Overview. Holistic Approach 07/04/2014. My Resident Has a Chronic Wound. Wound Causes Factors that impair wound healing Wound Assessment
|
|
- Randell Watts
- 5 years ago
- Views:
Transcription
1 My Resident Has a Chronic Wound Now What??? Jolene Heil RN ET MClScWH April 8, 2014 Overview Wound Causes Factors that impair wound healing Wound Assessment Holistic Approach What is the cause of the wound? What factors are influencing healing of the wound? What are the patient s goals? Is this wound healable? 1
2 Wound Causes Pressure, friction, shear Venous insufficiency Arterial insufficiency Skin turgor Malignancy Surgery Factors that Impair Healing Mobility Moisture Nutrition & hydration Infection Circulation Hemodynamic Status Assess and Optimize Nutrition and Hydration Albumin & Prealbumin levels BUN : Creatinine Total Protein FBS, HgbA1C Serum Iron TIBC Ferritin Consult Registered Dietician Consult Speech- Language Pathology 2
3 Clinical Signs of Infection NERDS (Local) Non-healing Exudate increased Red (friable wound bed) Debris Smell (post irrigation) STONEES (Systemic) Size is bigger Temperature increased Os (probes to bone) New breakdown Erythema Edema Smell (post irrigation) Sibbald RG, 2006 Investigating Infection CBC ESR & CRP Probes to bone x-rays, MRI, bone biopsy What About C&S??? 3
4 Assess and Optimize Circulation Perform Ankle / Brachial Pressure Index Testing Toe pressures / PPG for Diabetics Compression wraps or stockings Hemodynamic Status Acute Illness Palliation Diabetes Hypothyroid Anemia Wound Assessment Exudate Odour Wound base Periwound skin Measurement Undermining / tunneling / Sinus tracts / abscesses 4
5 Choosing a Dressing Is the wound healable? What do I want the dressing to accomplish? Moist Wound Healing Wound Treatment Treat the CAUSE Treat the PATIENT Treat the WOUND 5
6 Questions? References Campbell KE&H,P. Proteases in Chronic Wounds: A Primer for Health Professionals. Rehab & Community Care Medicine 2003 Summer: Kane, D. Chronic Wound Healing and Chronic Wound Management. In: Krasner D, Rodeheaver G, Sibbald RG, editors. Chronic Wound Care: A Clinical Source for Health Professionals. 4th ed. Malvern, PA: HMP Communications; p Landis S; Ryan S; Woo K; Sibbald RG. Infection in Chronic Wounds. In: Krasner D, Rodeheaver G, Sibbald RG, editors. Chronic Wound Care: A Clinical Source for Health Professionals. 4th ed. Malvern, PA: HMP Communications; p RNAO. Risk assessment and prevention of pressure ulcers. 2011(Supplement) doi: Sibbald RG; Orstead H Schultz, GS; Coutts P; Keast D Preparing the wound bed 2003: Focus on infection and inflammation. Ostomy Wound Manage 2003;49(11): Sibbald RG, Coutts P, Woo KY. Reduction of bacterial burden and pain in chronic wounds using a new polyhexamethylene biguanide antimicrobial foam dressing-clinical trial results. Adv Skin Wound Care 2011 Feb;24(2): Sibbald RG et al., Increased bacterial burden and infection: The story of NERDS & STONES. Adv Skin Wound Care. 2006;19(4): Sibbald RG et al., Special considerations in wound bed preparation2011: an update. Adv Skin Wound Care 2011;24(9): White RJ, Cutting K, Kingsley A. Topical antimicrobials in the control of wound bioburden. Ostomy Wound Manage 2006 Aug;52(8): Woo K, Sibbald RG. A cross-sectional validation study of using NERDS and STONEES to assess bacterial burden. Ostomy Wound Manage 2009;55(8):40-8. Yager DR, Kulina RA, Gilman LA. Wound fluids: a window into the wound environment? Int J Low Extremity Wounds 2007 Dec;6(4):
Disclosures for Tarik Alam. Wound Bed Preparation. Wound Prognosis. Session Objectives. Debridement 4/26/2015
Disclosures for Tarik Alam Challenges in Managing Bioburden and Devitalized Tissue Tarik Alam RN, BScN, ET, MClSc(WH) Enterostomal Therapy Nurse tarikalam@hotmail.com Clinical Affairs Manager for Hollister
More informationWound Care for Hospitalists NANCY FOX RN BN IIWCC
Wound Care for Hospitalists NANCY FOX RN BN IIWCC SHEILA MOFFATT RN BN IIWCC ETN Disclaimer The presenters wish to inform all participants that they have not received any support from a commercial party
More informationMany patients with chronic wounds. Case reports. The use of Prontosan in combination with Askina Calgitrol : an independent case series
Case reports The use of Prontosan in combination with Askina Calgitrol : an independent case series Author: Liezl Naude Many patients with chronic wounds will develop infection (Landis et al, 2007; Sibbald
More informationIvory, John D.; Gethin, Georgina; McIntosh, Caroline
Provided by the author(s) and NUI Galway in accordance with publisher policies. Please cite the published version when available. Title Antimicrobial dressings for treating local infection in patients
More informationVenous Leg Ulcers. Care for Patients in All Settings
Venous Leg Ulcers Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a venous leg ulcer. The scope of the standard
More informationWound Assessment & Treatment
Wound Assessment & Treatment Cathy Lyle Advanced Practice Nurse Providence Care, SMOL site LTC Physicians CME June 2011 Outline l Is it healing? l Will it heal? l What colour is it? l How wet is it? l
More informationPressure Injury Assessment Guide South West Regional Wound Care Program Last Updated October 31,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationThe Triangle of Wound Assessment
The Triangle of Wound Assessment A simple and holistic framework for wound management CPWSC_TOWA_Brochure_210x210_2018.indd 1 10/01/2018 15.13 ? We asked healthcare professionals around the world about
More informationAssessment and Management of Pressure Injuries for the Interprofessional Team Third Edition RNAO Best Practice Guideline Launch
Assessment and Management of Pressure Injuries for the Interprofessional Team Third Edition RNAO Best Practice Guideline Launch October 4, 2016 12:00 pm to 1:00pm Who will be speaking today? Irmajean Bajnok,
More informationPressure Injuries: Prevention and Management. Sheila Moffatt RN BN IIWCC NSWOC
Pressure Injuries: Prevention and Management Sheila Moffatt RN BN IIWCC NSWOC Objectives for PI 1. Prevalence 2. Risk 3. Prevention 4. Recognize NPUAP 2016 PI categories/stages 5. Assessment and Treatment
More informationWound Classification. Overview
Overview Jeffrey A. Niezgoda, MD FACHM, MAPWCA, CHWS Review of Initial Wound Care Consultation Rational for Classification Wound Appearance Wound Etiology Management Algorithms Initial Wound Care Consult
More informationFoam dressings have frequently
The practical use of foam dressings Efficient and cost-effective management of excessive exudate continues to challenge clinicians. Foam dressings are commonly used in the management of moderate to heavily
More informationWound Assessment & Management
Wound Assessment & Management Kim Krog, RN, BScN, CRN(C ) Contributors: Carol Thompson, RN, BScN, CRN(C ) Mary Scarlet, RN, BScN, CRN (C) Objectives Review: Anatomy and physiology of skin Enhance knowledge
More informationDiabetic/Neuropathic Foot Ulcer Assessment Guide South West Regional Wound Care Program Last Updated April 7,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationMean percent reduction in ulcer area from baseline at six weeks 62 % SANTYL Ointment + supportive care* + sharp debridement 1 (P<0.
Evaluating two common adjuncts to sharp debridement in the treatment of diabetic foot ulcers Mean percent reduction in ulcer area from baseline at six weeks 62 % 40 % SANTYL Ointment + supportive care*
More informationWound Jeopardy: Name That Wound Session 142 Saturday, September 10 th 2011
Initial Wound Care Consult History Physical Examination Detailed examination of the wound Photographs Cultures Procedures TCOM ABI Debridement Management Decisions A Detailed History and Physical (wound)
More informationWOUND CARE. By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare
WOUND CARE By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare PRESSURE ULCER DIABETIC FOOT ULCER VENOUS ULCER ARTERIAL WOUND NEW OR WORSENING INCONTINENCE CHANGE IN MENTAL STATUS DECLINE IN
More informationWound Bed Preparation
Wound Bed Preparation December 2016 Table of Contents Quick Reference Guide 2 Purpose & Intent 4 Practice Outcomes 4 Background 4 Levels of Evidence 4 Wound Bed Preparation Paradigm 5 Dressing Selection
More informationULCERS 1/12/ million diabetics in the US (2012) Reamputation Rate 26.7% at 1 year 48.3% at 3 years 60.7% at 5 years
Jay Christensen D.P.M Advanced Foot and Ankle of Wisconsin 2-4% of the population at any given time will have ulcers 0.06-0.20% of the total population Average age of patients 70 years increased as more
More informationWOUND MANAGEMENT IN THE ELDERLY. Evelyn Cook, RN, CIC Associate Director
WOUND MANAGEMENT IN THE ELDERLY Evelyn Cook, RN, CIC Associate Director OBJECTIVES Discuss skin changes in elderly Discuss wound care management program Discuss infection prevention implications SKIN CHANGES
More informationSouth West Regional Wound Care Toolkit F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE)
F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE) F.5 SURGICAL WOUND (CLOSED AND OPEN) 5.1 Background to Etiology Closed surgical wounds are well-approximated with a palpable healing ridge
More informationDiabetic/Neuropathic Foot Ulcer Management Guide South West Regional Wound Care Program Last Updated April 8,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationAdvancing the science of wound bed preparation
Advancing the science of wound bed preparation How Drawtex wound dressing works LevaFiber Technology provides three different types of action. Mechanisms of Action Capillary Action Hydroconductive Action
More informationRN Cathy Hammond. Specialist Wound Management Service at Nurse Maude Christchurch
RN Cathy Hammond Specialist Wound Management Service at Nurse Maude Christchurch 14:00-14:55 WS #141: Wound Infection - What You Need to Know 15:05-16:00 WS #153: Wound Infection - What You Need to Know
More informationThe Proven Multifunctional Dressing
The Proven Multifunctional Dressing belongs to an innovative class of multifunctional wound care dressings. dressings effectively cleanse, fill, absorb and moisten wounds throughout the healing continuum.
More informationExudate in the early stages of wound healing
Products & technology Wound management with the Biatain Silicone foam dressing: A multicentre product evaluation Authors: Hugues Cartier, Simon Barrett, Karen Campbell, Jan Forster, Mike Schmalzbauer,
More informationUncovering the Pressure Ulcer Coverup Rhonda Kistler RN MS CWON Wound Care Concepts Gentell
Uncovering the Pressure Ulcer Coverup Rhonda Kistler RN MS CWON Wound Care Concepts Gentell Objectives Identify the stages of pressure ulcer according to the depth of tissue destruction. Discuss the differences
More informationTIME CONCEPT AND LOCAL WOUND MANAGEMENT
TIME CONCEPT AND LOCAL WOUND MANAGEMENT B. BRAUN WOUND CARE INTRODUCTION: TIME is a global care framework used to implement appropriate care plans and promote wound healing Tissue Management Inflammation
More informationLower Extremity Venous Disease (LEVD)
Lower Extremity Venous Disease (LEVD) Lower Extremity Venous Disease (LEVD) Wounds Etiology Lower extremity venous leg ulcers are caused by chronic venous hypertension. Failure of valves in the veins or
More informationPressure Ulcers: 3 Keys to Pressure Ulcer Management. Evidence Based Prevention & Management. I have no financial conflicts of interest
Pressure Ulcers: Evidence Based Prevention & Management Madhuri Reddy, MD MSc I have no financial conflicts of interest I have nothing to disclose financially 3 Keys to Pressure Ulcer Management 1 3 Keys
More informationInternational Pressure Ulcer Guidelines Update Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI
International Pressure Ulcer Guidelines Update 2015 Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI Disclosure Aamir Siddiqui has listed no financial interest/arrangement
More informationSpinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre.
Spinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre. What does skin do? 1. It protects you. 2. It provides sensory information. 3. It helps
More informationGuidelines for the Treatment of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009)
Guidelines for the Treatment of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009) This guidance should be read in conjunction with your local dressing formulary and anti-biotic prescribing guidelines.
More informationWound Bed Preparation and Infected Wounds in Patients With Diabetes
Wound Bed Preparation and Infected Wounds in Patients With Diabetes Robert J. Snyder, DPM, MSc, CWS Professor and Director of Clinical Research, Barry University SPM, Miami Shores, Florida Immediate Past
More informationDEBRIDEMENT. Professor Donald G. MacLellan Executive Director Health Education & Management Innovations
DEBRIDEMENT Professor Donald G. MacLellan Executive Director Health Education & Management Innovations DEBRIDEMENT Principles - CSD Methods of Debridement Biopsy options PRINCIPLES OF WOUND MANAGEMENT
More informationWHY WOUNDS FAIL TO HEAL SIMPLIFIED
WHY WOUNDS FAIL TO HEAL SIMPLIFIED 10 Some of the common signs of failure to heal with possible causes and some interventions WHY WOUNDS FAIL TO HEAL There must be adequate supplies of nutrients and oxygen
More informationEffective Diagnosis of Local Wound Bed Infection. Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust
Effective Diagnosis of Local Wound Bed Infection Julie Hewish Senior Tissue Viability Nurse Oxford Health NHS Foundation Trust Localised Wound Bed Infection is the Result of imbalance between patient s
More informationSkin Tear Management Guide South West Regional Wound Care Program Last Updated April 10,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationHydroTherapy: A simple approach to Wound Management
Copyright Paul Hartmann Pty Ltd material may not be reproduced or used without written permission HydroTherapy: A simple approach to Wound Management HARTMANN Education Agenda Agenda Acute vs Chronic wounds:
More informationWound care has come a long
Caring for chronic wounds: A knowledge update Wound care is a lot more sophisticated than it used to be. Here s what you should know about assessing and managing chronic wounds. By Patricia A. Slachta,
More informationSuper Bugs vs Super Heroes: A Wound Care Perspective
Super Bugs vs Super Heroes: A Wound Care Perspective IPAC GTA Annual Education Day October 3 rd 2017 Zaynab Sheraly RN, BScN, MHSC, IIWCC Nicholas Joachimides RN, BScN, CRN(c), IIWCC, MClSc, MSc This document
More informationA review of the principles of treating the root cause of wounds, pain and wound healing, and local wound care
C O N F E R E N C E H I G H L I G H T S Update on Wound Bed Preparation: A review of the principles of treating the root cause of wounds, pain and wound healing, and local wound care PRESENTERS: R. GARY
More informationA Cross-sectional Validation Study of Using NERDS and STONEES to Assess Bacterial Burden
A Cross-sectional Validation Study of Using NERDS and STONEES to Assess Bacterial Burden Kevin Y. Woo, RN, MSc, PhD, ACNP, GNC(C), FACWCA; and R. Gary Sibbald, MD, FRCP (Med, Derm), MEd, FRCPC, FAPWCA
More informationDressings do not heal wounds properly selected dressings enhance the body s ability to heal the wound. Progression Towards Healing
Dressings in Wound Care: They Do Matter John S. Steinberg, DPM FACFAS Associate Professor, Department of Plastic Surgery Georgetown University School of Medicine Dressings do not heal wounds properly selected
More informationo Venous edema o Stasis ulcers o Varicose veins (not including spider veins) o Lipodermatosclerosis
Wound Care Equipment and Supply Benefits to Change for Texas Medicaid July 1, 2018 Effective for dates of service on or after July 1, 2018, wound care equipment and supply benefits will change for Texas
More informationVenous Leg Ulcer. A Complete Solution. Therapy Approach with Adapted Products
Venous Leg Ulcer A Complete Solution Therapy Approach with Adapted Products A Complete Solution for Venous Leg Ulcers No two wounds are the same, yet they share one thing: every wound needs the best possible
More informationThe clinical performance of PermaFoam cavity in the management of chronic wounds: a prospective, non-randomized clinical observation study
The clinical performance of PermaFoam cavity in the management of chronic wounds: a prospective, non-randomized clinical observation study Woundmanagement Summary In the treatment of patients with chronic
More informationAn investigation of Cutimed Sorbact as an antimicrobial alternative in wound management
An investigation of Cutimed Sorbact as an antimicrobial alternative in wound management G Kammerlander, E Locher, A Suess-Burghart, B von Hallern, P Wipplinger Abstract Background: Antimicrobial dressings
More informationWound Healing Community Outreach Service
Wound Healing Community Outreach Service Wound Management Education Plan January 2011 December 2011 Author: Michelle Gibb Nurse Practitioner Wound Management Wound Healing Community Outreach Service Institute
More informationINVESTIGATING: WOUND INFECTION
INVESTIGATING: WOUND INFECTION Diagnosing infection in surgical and other wounds involves nurses being able to observe the clinical signs in a wound rather than simply obtaining positive microbiology results
More informationHyperbarics in Diabetic Wound Care. Aurel Mihai, MD & Brian Kline, MD
Hyperbarics in Diabetic Wound Care Aurel Mihai, MD & Brian Kline, MD Presentation Outline The Scope of the Problem Important Definitions Standard Wound Care Hyperbaric Oxygen as an Adjunct Diabetic Foot
More informationEssity Internal. Taking the fear out of wound infection: conquering everyday issues
Taking the fear out of wound infection: conquering everyday issues Learning objectives 1. Identifying the cost which wound infection can have on both the patient and healthcare organisations 2. Understanding
More informationDEBRIDEMENT. In This Chapter. Chapter 8. Necrotic Tissue Eschar Slough Types of Debridement When Not to Debride...
Chapter 8 DEBRIDEMENT In This Chapter Necrotic Tissue.............................. 165 Eschar.................................... 165 Slough.................................... 166 Types of........................
More informationAcute and Chronic WOUND ASSESSMENT. Wound Assessment OBJECTIVES ITEMS TO CONSIDER
WOUND ASSESSMENT Acute and Chronic OBJECTIVES Discuss classification systems and testing methods for pressure ulcers, venous, arterial and diabetic wounds List at least five items to be assessed and documented
More informationAppropriate Dressing Selection For Treating Wounds
Appropriate Dressing Selection For Treating Wounds Criteria to Consider for an IDEAL DRESSING Exudate Management Be able to provide for moist wound healing by absorbing exudate or adding moisture Secure
More informationWound Care Program for Nursing Assistants-
Wound Care Program for Nursing Assistants- Wound Cleansing,Types & Presentation Elizabeth DeFeo, RN, WCC, OMS, CWOCN Wound, Ostomy, & Continence Specialist ldefeo@cornerstonevna.org Outline/Agenda At completion
More informationWound Management. E. Foy White-Chu, MD, CWSP
Wound Management E. Foy White-Chu, MD, CWSP E. Foy White-Chu, MD, CWSP Assistant Professor, OHSU Wound Medical Director, VAPORHCS List the Four Principles of Wound Bed Preparation Determine safe debridement
More informationAGONY FEET. The. of the. Prevention and management of diabetic foot ulcers
The AGONY of the FEET Prevention and management of diabetic foot ulcers By Margaret Falconio-West, BSN, rn, APN/CNS, CWOCN, DAPWCA Nearly 25 percent of people with diabetes will develop a diabetic foot
More informationPractice development. Ensuring that the correct antimicrobial dressing is selected
Ensuring that the correct antimicrobial dressing is selected Authors: David Keast, Christina Lindholm This article examines the various tools available to clinicians in the fight against the increase of
More informationDiabetic Foot Ulcers. Alex Khan APRN ACNS-BC MSN CWCN CFCN WCN-C. Advanced Practice Nurse / Adult Clinical Nurse Specialist
Diabetic Foot Ulcers Alex Khan APRN ACNS-BC MSN CWCN CFCN WCN-C Advanced Practice Nurse / Adult Clinical Nurse Specialist Organization of Wound Care Nurses www.woundcarenurses.org Objectives Identify Diabetic/Neuropathic
More informationDebridement within the context of the EWMA s debridement guidelines. Emil Schmidt WCNS SDHB - Otago
Debridement within the context of the EWMA s debridement guidelines Emil Schmidt WCNS SDHB - Otago EWMA Debridement Document Expert consensus document, 2013 Contents Mechanical debridement options Autolytic
More informationEffective Wound Healing: Getting Back to the Basics. Bill Richlen PT, WCC, DWC
Effective Wound Healing: Getting Back to the Basics Bill Richlen PT, WCC, DWC What Is Happening Currently? There is a lack of education in current wound care principles and evidence-based practice We have
More information4-layer compression bandaging system (includes microbe binding wound contact layer) Latex-free, 4-layer compression bandaging system
JOBST Comprifore JOBST Comprifore at a glance: provides effective levels of sustained graduated compression provides built in safety and ease of application Insures compliance and maximum healing for cost
More informationcomfortable healing customizable infection control antimicrobial exudate control evidence conformable biofilm control absorbency tested advanced
Next generation antimicrobial dressings AQUACEL Ag+ Extra and Ribbon antimicrobial absorbency tested comfortable strength infection control advanced exudate control evidence healing customizable protection
More informationDiagnosing wound infection - a clinical challenge
Diagnosing wound infection - a clinical challenge Keith F Cutting Merimbula, 5 th November 2010 Wound infection microbial load immune system microbial load + + + immune system infection host response Diagnosing
More informationPalliative Care. EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for. Treatment. Improving Quality of Care Based on CMS Guidelines 39
Treatment EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for Palliative Care Dealing with the end of a loved one s life is difficult enough, but when wound and skin care issues are involved, the decisions
More informationEWMA Educational Development Programme. Curriculum Development Project. Education Module. Wound Infection
EWMA Educational Development Programme Curriculum Development Project Education Module Wound Infection Latest revision: February 2014 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The Programme is designed
More informationCLINICAL EVIDENCE Negative Pressure Wound Therapy (NPWT)
CLINICAL EVIDENCE Negative Pressure Wound Therapy (NPWT) Endoform forms part of the NPWT strategy Endoform fits seamlessly with NPWT approaches. Utilize Endoform within the wound bed to help stabilize,
More informationConsider the possibility of pressure ulcer development
Douglas Fronzaglia II, DO, MS LECOM Institute for Successful Aging LECOM Institute for Advanced Wound Care and Hyperbaric Medicine Consider the possibility of pressure ulcer development 1 Identify ulcer
More informationBacterial impact on wound healing: From contamination to infection
Inc. Bacterial impact on wound healing: From contamination to infection POSITION PAPER www.awma.com.au Version 1.5 October 2011 Position Document of the Australian Wound Management Association (AWMA) Foreword
More informationEarly recognition and management of increased bacterial
CHAPTER 8 Infections in Chronic Wounds Stephan Landis, MD, FRCP(C); Siobhan Ryan, MD, FRCPC; Kevin Y. Woo, PhD, RN, FAPWCA; R. Gary Sibbald, BSc, MD, MEd, FRCPC (Med, Derm), MACP, FAAD, FAPWCA Objectives
More informationDiabetic/Neuropathic Foot Ulcer Management Guide South West Regional Wound Care Program Last Updated June 10,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationPressure Injury Complications: Diagnostic Dilemmas
Pressure Injury Complications: Diagnostic Dilemmas Aimée D. Garcia, MD, CWS, FACCWS Associate Professor, Department of Medicine, Geriatrics Section Baylor College of Medicine Medical Director, Wound Clinic
More informationWound bed preparation: TIME in practice
Wound bed preparation: TIME in practice Wound bed preparation is now a well established concept and the TIME framework has been developed as a practical tool to assist practitioners when assessing and
More informationWound Assessment Report
Wound Assessment Report Single Assessment, Single Wound Mary Taylor Assessment Patient ID MT4367147 Date of Birth 1939-4-18 Left Foot, Sole: Wound A Image taken 16-45-43 Area 1.7cm2 Perimeter 48mm Maximum
More informationCase 1. July 14, th week wound gel 3 cm x 2.5 cm = 7.5 cm². May 25, st wound gel on 290 days PI treatment 4 cm x 2.4 cm = 9.
2.5% Sodium Hyaluronate Wound Gel Study Cases Case 1 Patient with Lower Leg Ulcer Not Responding to Compression This patient was a 50-year old male patient with nonhealing right lower leg since January
More informationmade PRODUCTS FOR PRACTICE
PRODUCTS FOR PRACTICE made BPA easy Wounds International vember 2016 www.woundsinternational.com Introduction The mere presence of bacteria in chronic wounds may not indicate active infection or impair
More informationDiabetic Foot Ulcers. Care for Patients in All Settings
Diabetic Foot Ulcers Care for Patients in All Settings Summary This quality standard focuses on care for people who have developed or are at risk of developing a diabetic foot ulcer. The scope of the standard
More informationVenous Leg Ulcer. A Complete Solution. Therapy Approach with Adapted Products
Venous Leg Ulcer A Complete Solution Therapy Approach with Adapted Products A Complete Solution for Venous Leg Ulcers No two wounds are the same, yet they share one thing: every wound needs the best possible
More informationMaking the Most of your Dressing Products Catherine Hammond CNS/CNE
Making the Most of your Dressing Products 2013 Catherine Hammond CNS/CNE What do you need in your dressings cupboard? 2 Skin tear 3 4 Lack Confidence in Selecting Dressings? 5 Appropriate Use of Product
More informationWound, Ostomy and Continence Nursing Certification Board (WOCNCB) Certified Foot Care Nurse (CFCN) Detailed Content Outline
Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Certified Foot Care Nurse (CFCN) Detailed Content Outline Description Domain I: Assessment and Care Planning 010000 40 Task 1: Obtain focused
More informationProntosan. Clean. Easy Wound Healing. Wound Cleansing
Prontosan Clean. Easy Wound Healing. Wound Cleansing CoE Infection Control Prontosan the unique combination of Betaine & Polihexanide reduces healing time removes and prevents biofilm prevents infections
More informationLower Extremity Wound Evaluation and Treatment
Lower Extremity Wound Evaluation and Treatment Boni-Jo Silbernagel, DPM Describe effective lower extremity wound evaluation and treatment. Discuss changes in theories of treatment in wound care and implications
More informationX S ig n a ture a n d De sig n a tio n
South West Regional Wound Care Program Initial Wound Assessment Form Person s Name: Address: ID Number: Date: Telephone Number: Demographics and Vitals: Male Female DOB: Allergies: DD/MM/YYYY BP: Pulse:
More information3M Tegaderm Matrix Matrix Dressing. Conquer Non-healing. Wounds
Conquer Non-healing Wounds Chronic wounds Chronic wounds have been defined as those that fail to progress through a normal, orderly and timely sequence of repair. Or, wounds that pass through the repair
More informationDiabetic/Neuropathic Foot Ulcer Assessment Guide South West Regional Wound Care Program Last Updated June 10,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationSkin Care. promoting. Champions for Skin Integrity
Skin Care promoting TIP SHEET Use unscented, soap-free body wash Moisturise skin twice daily apply in the direction of hair growth Pat skin dry, do not rub Protect skin exposed to friction Eat a healthy
More informationBest Practice: What can Physical Therapists do to Create Change? Purpose
Best Practice: Assessment & Intervention for Patients with Wounds in Home Health What can Physical Therapists do to Create Change? Mitchell Brotsky, Kira D Annunzio Advisor: Tony D Alonzo Arcadia University
More informationWound Care Evaluation by Kris Dalseg MS PT CWS CLT
Wound Care Evaluation by Kris Dalseg MS PT CWS CLT This document is intended to describe a standard wound care evaluation for healthcare practitioners. In healthcare, all aspects of our treatment have
More informationUse of an outside force to remove nonviable. Wound Debridement Guide South West Regional Wound Care Program Last Updated March 12,
Worsening Tissue Damage Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term
More informationEvaluating the use of a topical haemoglobin spray as adjunctive therapy in non-healing chronic wounds a pilot study Liezl Naude
Evaluating the use of a topical haemoglobin spray as adjunctive therapy in non-healing chronic wounds a pilot study Liezl Naude Abstract Wound Management Specialist Eloquent Health & Wellness Centre, Pretoria,
More informationRecognizing Pressure Injury
Recognizing Pressure Injury Karen Zulkowski, DNS, RN Hawaii Recorded on March 8, 2017 1 A Little About Myself Executive editor of the Journal of the World Council of Enterostomal Therapists (JWCET) and
More informationCURRENT CONCEPTS IN PRESSURE INJURY PREVENTION AND CARE
CURRENT CONCEPTS IN PRESSURE INJURY PREVENTION AND CARE JOIE WHITNEY, PHD, RN, CWCN, FAAN PROFESSOR BIOBEHAVIORAL NURSING AND HEALTH SYSTEMS UNIVERSITY OF WASHINGTON HARBORVIEW ENDOWED PROFESSOR IN CRITICAL
More information2/11/2016. Palliative Wound Management Workshop. Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS Carolyn Brown Consulting
Palliative Wound Management Workshop Be the best that you can be! Carolyn Brown BS, MEd, RN, ARM, CWS, FACCWS Carolyn Brown Consulting 727-348-5856 cbjackwill@gmail.com Learner Objectives After attending
More informationDRESSING SELECTION SIMPLIFIED
10 DRESSING SELECTION SIMPLIFIED It must be recognised that no one dressing provides the optimum environment for the healing of all wounds (Mahoney, 2015) DRESSING SELECTION SIMPLIFIED Selecting the correct
More informationProfile of individuals who use wheelchairs as either their primary or secondary means of mobility. Some use 2 wheelchairs a manual inside and power
Profile of individuals who use wheelchairs as either their primary or secondary means of mobility. Some use 2 wheelchairs a manual inside and power outside. Wheelchair importance and produc
More informationPressure ulcer. Dressing Selection Guide, Protocol, & Procedure
Pressure ulcer Dressing Selection Guide, Protocol, & Procedure Sponsored by: Ferris Mfg. Corp. 16W300 83rd Street, Burr Ridge, IL 60527 USA Toll Free U.S.A.:800-765-9636 International: +1 630-887-9797
More informationType of Injury & Repair. Wound Healing 10/6/2009. Complex and dynamic process. Wound location influences healing. Surgical Incisions.
Wound Healing & Wound Healing Complex and dynamic process Results in restoration of anatomic continuity and function Need adequate nutrition, blood flow, and oxygen Type of Injury & Repair Surgical Incisions
More informationWOUND DRESSING Daily Dressing Packets
AMERIGEL WOUND DRESSING Daily Dressing Packets P R O D U C T I N F O R M AT I O N MSDS APPLICATION PROTOCOLS AmeriGel WOUND DRESSING Daily Dressing Packets A HYDROGEL WITH A UNIQUE AUTOLYTIC DEBRIDER Diabetic
More informationAssisted Living Resident Assessment (To be used when yes is indicated for skin issues under Section 5 of Assisted Living Resident Assessment)
Skin Assessment Current open skin areas: Yes No Current pressure ulcer: Yes No A. Stage 1 Ulcers Report based on highest stage of existing ulcers at its worst; do not reverse stage. Number of existing
More information