Guidelines for optimal off-loading to prevent diabetic foot ulcers
“The management of diabetic foot ulcers through optimal off-loading,” published in the Journal of the American Podiatric Medical Association, presents consensus guidelines and states the “evidence is clear” that off-loading increases healing of diabetic foot ulcers.
The article calls for increased use of off-loading and notes that “current evidence favors the use of nonremovable casts or fixed ankle walking braces as optimum off-loading modalities.” The authors reviewed about 90 studies. (more…)
Keeping clinicians up to date on clinical knowledge is one of the main goals of the Wild On Wounds (WOW) conference,held each September in Las Vegas. Each year, I present the opening session of this conference, called “The Buzz Report,”which focuses on the latest-breaking wound care news—what’s new, what’s now, and what’s coming up. I discuss innovative new products, practice guidelines, resources, and tools from the last 12 months in skin, wound, and ostomy management. (more…)
Abstract: Background. The evaluation and treatment of heel pressure injuries are a significant and expensive sequela of the aging population. Although the workup of patients with lower extremity tissue loss usually involves an assessment of the arter…
Accurate assessment and documentation of wounds is essential for developing a comprehensive plan of care. Photography now plays a key role in wound care. The use of digital photography has enhanced the reliability and accuracy of wound documentation.…
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 t…
Summary
This project is an observational trial investigating wound cosmetic appearance after repair of traumatic skin lacerations in the head area of pediatric patients with two different approaches to skin closure: sutures versus tissue adhesive. P…
Safety and Efficacy Study of VM202 in the Treatment of Chronic Non-Healing Foot Ulcers. This study will assess the safety and efficacy of using gene therapy via intramuscular injections of the calf for patients with chronic non-healing foot ulcers.
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Carol Emanuele beat cancer. But for the last two years, the Philadelphia woman has been fighting her toughest battle yet. She has an open wound on the bottom of her foot that leaves her unable to walk and prone to deadly infection.
In an effort to…
The National Pressure Ulcer Advisory Panel (NPUAP) describes support surfaces as “specialized devices for pressure redistribution designed for management of tissue loads, microclimate, and/or other therapeutic functions.” These devices include specia…
As a wound care expert, you’re probably consulted for every eruption, scrape, and opening in a patient’s skin. Occasionally during a patient assessment, you may scratch your head and ask yourself, “What is this? I’ve never seen anything like it.”
Mo…
It’s been a stressful day at work—nothing new. One confused patient pulled off her ostomy bag, you’re having difficulties applying negative-pressure wound therapy on another, and a third patient’s family is
angry with you. We all experience stressfu…
On April 13, 2016, the National Pressure Ulcer Advisory Panel (NPUAP) announced changes in pressure ulcer terminology and staging definitions. Providers can adapt NPUAP’s changes for their clinical practice and documentation, but it’s important to no…
Suppose you’re reading an article on a new product that states the product has been through a series of clinical trials before marketing. What does this mean? Who was involved? As a clinician, could you initiate or be involved in a clinical trial of a new product? Who are clinical trial subjects, and what’s it like for them to be involved in a clinical study?
A clinical trial starts as an idea. As clinicians, we often use our critical-thinking skills to imagine a product or method of practice we think could be created or improved on to better meet our patients’ needs. The idea begins to grow and a series of events begins. (more…)
This issue, we highlight some resources from “The Buzz Report,” the popular presentation given by editor-in-chief Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS, at the Wild On Wounds (WOW) conference, held each September in Las Vegas. (more…)
By Kari Olson Finnegan, BSN, and Liz Ferron, MSW, LICSW
If you have at least one parent age 65 or older and are raising children or financially supporting a child age 18 or older, you’re part of the Sandwich Generation. Coined in 1981 by social worker Dorothy Miller, the term originally referred to women, generally in their 30s and 40s, who were “sandwiched” between young kids, spouses, employers, and aging parents. While the underlying concept remains the same, over time the definition has expanded to include men and to encompass a larger age range, reflecting the trends of delayed childbearing, grown children moving back home, and elderly parents living longer. The societal phenomenon of the Sandwich Generation increasingly is linked to higher levels of stress and financial uncertainty, as well as such downstream effects as depression and greater health impacts in caregivers. (more…)
In 2014, more than 8,000 new articles related to wound healing were added to the PubMed online database and hundreds of new patents for topical wound formulations were filed. Staying up-to-date with the latest and greatest findings and products can be challenging. We all lead busy lives, and our demanding work schedules and home responsibilities can thwart our best intentions. Although we know it’s our responsibility to stay abreast of changes in our field, we may feel overwhelmed trying to make that happen. (more…)
According to a study published in Diabetes Care, the economic burden associated with diagnosed diabetes (all ages) and undiagnosed diabetes, gestational diabetes, and prediabetes (adults) exceeded $322 billion in 2012, amounting to an economic burden exceeding $1,000 for each American. (more…)
The World Health Organization defines palliative care as “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.” (more…)
As I write this, I am still feeling the energy from the 11th annual Wild on Wounds Conference. What a great group of wound care clinicians. With close to 1,000 attendees, the conference was fun, friendly, and jam-packed with sessions for all levels of clinicians, from beginners to advanced. Many of the attendees shared their frustrations in choosing one session over another with comments such as, “It was so difficult because of all of the great educational offerings.”
Once again, the National Alliance of Wound Care and Ostomy (NAWCO) had an answer table set up in the registration area. We enjoyed the many inquiries we received, and it was nice to put faces with names.
Each year, NAWCO gives four awards to deserving clinicians who put their hearts and souls into their work. We have so many talented and committed certified wound care clinicians that it seemed only fitting to recognize these talented people and give them the opportunity to shine. These individuals are nominated by their colleagues, coworkers, peers, and subordinates, and we had an abundance of nominations. While we would have loved to recognize all of the nominees, the committee could choose only four.
During the closing session, appropriately titled “Pay it Forward,” NAWCO recognized these four exceptionally talented, committed, hard-working clinicians for their achievements in their work with wound care patients. I wanted to share some of the impressive comments made about the award winners.
Outstanding Work in Diabetic Wounds:
Anna Ruelle, DPM, WCC
• “Voted ‘top doctor’ 11+ years in a row by peers”
• “Greatly reduced the incidence of below-the-knee amputations and loss of limb”
• “Never lets the sun set on a diabetic ulcer or wound when a patient calls.”
Outstanding Research in Wound Care:
Michael Katzman, RN, BSN, ONC, WCC
• “Known for his expertise in wound care and for being very approachable, professional, and a mentor to others”
• “Works collaboratively with other hospital skin champions to develop a protocol to prevent and treat skin tears through evidence-based research”
• “Offers regular in-services while collaborating with others to continuously improve outcomes.”
Outstanding WCC of the Year:
Chelsey Hawthorne, RN-BC, BSN, WCC
• “Serves as one of the certified nurses in a long-term care facility, and is a resource for the medical-surgical and other skilled units”
• “Works with the Magnet® Program supervisor to assist in getting more nurses certified through NAWCO”
• “Collaborates with the health system’s wound care clinic to ensure proper delivery of care to the residents.”
2014 Scholarship sponsored by Joerns® RecoverCare:
Craig Johnson, RN, BSN
• “Serves as staff nurse at a busy skilled nursing facility with a diverse and complex veteran population”
• “Demonstrates an overwhelming and sincere interest in wound care”
• “Designed and developed a mobile Wound Cart, which is used as a tool in the unit’s Wound Rounds Process.”
NAWCO is proud and honored to recognize the achievements of such a dedicated group of wound care clinicians. All of us at NAWCO congratulate the 2014 award winners.
Disclaimer: The views expressed in this article are those of the author and do not necessarily represent the views of, and should not be attributed to, Wound Care Advisor. All clinical recommendations are intended to assist with determining the appropriate wound therapy for the patient. Responsibility for final decisions and actions related to care of specific patients shall remain the obligation of the institution, its staff, and the patients’ attending physicians. Nothing in this information shall be deemed to constitute the providing of medical care or the diagnosis of any medical condition. Individuals should contact their healthcare providers for medical-related information.
Here is a list of valuable ostomy resources, some suggested by our colleagues who follow Wound Care Advisor on Twitter.
United Ostomy Association of America
The United Ostomy Association of America provides comprehensive resources for patients, including information about the types of ostomies and issues related to nutrition, sexuality, and travel. Much of the information is also available in Spanish and can be downloaded for free from the website. (more…)
Have you ever had an idea for improving patient care that you wanted to market? You may have lacked confidence or know-how, as I once did. But one patient, a crafty idea, and a trip to Walmart put me on the path to becoming a successful nurse entrepreneur. (more…)
