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Practical Issues in Wound, Skin and Ostomy Management
One of many dreaded tags from a Centers for Medicare & Medicaid Survey is F-Tag 314 — Pressure ulcers.
CMS writes, “Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care.” (more…)
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LUBBOCK, TX (NEWS RELEASE) – The Covenant Center for Wound Care & Hyperbaric Medicine has been honored as a Wound Care Center® of the Year by Healogics, Inc., the nation’s leading and largest wound care management company. The center also was awarded Center of Distinction and the President’s Circle Award.
The center has achieved patient satisfaction rates higher than 92 percent, a healing rate of at least 91 percent in less than 31 median days and healed almost 90 percent of its patients in less than 14 weeks. Out of the 630 Centers eligible in 2016, only seven centers across the country received this prestigious award. Covenant’s center was awarded as Center of the Year for the southwest region, which includes Texas, Oklahoma, Louisiana and New Mexico. (more…)
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Nash UNC Health Care is continuing its effort to bring cutting-edge technology to the hospital.
Through a recent partnership with a Maryland-based medical imaging and data analytics company called Tissue Analytics, which is dedicated to revolutionizing wound care, Nash UNC Health Care has adopted new state-of-the-art wound imaging technology to its outpatient Wound Care Center. (more…)
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Wound care is a specialized form of treatment that focuses on helping patients recover from all types of wounds, both acute and chronic (ongoing). The most common types of wounds are those that result from acute injuries, surgical procedures, diabetes, and pressure or bed sores. Wounds can also result from radiation procedures that are part of a treatment plan for cancer, and they can be a result of vascular disorders. (more…)
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At a time when governments are under pressure to reduce healthcare costs, the global advanced wound care market is growing, driven by an aging population and rising incidences of chronic wounds.
Advanced wound care products are typically used to manage complex wounds, including burns, chronic wounds and complex trauma and surgical wounds. Chronic and complex wounds represent one of the predominant challenges to global healthcare systems because they are hard to heal and expensive to treat. (more…)
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ROLLA, Mo.–(BUSINESS WIRE)–ETS Wound Care LLC, an Engineered Tissue Solutions (ETS) subsidiary focused on commercializing next generation wound care solutions, announced MIRRAGEN™ Advanced Wound Matrix was cleared by the United States Food and Drug Administration (FDA) for treatment of acute and chronic wounds. MIRRAGEN™ is a fully resorbable borate glass matrix comprised of fibers and beads proven to be highly effective in wound care management.
MIRRAGEN™ represents a breakthrough discovery for chronic and acute wound management due to its unique borate-based fiber matrix. MIRRAGEN™ is packed into wounds to manage and control wound fluids, while the resorbable matrix provides an environment for optimal wound healing. To learn more about the technology, click here. (more…)
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Dr. Michael Miller is a board certified general surgeon and certified wound care specialist who has practiced wound care exclusively for almost 21 years in Indiana.
He is the CEO and medical director of The Miller Care Group, which provides a variety of specialty care services in a variety of care locations, including house calls, skilled, assisted living and independent living facilities.
Think a Patient Has Rights? They Left.
by Dr. Michael Miller There are few absolutes in my universe. I know that my youngest daughter will gleefully and with full malice (but humorously presented) find something to torment me about every time I see her; referrals from family… Read more…
by Dr. Michael Miller For those of you not as familiar with the Hoosier State as you should be, I used to think it was essentially paradise. Jim Nabors of Gomer Pyle fame is our ubiquitous, tuneful icon with his… Read more…
Hole-ier than Thou, Evidence Based Regardless of the Evidence
by Dr. Michael Miller There are certain phrases that make the hair on the back of my neck stand up. Someone telling me that they are a good Jew, a good Christian, a good Muslim or the ultimate in self… Read more…
If All You Have is a Hammer, What Happens When You Run Out of Nails?
by Dr. Michael Miller Over the years of making house calls for wound care, I found that there was a real need for home based mental health and behavioral care, palliative care, podiatry and lots of other things. We cater… Read more…
Condemning Patients to a Leap of Faith
by Dr. Michael Miller I have several letters after my name. The two that say “DO” indicate that I have the training of a physician and the requisite education and responsibilities that uphold those letters. They should mean to patients… Read more…
Don’t Kid Yourself, Amputation Is Unquestionably A Failure
by Dr. Michael Miller I recently saw an ad for a pending lecture at a national conference that piqued my interest much like “deflate-gate”. The title of this lecture horrifically touted that Amputation need not be considered failure. As a… Read more…
Help Me, Help Me, Help Me…next Tuesday
by Dr. Michael Miller Health care providers are by nature an altruistic bunch. I have the honor of interviewing potential entries to my beloved profession as part of the admissions process at the newest Osteopathic Medical School in Indiana, Marian… Read more…
Alternate universes – Einstein’s insanity
I remain absolutely amazed that there are so many people doing the same thing and yet doing it so completely different. Depending on where a patient’s wound care and orders originate from, the care I try to translate from that… Read more…
What you need to know about hydrocolloid dressings →
By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Each month, Apple Bites brings you a tool you can… Read more… →
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BY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC What exactly is wound exudate? Also known as drainage, exudate… Read more… →
Comments: 36 Comments
What you need to know about collagen wound dressings →
By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Description Collagen, the protein that gives the skin its tensile… Read more… →
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By Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS Wound pain can have a profound effect on a person’s life… Read more… →
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FAQs for pressure ulcer staging →
By Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS Staging pressure ulcers can be challenging. Below are some common questions—and… Read more… →
Comments: 29 Comments
Is your wound-cleansing practice up to date? →
By Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS With so much focus on dressing choices, it’s easy to forget… Read more… →
Comments: 24 Comments
Starting a consulting business →
By Donna Sardina, RN, MHA, WCC, CWCMS, DWC Starting your own consulting business is an exciting and rewarding experience: You’re… Read more… →
Comments: 15 Comments
Understanding stoma complications →
By Rosalyn S. Jordan, RN, BSN, MSc, CWOCN, WCC, OMS; and Judith LaDonna Burns, LPN, WCC, DFC About 1 million… Read more… →
Comments: 12 Comments
How dietary protein intake promotes wound healing →
By Nancy Collins, PhD, RD, LD/N, FAPWCA, and Allison Schnitzer Nutrition is a critical factor in the wound healing process,… Read more… →
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Medicare reimbursement for hyperbaric oxygen therapy →
By Carrie Carls, BSN, RN, CWOCN, CHRN, and Sherry Clayton, RHIA In an atmosphere of changing reimbursement, it’s important to… Read more… →
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What you need to know about hydrogel dressings →
By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Each issue, Apple Bites brings you a tool you can… Read more… →
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By Nancy Morgan, MBA, BSN, RN, WOC, WCC, CWCMS, DWC Each month Apple Bites brings you a tool you can… Read more… →
Comments: 9 Comments
Managing venous stasis ulcers →
By Kulbir Dhillon, MSN, FNP, APNP, WCC Venous disease, which encompasses all conditions caused by or related to diseased or… Read more… →
Comments: 9 Comments
Providing wound care in the home: An option to explore →
By Connie Johnson, RN, BSN, WCC, LLE, DAPWCA Jim, a 52-year-old patient with colon cancer, received a new ostomy. He… Read more… →
Comments: 8 Comments
By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Each issue, Apple Bites brings you a tool you can… Read more… →
Comments: 3 Comments
Compression therapy for chronic venous insufficiency, lower-leg ulcers, and secondary lymphedema →
By Nancy Chatham, RN, MSN, ANP-BC, CCNS, CWOCN, CWS, and Lori Thomas, MS, OTR/L, CLT-LANA An estimated 7 million people… Read more… →
Comments: 3 Comments
Who can perform sharp wound debridement? →
Nurses and therapists often wonder if their license permits them to perform sharp wound debridement. Scope of practice varies significantly from state to state,… Read more… →
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What’s causing your patient’s lower-extremity redness? →
By Robyn Bjork, MPT, CWS, WCC, CLT-LANA The ability to understand or “read” lower-extremity redness in your patient is essential… Read more… →
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Topical application of silver nitrate is often used in wound care to help remove and debride hypergranulation tissue or calloused rolled edges in wounds… Read more… →
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BY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC An essential part of weekly wound assessment is measuring the… Read more… →
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I was thrilled to be asked to write a blog for Wound Care Advisor. They asked me to come up with a name for the blog. I thought it would be easy… NOT ! I found myself doing all this research on how to make up a good name that would be catchy and memorable. I reached out to all my wound care friends for ideas and started a long list of names. Every morning I would look at this list and add more. Then I said I had to STOP THE INSANITY! I had to refocus and asked myself… who are you writing the blog for? It’s for people like me! I am a nurse that is in love with wound care, I have been in this field for almost two decades—ouch! that just dated me. I started at bedside then moved to an educator role co-founding the Wound Care Education Institute where we have taught over 16,000 clinicians, spreading the knowledge of Wound Care so they can make a difference in their patients’ lives. I am that person that “gets the rush” every time I see a wound. (more…)
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BY: 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. (more…)
Read MoreBY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC
An essential part of weekly wound assessment is measuring the wound. It’s vitally important to use a consistent technique every time you measure. The most common type of measurement is linear measurement, also known as the “clock” method. In this technique, you measure the longest length, greatest width, and greatest depth of the wound, using the body as the face of an imaginary clock. Document the longest length using the face of the clock over the wound bed, and then measure the greatest width. On the feet, the heels are always at 12 o’clock and the toes are always 6 o’clock. Document all measurements in centimeters, as L x W x D. Remember—sometimes length is smaller than width. (more…)
When treating people for wounds, the care team preforms both a comprehensive diagnosis and comprehensive treatment, Kathy Khandaker, director of wound care at Community Hospitals and Wellness Centers-Bryan, told the Bryan Rotary Club at its Friday meeting.
The wound care clinic opened at CHWC in 2006, added ostomy care in 2007, continence care in 2010 and added a full-time physician in 2015. The care team includes a wound care nurse, a hyperbaric oxygen therapy technician and a receptionist in addition to the physician. (more…)
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