspect that if you checked your supply rooms and treatment carts today, you would find stacks of unused products. You also would probably find that many products were past their expiration dates and that you have duplicate products in the same category, but with different brand names. Many clinicians order a product by brand name, not realizing that plenty of the product is already in stock under a different brand name. Read more… →

Apple Bites

Each month, Apple Bites brings you a tool you can apply in your daily practice.

  • Ostomy documentation tips →

    General characteristics Document if the diversion is an intestinal or urinary ostomy, whether it’s temporary or permanent, and the location—… Read more… →

  • Assessing footwear in patients with diabetes →

    Inappropriate footwear is the most common source of trauma in patients with diabetes. Frequent and proper assessment of appropriate footwear is essential for protecting… Read more… →

  • Causes, prevention, and treatment of epibole →

    As full-thickness wounds heal, they begin to fill in from the bottom upward with granulation tissue. At the same time, wound edges contract and… Read more… →

Wound Care Industry News

  • Silk wound dressing helps eliminate scar tissue formation

    Published on October 30, 2018

    Researchers from Huazhong University of Science and Technology, China have developed a new type of wound dressing, based on a silk… Read more…

  • Predicting diabetic foot ulcer healing improves with thermal imaging

    Published on October 24, 2018

    A first of its kind study between RMIT University, the University of Melbourne, and Austin Health, used thermal imaging to predict the… Read more…

  • Biotech startup announces patent for regenerative tissue therapy

    Published on October 24, 2018

    BioLab Sciences, an innovator in regenerative medicine technologies, has announced the patent of MyOwn SkinTM, a new, non-evasive, regenerative tissue… Read more…

  • FDA approves shock wave device for treatment of diabetic foot ulcers

    Published on January 1, 2018

    On December 28, 2017, the FDA gave approval for the Dermapace System, a shock wave device intended to be used… Read more…

  • Electrically charged bandages help to heal burn wounds, combat antibiotic resistance

    Published on December 20, 2017

    Ohio State University Wexner Medical Center researchers have created electrically charged bandages that can combat antibiotic resistance, enable healing in… Read more…

Top 10 Wound Care Site Terms

Hydrogel , [no keyword], wound , Hydrocolloid, Alginate, unna boot, ostomy, silver nitrate, Stoma , nutrition

Wound Care Advisor

  • Journal Archives
  • Feedback
  • Advertise
  • About

Wound Management

  • Contributing to this website

Health Care

  • Contact Us
  • Disclaimer
  • Privacy Policy
  • Terms and Conditions

HealthComMedia © 2017

Powered by HealthCom Media: All rights reserved. No part of this website or publication may be reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright holder


Wound Care is Important. Please spread the word :)

  • RSS5k
  • Follow by Email102k
  • Facebook4k
    Facebook
  • Twitter4k
    Visit Us
    Follow
RSS5k
Follow by Email102k
Facebook4k
Facebook
Twitter4k
Visit Us
Follow