Apple Bites

November/December 2016 Vol. 5 No. 6

Author: Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

General characteristics
Document if the diversion is an intestinal or urinary ostomy, whether it’s temporary or permanent, and the location— abdominal quadrant, skin fold, umbilicus. (See Descriptor reference.)
Describe the type of ostomy:
• colostomy (colon)—sigmoid or descending colostomy, transverse colostomy, loop colostomy, ascending colostomy
• ileostomy (small bowel)—ileoanal . . .

July/August 2016 Vol. 5 No. 4

Author: Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

Inappropriate footwear is the most common source of trauma in patients with diabetes. Frequent and proper assessment of appropriate footwear is essential for protecting the diabetic foot from ulceration.
Here is a step-by-step process for evaluating footwear. Be sure to evaluate footwear with the patient walking, standing, and . . .

Best of the Best 2016

Author: Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

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 pull together, with movement of epithelial tissue toward the center of the wound (contraction). These epithelial cells, arising from either the wound margins or residual . . .

Best of the Best 2016

Author: Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

Topical application of silver nitrate is often used in wound care to help remove and debride hypergranulation tissue or calloused rolled edges in wounds or ulcerations. It’s also an effective agent to cauterize bleeding in wounds. Silver nitrate is a highly caustic material, so it must be used with . . .

January/February 2016 Vol. 5 No. 1

Author: Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS

Each issue, Apple Bites brings you a tool you can apply in your daily practice. Here are examples of medications that can affect wound healing.

Assessment and care planning for wound healing should include a thorough review of the individual’s current medications to identify those that may affect healing . . .

Best of the Best 2016

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS
Each issue, Apple Bites brings you a tool you can apply in your daily practice. Here’s an overview of cutaneous candi­diasis.

Cutaneous candidiasis is an infection of the skin caused by the yeast Candida albicans or other Candida . . .

July/August 2015 Vol. 4 No. 4

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS
Each issue, Apple Bites brings you a tool you can apply in your daily practice. Here’s an overview of performing a comprehensive skin assessment.

In the healthcare setting, a comprehensive skin assessment is a process in which the entire . . .

May/June 2015 Vol. 4 No. 3

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS
Each issue, Apple Bites brings you a tool you can apply in your daily practice. Here’s a brief overview on moldable, bendable, and stretchable adhesive rings and strips used to improve the seal around a stoma.
Benefits
Adhesive rings . . .

Best of the Best 2015 Vol. 4 No. 5

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS
Each issue, Apple Bites brings you a tool you can apply in your daily practice.

Medical gauze, a bleached white cloth or fabric used in bandages, dressings, and surgical sponges, is the most widely used wound care dressing. Commonly known . . .

By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS
Each issue, Apple Bites brings you a tool you can apply in your daily practice.

Measurement of wounds is an important component of wound assessment and provides baseline measurements, enables monitoring of healing rates, and helps distinguish among wounds that . . .