Ask the treatment expert
We are evaluating preventive and therapeutic support surfaces for our beds. What should we consider most?
Our number of wounds has not changed, yet our wound care dressing expenses have gone up. How can I get them under control?
How can I use benchmarking data to improve my pressure injury program?
What should be on our temporary care plan for skin integrity?
How do we evaluate whether our pressure injury program is ready for the new survey process?
How can we make our skin integrity meetings proactive and prevent pressure injuries?
What are the significant changes from F314 Pressure Sores to F686 Skin Integrity, "Pressure Ulcers," which takes effect in November?
I'm a wound care nurse new to long-term care, and I want to develop a skin care team. Whom should I consider for team members?
Is it best practice, for consistency, to have only the wound nurse measure, stage and assess pressure injuries?
What type of tissue is found in a pressure injury?
What are the most effective wound dressings?
How can repositioning and mobilization be most effective in preventing pressure injuries in this day and age?
Can you help us improve treatment of diabetic foot ulcers?
How do nutrition assessment and interventions support pressure injury prevention?
Why are formalized pressure injury risk assessments so important?
On the heels of Pressure Injury Prevention Day (November 17), what are the most important measures for pressure injury prevention?
I've heard the term epibole used for wound healing but don't understand exactly what it is, how to recognize it or what the proper treatment is. Can you explain?
What is the role of our clinicians in treating foot ulcers associated with a diagnosis of diabetes?
When eschar is present, what are the best practices for treating pressure injuries that occur on the heel?
In addition to the change in terminology from pressure ulcer to injury, NPUAP's April 13, 2016, press release announced refined descriptions of pressure injury (ulcer) stages.
Ask the Treatment Expert about ... what NPUAP's new "pressure ulcer" definition means for providers?July 04, 2016
The National Pressure Ulcer Advisory Panel announced a number of changes in April, including replacing the term "pressure ulcer" with "pressure injury" and modifying stage definitions.
Information sharing is essential to promote quality wound care. Although there are no national, state or local regulations related to wound care documentation, individual skilled nursing facilities must have well thought-out and written policies and procedures.
I recently admitted my first resident with a surgical incision with staples intact in a hip wound. Do you have tips on how to care for this wound?
Are all blisters pressure ulcers and if they are, how should they be staged?
I have a colleague who would like to trial maggot therapy. Can you provide some information about it?
I am treating a resident who is receiving palliative care with a Stage III pressure ulcer on the right trochanter and a Stage IV pressure ulcer on the sacrum. How should I treat these pressure ulcers?
Do you have any guidance about the type of linen to use on support surfaces with a resident who is high-risk for pressure ulcer development?
Do you have any ideas on how to address the problem of pressure ulcers with my staff?
Are there any changes related to nutrition and wound healing we should know about?
What is the lower-extremity problem we're most likely to see?
How should we deal with what seems to be a deluge of foot ulcers?
How do you handle people obsessed with leg sores?
Turning, repositioning and mobilization are important interventions to assist in pressure ulcer prevention. Many clinicians continue to maintain an every two-hour turning intervention that has been indicated for years.
As a foundation to heading into the rest of 2015, here is a review of the basic wound care principles.
What can you tell us about the new 2014 edition of "Prevention and Treatment of Pressure Ulcers: Clinical Practice Guidelines"?
Can you give some guidance on skin tears?
Does placing multiple pads and linens under residents who are incontinent protect their skin?
Have you heard that most clinicians are in agreement that there are unavoidable pressure ulcers?
While moisture promotes wound healing, what about those wounds that have a lot of drainage?
Did your mom or grandmother ever tell you to leave a wound open so it could get air?
What do you do when staff disagree about the stage of an ulcer?
What is your advice about measuring wounds?
Can you give me some guidelines regarding when I should start negative pressure wound therapy and when it should be discontinued?
I am a registered nurse and very interested in wound care. I understand that there are some general "wound healing principles." Can you explain?
Can you explain the purpose of a pressure map and the usefulness when evaluating the function of a therapeutic support surface?
Are wound cultures the best method to determine if a wound is infected?
Can you supply a good primer for aides and others to determine whether a wound is infected?
Should incontinence briefs be used in the long-term care setting?
I am treating a patient with two Stage IV pressure ulcers and he is complaining of extreme pain. What do you recommend?