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Practical Issues in Wound, Skin and Ostomy Management
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 species. Here’s a snapshot of this condition. (more…)
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A study in Ostomy Wound Management states the risk classification of patients using Braden Scale scores should comprise three (rather than five) levels: high risk, with a total score ≤11; moderate risk, with a total score of 12 to 16; and mild risk, with a total score ≥17.
The retrospective analysis of consecutively admitted patients at risk for pressure ulcer to an acute-care facility included 2,625 patients, with an age range from 1 month to 98 years; 3.1% developed a pressure ulcer. (more…)
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By Gail R. Hebert, MS, RN CWCN, DWC, WCC, OMS
How would you react if you heard a 600-lb patient was being admitted to your unit? Some healthcare professionals would feel anxious—perhaps because they’ve heard bariatric patients are challenging to care for, or they feel unprepared to provide their care. (more…)
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By Cheryl Robillard, PT, WCC, CLT, DWC
Patients in your clinical practice who develop wounds should prompt a call for “all hands on deck” to manage the situation, but some personnel may be missing the boat. Physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs) should be on board your wound care ship so patients can receive care they need. But unfortunately, sometimes they aren’t. (more…)
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Angelini Pharma Inc.
BIOPAD: 100% equine Type-1 collagen primary wound dressing
EXSEPT PLUS: electrolytically-produced Sodium Hypochlorite wound cleanser
SILVERSTREAM: Ionic Silver wound cleanser with menthol
ANIOSGEL 85 NPC: HYDROALCOHOLIC ANTISEPTIC GEL for skin and hands BLEACH WIPES 1: 10/1:50 : ready-to-use bleach wipes for surfaces disinfection
Angelini Pharma Inc. has one of the highest quality and most comprehensive product ranges in the chronic wound, infection control and dialysis healthcare market. Our mission is to meet our customers’ day-to-day needs with effective, reliable and high-quality products that are widely available and accessible. This goal is expressed through a clear vision: to be the physician’s first choice of product for their patients’ needs and well being. As a result of our specialists’ expertise and intensive applied research activities, efficient and closely coordinated manufacturing and distribution chain and marketing experience, Angelini Pharma Inc. has achieved excellence in our core business areas including wound care.
For more information, visit Angelini-US.com for more information.
Hy-Tape International
Hy-Tape International produces waterproof, zinc oxide-based adhesive tape. Patches and strips. Hy-Tape delivers its unique qualities and benefits in both critical care and everyday situations, when it counts most.
For more information, call 1.800.248.0101 or visit http://hytape.com.
Amerx Health Care, Inc.
Amerx Health Care is proud to introduce Helix3 Bioactive Collagen Matrix (CM) and Particle (CP) dressings containing 100% Type 1 native bovine collagen for effective wound management in all wound phases.
The Amerx product line also includes top rated AmeriGel Hydrogel Wound Dressing with Oakin® for sustained moist healing of dry wounds.
For more information, visit www.amerxHC.com or call 800-448-9599.
Coloplast
Coloplast develops products and services that make life easier for people with very personal and private medical conditions. Our business includes ostomy care, urology, continence care, and wound & skin care.
For more information, visit www.coloplast.us or call 800-788-0293
DM Systems Inc.
Combining unmatched clinical evidence with the comfort, convenience and variety that today’s healthcare marketplace demands, Heelift offloading boots prevent and treat heel pressure ulcers like no other. Joining the Heelift lineup this year is the new Heelift Glide Ultra and Heelift AFO Ultra, which have a new Ultra-Grip inner lining that provides our most comfortable boot ever while maintaining clinical superiority. Clinician Validated – Cost Performer.
Visit our Resource Center at http://www.heelift.com/heeliftresources.html for videos, sample protocols, clinical articles and more showing how Heelift Boots can lower your prevalence.
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Have you seen legs like these in your practice?
These legs show lymphedema and chronic wounds before treatment (left image) and after treatment (right image) with complex decongestive therapy (CDT)—the gold standard of lymphedema care. The patient benefited from multidisciplinary collaboration between wound care and lymphedema therapists. (more…)
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By Roxana Reyna, BSN, RNC-NIC, WCC, CWOCN
As wound care clinicians, we are trained—and expected—to help heal wounds in patients of any age and to achieve positive outcomes. Basic wound-healing principles apply to all patients, whatever their age or size. The specific anatomy and physiology of vulnerable pediatric patients, however, requires detailed wound care. Unfortunately, little evidence-based research exists to support and direct the care of pediatric patients with pressure ulcers. This article describes efforts to reduce pressure ulcers in pediatric patients at Driscoll Children’s Hospital (DCH) in Corpus Christi, Texas. (more…)
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By Todd Zortman, RN, WCC, and James Malec, PhD
Pressure ulcers are a chronic healthcare burden for both patients and providers. Over 2.5 million patients in the United States are affected annually by pressure ulcers, with nearly 60,000 of those cases directly resulting in death. From a provider’s perspective, the cost of individual care ranges anywhere from $500 to $70,000 per pressure ulcer, which translates to annual costs in the U.S. approaching $11 billion. (more…)
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By Janet Wolfson, PT, CWS, CLT-LANA
After landing my dream job as the wound care coordinator at an inpatient rehabilitation facility (IRF), I found myself trying to determine how much healing could be achieved for our more challenging patients, given the constraints of reimbursement and what can be done in the typical 10 to 14 days of a patient stay.
Here’s an example of how I worked with our team to help one of these challenging patients. (more…)
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By Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS
Pressure ulcers have been a health concern for a long time—since at least 5,000 years ago, when evidence of a pressure ulcer was found on an ancient Egyptian mummy. But not until 1975 did the staging classification system we’re familiar with begin. This system was designed to make things easier by creating a universal way to describe and communicate the various levels of tissue destruction. (more…)
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