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Ostomy

Ostomy documentation tips

General characteristics Document if the diversion is an intestinal or urinary ostomy, whether it’s …

The power of the positive

Being positive in a negative situation is not naïve. It’s leadership. — Ralph S. Marston, Jr., au…

Clinical Notes

Mild compression diabetic socks safe and effective for lower extremity edema Diabetic socks with mi…

Product Dossier

Angelini Pharma Inc. BIOPAD: 100% equine Type-1 collagen primary wound dressing EXSEPT PLUS: ele…
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Quizzes

Wound InfectionsHyperbaric Oxygen TherapyAssess Diabetic FootRam's Horn
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Exudate amounts

Wound Care Advisor

BY: NANCY MORGAN, RN, BSN, MBA, WOCN, WCC, CWCMS, DWC
We’ve talked about types of exudate (drainage). Now let’s consider the amount of exudate in wounds, which is a key part of our assessment.

No exudate present: The wound is too dry.
Scant amount of exudate present: The wound is moist, even though no measurable amount of exudate appears on the dressing.
Small or minimal amount of exudate on the dressing: Exudate covers less than 25% of the bandage. (more…)

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Wound exudate types

Wound Care Advisor
Wound Exudate Types

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…)

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Condemning Patients to a Leap of Faith

Wound Care Advisor
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 that my ultimate goal is to offer (and provide when the fates allow) the entire spectrum of medical care referable to what I am good at and what they came to seek solace for.  Nothing less and if I keep my ego in check, certainly nothing more. Patients run the gamut of their perception of the medical field.  But like the old sales nemesis called “Bait and Switch”, what is offered on the sign all too often does not truly match what is seen on the shelves.  Arrogant people are that way because they are good at what they do and not afraid to tell others.  As a child, we are told to let others brag about us but failing to let people know what we can and can’t do is integral to our patients’ survival and our success.  The problem is that the glitz and glamour of being a healer all too often clouds our success.  Some time ago, I blogged about the pseudo-utilitarianism of all those so-called “Wound Certification” Exams.  At first blush, these seem to be the key to health, wealth, omniscience and outcomes equaled only by those wound care management companies. (more…)

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Help Me, Help Me, Help Me…next Tuesday

Wound Care Advisor
physicians

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 University.  The process is unique in that it does not simply ask the age old questions of “Why you want to be a physician ?”, (“Because I want to do primary care in a rural area”).  No, our probing involves scenarios in which they have to look at a social situation, identify their thoughts, those of the opposing views and then cohesively demonstrate intelligence, confidence, logical thought processes and humanity…all in an 8 minute period repeated 7 times.  Their responses juxtaposed against what I see in my day to day always gives me pause to think about how the practice of medicine has been so perverted by the promotion of self abdication of responsibility.  The “let your government do it for you” mantras and newest politically correct definitions of disabled (encompassing everything from melancholia to dislike of red M and M’s) have resulted in a major paradigm shift in medicine.  Whereas, the hospitals once touted their ability to heal all manner of maladies, they now recognize their cost ineffectiveness, more detrimental than beneficial care (just check the nutritional parameters of anyone pre and post hospitalization) and the downright danger of going to one, unless you are a burgeoning superbug. (more…)

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eBooks

Creating an Ideal Microenvironment for Wound Cleansing

[Sponsored by Angelini Pharma, Inc.]

With so much focus on dressing choices, it’s easy to forget the importance of wound cleansing. Wound cleansing can help achieve the goals of wound bed preparation by removing microorganisms, biological and environmental debris to create an environment beneficial to healing as well as facilitating wound assessment by allowing clear visualization of the wound.

Preventing Infections in Patients with Wounds eBook

[Sponsored by Angelini Pharma, Inc.]

Proper wound care is essential to preventing infections for patients in all practice settings, and healthcare providers should stay informed about the most current and effective treatments out there.

Recognizing factors that increase patients’ susceptibility to infection allows providers to identify risks and take measures to prevent infection from occurring or worsening.

eBook: Treatment of Hard-to-Heal Wounds with Collagen-Based Dressings

[Sponsored by Angelini Pharma, Inc.]

Receive a free BioPad Sample and a free eBook with more details.

BioPad Wound Dressing with Collagen: BioPad, is a 100% equine Type-1 collagen primary wound dressing used to treat hard to heal wounds.

The BioPad collagen dressing has the highest collagen content on the market up to 5 times the amount of collagen. 

BioPad™ is the perfect dressing for wounds.

eBook: Caring for Wounds eBook Series: Pressure Injuries

[Sponsored by Angelini Pharma, Inc.]

Learn how your healthcare team can provide better patient care.

Patient care teams rely on the wound care nurse alone to implement a pressure ulcer prevention program; however, a successful program requires involvement from the entire care team and is a 24/7 endeavor.

eBook: Skin Damage Associated with Moisture and Pressure

[Sponsored by Convatec]

Tips on how to differentiate and goals for protection and management.

* Identify how wounds are classified according to wound depth and etiology.
* Describe the etiology of a pressure injury (PI) and incontinence-associated skin damage (IAD).
* Discuss evidence-based protocols of care of prevention and management if IAD and PIs.
* Describe the NPUAP-EPUAP Pressure Injury Classification System.
* Identify appropriate products that can be used for preventioin and treatment of IAD and PIs.

eBook: Needlestick Risks: Defense and Rescue Strategies for Nurses

[This e-book has been developed through an educational grant from CM&F Group]

Learn more about: 
A Continuing Risk for Healthcare Workers, Sharps Injuries: Facts and Figures, Proactive Steps for Yourself and Your Colleagues, A Preventable Injury, A Downloadable Workbook from the CDC, The Case for Coverage, If You are Exposed.

Needlesticks and other sharps-related exposures to bloodborne pathogens (including HIV, hepatitis B virus, and hepatitis C virus) continue to pose a significant occupational risk for healthcare workers

 

Safe Biopsies eBook: Protect yourself and your patients.

[This e-book is brought to you by BiopSafe]

Safe biopsy handling
One of the most common problems in connection with biopsy handling is the risk of being exposed to formalin either through touch or inhalation. A risk that doctors, veterinarians, laboratory technicians and nurses are exposed to every day.

With BiopSafe the problem is finally solved.

receive a free BiopSafe Sample and a free eBook PDF with more information and details.

 
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Clinical Notes: Healing SCI Patients, antiseptics on mahout, diabetes

Wound Care Advisor
Electrical stimulation

Electrical stimulation and pressure ulcer healing in SCI patients

A systematic review of eight clinical trials of 517 patients with spinal cord injury (SCI) and at least one pressure ulcer indicates that electrical stimulation increases the healing rate of pressure ulcers. Wounds with electrodes overlaying the wound bed seem to have faster pressureulcer healing than wounds with electrodes placed on intact skin around the ulcer. (more…)

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Balancing the wheels of life

Wound Care Advisor

Have you ever ridden a bicycle with a wobbly wheel? The ride isn’t smooth, and you notice every bump in the road. As you focus on your discomfort, you may be distracted from the beautiful vistas you’re riding past.

Think of the bicycle as your overall health, which carries you through life. For most of us, learning how to ride a bike begins in childhood as we learn to control the wheels. But with more wear and tear on the bike, the once-pleasant ride becomes uncomfortable and sometimes out of balance. (more…)

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