Ask the treatment expert

Ask the treatment expert ... about timing negative pressure wound therapy

Ask the treatment expert ... about timing negative pressure wound therapy

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Can you give me some guidelines regarding when I should start negative pressure wound therapy and when it should be discontinued?

Ask the treatment expert ... about wound healing principles

Ask the treatment expert ... about wound healing principles

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I am a registered nurse and very interested in wound care. I understand that there are some general "wound healing principles." Can you explain?

Ask the treatment expert ... about pressure maps

Ask the treatment expert ... about pressure maps

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Can you explain the purpose of a pressure map and the usefulness when evaluating the function of a therapeutic support surface?

Ask the treatment expert ... about wound cultures

Ask the treatment expert ... about wound cultures

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Are wound cultures the best method to determine if a wound is infected?

Ask the treatment expert ... about signs and symptoms of wound infection

Ask the treatment expert ... about signs and symptoms of wound infection

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Can you supply a good primer for aides and others to determine whether a wound is infected?

Ask the treatment expert ... about incontinence briefs

Ask the treatment expert ... about incontinence briefs

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Should incontinence briefs be used in the long-term care setting?

Ask the treatment expert ... about treating pressure ulcer pain

Ask the treatment expert ... about treating pressure ulcer pain

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I am treating a patient with two Stage IV pressure ulcers and he is complaining of extreme pain. What do you recommend?

Ask the treatment expert ... about pressure ulcer documentation

Ask the treatment expert ... about pressure ulcer documentation

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How much do we have to document risk and implemented interventions to prevent pressure ulcer development?

Ask the treatment expert ... about negative pressure wound therapy

Ask the treatment expert ... about negative pressure wound therapy

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Q: What are your thoughts on accelerating wound healing in chronic wounds with adjunctive therapies? A: With chronic wounds, the healing process is slowed or in some cases, completely stalled. Therefore, the healing time exceeds four weeks. Some examples of chronic wounds include pressure ulcers, vascular ulcers and ulcers related to inflammatory diseases.

Ask the treatment expert ... about identifying pressure ulcers

Ask the treatment expert ... about identifying pressure ulcers

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How do you deal with the age-old question "Is it a pressure ulcer or not?" Many healthcare professionals are frequently faced with the dilemma of how to document a reddened area on the buttocks, peri-rectal area or perineal area. Is this a pressure ulcer or is the underlying etiology totally different?

Ask the treatment expert ... about 'micro movements' in bed

Ask the treatment expert ... about 'micro movements' in bed

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I recently read an article addressing the movement of patients while in bed. It was conducted in the United Kingdom and contains valuable information.

Ask the treatment expert ... about friction and pressure ulcers

Ask the treatment expert ... about friction and pressure ulcers

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What role does friction play in pressure ulcers?

Ask the treatment expert ... how to manage painful wounds

Ask the treatment expert ... how to manage painful wounds

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We continue this month on how to manage painful wounds.

Ask the treatment expert ... about the relationship of pain and wounds

Ask the treatment expert ... about the relationship of pain and wounds

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How can we best identify pain associated with wounds?

Ask the treatment expert: What are some of the documentation things nurses often miss?

Ask the treatment expert: What are some of the documentation things nurses often miss?

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A useful resource, "Wound Care Made Incredibly Visual," offers an acronym that may be helpful in highlighting information that should be included when documenting about wounds: WOUNDD PICTURE

Ask the treatment expert: What is the best way to treat a yeast infection?

Ask the treatment expert: What is the best way to treat a yeast infection?

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This is a question that often surfaces, so it may be useful to review the definition, causes, recognition and treatment of "yeast infections."

Ask the treatment expert: How should we calculate pressure ulcer prevalence?

Ask the treatment expert: How should we calculate pressure ulcer prevalence?

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Prevalence is defined as a cross-sectional count of the number of cases at a specific point in time, or the number of people with pressures ulcers who exist in a patient population at a given point in time.

Do you recommend Negative Pressure Wound Therapies?

Do you recommend Negative Pressure Wound Therapies?

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If you do not currently use Negative Pressure Wound Therapy (NPWT) you may want to investigate and consider this excellent option.

Ask the treatment expert: What effect does xerosis have on pruritus?

Ask the treatment expert: What effect does xerosis have on pruritus?

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Xerosis, dry skin, can cause the skin to become scaly and crack, which increases the skin's exposure to bacteria. Many factors contribute to dry skin.

Ask the treatment expert: Are allergies to wound care products common?

Ask the treatment expert: Are allergies to wound care products common?

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Years ago, this question wouldn't have even made our radar screen. However, now it seems a standard consideration since allergies have become increasingly prevalent.

Ask the treatment expert: What should I watch out for when treating darkly pigmented skin?

Ask the treatment expert: What should I watch out for when treating darkly pigmented skin?

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Caregivers must be taught how to closely examine darkly pigmented skin in order to determine tissue damage. A purplish/blue discoloration may be seen.

Ask the treatment expert: Should treatment nurses be certified?

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I am definitely a proponent of education for treatment nurses. Continuing education is significantly important to all of us in long-term care, but especially for those directly involved in wound care.

What's the best way to prevent skin tears?

What's the best way to prevent skin tears?

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A skin tear is a traumatic wound resulting from separation of the epidermis (top layer) from the dermis (underlying layer). The aging process causes older adults to be at high risk for skin tears.

Ask the treatment expert: When are clean and sterile dressing techniques indicated?

Ask the treatment expert: When are clean and sterile dressing techniques indicated?

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This question is often asked. Wound care specialists debate among themselves as to when to use sterile technique and when to use clean technique.

Ask the treatment expert: What should I know about ischemic and diabetic ulcers?

Ask the treatment expert: What should I know about ischemic and diabetic ulcers?

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Some of the risk factors that may contribute to development of these ulcers include atherosclerosis, hypertension, diabetes mellitus, smoking and dyslipidemia.

Ask the treatment expert: What are the key points of caring for venous stasis wounds?

Ask the treatment expert: What are the key points of caring for venous stasis wounds?

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Risk factors that may contribute to development of venous stasis ulcers include history of leg swelling, varicose veins, history of blood clots, deep vein thrombosis, obesity, sedentary lifestyle, prolonged sitting or standing, increasing age and associated immobility, multiple pregnancies, congestive heart failure and smoking.

Ask the treatment expert: What are the most important things to know about lower-extremity ulcers?

Ask the treatment expert: What are the most important things to know about lower-extremity ulcers?

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: Are there new repositioning guidelines for preventing pressure ulcers?

Ask the treatment expert: Are there new repositioning guidelines for preventing pressure ulcers?

By

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: What is the PUSH Tool

Ask the treatment expert: What is the PUSH Tool

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: What is the best way to measure a wound?

Ask the treatment expert: What is the best way to measure a wound?

By

Susan Wickard, RN, BSN, CWCN, CWS, CLNC Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: What dressing works best on dry wounds?

Ask the treatment expert: What dressing works best on dry wounds?

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Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: What's the best dressing for wet wounds?

Ask the treatment expert: What's the best dressing for wet wounds?

By

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: What is the acronym for Principles of Topical Therapy?

Ask the treatment expert: What is the acronym for Principles of Topical Therapy?

By

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: Which vitamins and supplements promote wound healing?

Ask the treatment expert: Which vitamins and supplements promote wound healing?

By

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

Ask the treatment expert: Is an infection indicated after two weeks without healing?

Ask the treatment expert: Is an infection indicated after two weeks without healing?

Susan Wickard, RN, BSN, CWCN, CWS, CLNC, Clinical Advisor, American Association for LTC Nursing

What is xerosis?

What is xerosis?

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: Defining lower extremity ulcers

Ask the treatment expert: Defining lower extremity ulcers

By

Donna Sardina, RN, MHA, WCC

Terminology for skin rashes

Terminology for skin rashes

By

Donna Sardina, RN, MHA, WCC,President, Wound Care Education Institute

Ask the treatment expert: Pressure ulcers and vitamin supplements

Ask the treatment expert: Pressure ulcers and vitamin supplements

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: defining the tissue types seen in pressure ulcers

Ask the treatment expert: defining the tissue types seen in pressure ulcers

By

Donna Sardina, RN, MHA, WCC, President, Wound Care, Education Institute

Ask the treatment expert: treating eschar and blisters on the heels

Ask the treatment expert: treating eschar and blisters on the heels

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: signs to consider when assessing darkly pigmented skin

Ask the treatment expert: signs to consider when assessing darkly pigmented skin

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: tips for consistent wound measurements

Ask the treatment expert: tips for consistent wound measurements

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: tips for determining if a foot wound is a diabetic ulcer or a pressure ulcer

Ask the treatment expert: tips for determining if a foot wound is a diabetic ulcer or a pressure ulcer

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: What are the changes to the section M-skin conditions in the MDS 3.0?

Ask the treatment expert: What are the changes to the section M-skin conditions in the MDS 3.0?

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: Are wet-to-dry dressings substandard for optimal wound care?

Ask the treatment expert: Are wet-to-dry dressings substandard for optimal wound care?

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: Chux pads vs. disposable incontinent briefs with patients on a low-air-loss mattress

Ask the treatment expert: Chux pads vs. disposable incontinent briefs with patients on a low-air-loss mattress

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: treating denuded skin around a flush stoma

Ask the treatment expert: treating denuded skin around a flush stoma

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: Could a patient's recurring wound be osteomyelitis?

Ask the treatment expert: Could a patient's recurring wound be osteomyelitis?

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

Ask the treatment expert: What is wound exudate?

Ask the treatment expert: What is wound exudate?

By

Donna Sardina, RN, MHA, WCC, President, Wound Care Education Institute

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