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Today's Wound Clinic
04/09/2012
During the past several decades, major advances have been made in the practice of wound care. Research has generated insights that have lead to the realization that chronic wounds have molecular, microbiological, and clinical characteristics that distinguish them from acute, healing wounds. As a result, practitioners have actively looked at coordinated cellular and biochemical events that take place in wound healing, while manufacturers of wound care products have partnered with practitioners to identify materials that assist in the management of simple and complex wounds. At the same time, standards for describing and documenting skin and wounds are being disseminated in many forms to assist the practitioner in documenting what is assessed.
Today's Wound Clinic
05/09/2012
Every action in the body, from the cellular level to the level of gross motor function, begins as an electrical impulse. Exogenously applied electrical energy is something any wound care clinician should consider using to augment what is already a function of natural healing. When it comes to chronic wounds, electrical stimulation (ES), one of several biophysical technologies, is known by those healthcare providers who employ its use to be one of the most cost effective, therapeutically efficacious tissue repair and wound healing accelerators in the industry today.1 By restoring the natural electrical potentials necessary for cellular activities that have become stalled, ES re-establishes and intensifies healing processes.2,3
Today's Wound Clinic, Wound Care
02/15/2021
Near-infrared spectroscopy (NIRS) is increasingly displaying potential for wound management. Offering several case studies, these authors explain NIRS technology and explore its usage in the wound clinic.
Near-infrared spectroscopy (NIRS) is a mature technology with broad applications, including in agriculture, neuroscience, analytical chemistry, and increasingly in wound care.
Today's Wound Clinic, Wound Care
09/15/2016
The organisms residing in biofilms are dormant and represent a therapeutic problem. Management of biofilm relies on surgical debridement and utilization of antimicrobial agents that can eliminate biofilm-associated microorganisms.
Today's Wound Clinic, Wound Care
09/30/2019
The patient’s care doesn’t always end with a closed wound, especially when it comes to offloading and total contact casts.
As the adage goes, “an ounce of prevention is worth a pound of cure.” But what happens to diabetic foot ulcers (DFU) after they progress through the phases of healing? It’s true that our patients are ecstatic when their wounds reach closure, but does that really signal that they are finished with their wound care? It shouldn’t. And there are specific assessments post-offloading that all wound care clinicians must be vigilant about.
Today's Wound Clinic, Wound Care
10/01/2021
Infection is the presence of micro-organisms that damage body tissues and elicit a host defensive inflammatory response. Timely diagnosis is critical to get the infection in check and prevent the sequalae of infection-associated complications and their associated costs to the patient and health system. Yet diagnosis can be a puzzle, even for the most experienced wound clinician, with many factors we must consider.
Today's Wound Clinic
10/06/2016
As an experienced wound care provider who’s been staffed in numerous outpatient clinics for nearly 30 years, I find myself asking the same series of questions when meeting with program managers and hospital administrators: “How do you intend to run a successful wound clinic if basic tenets of care are not being utilized or utilized consistently? What are your goals pertaining to care quality? How are you planning to meet those goals? How is vital information and education being disseminated at various levels throughout your organization?
Today's Wound Clinic
11/16/2016
Today, more than one century after three Nobel prizes were awarded for its discovery, we have clear evidence that this so-called vitamin is in fact a pleiotropic steroid hormone similar to other steroid hormones. What’s the impact on wound healing?
Today's Wound Clinic
12/15/2015
Indocyanine green fluorescence vascular angiography (FVA, or ICG imaging) provides a dynamic view of tissue perfusion at the microvascular level.
Today's Wound Clinic, Wound Care
07/03/2017
As clinicians wage “war” against chronic wounds, choosing the proper debridement “weapon” with which to do battle can be challenging and fraught with risks. This article discusses wound debridement approaches, as well as the pros and cons of each.
Today's Wound Clinic
01/04/2021
Modern molecular pathology laboratory practices are bringing their cutting edge genetic and molecular diagnostic techniques to contain costs in wound care. Customized pathogen panels offer the rapid detection of a multitude of microorganisms and treatment resistance assessment, with biofilm analysis, which can be coupled with a wound specialty pharmacy’s recommendation that specifies an appropriate custom compounded medication for each patient's wound. As these authors detail, the result is a substantial decrease in cost to treat, days to heal, and hospital readmittance rate.
Today's Wound Clinic, Wound Care
11/07/2018
Insurance restrictions and clinical guidance may preclude patients from receiving HBOT. But the lack of oxygen experienced by those living with COPD and sleep apnea may be more troubling for outpatient clinics when trying to heal wounds.
Today's Wound Clinic
06/12/2012
While many comorbidities have the potential to impact wound healing, this is especially true of diabetes mellitus (DM), a common disease among patients living with wounds. The impairments related to the disease state of DM affect all wound etiologies and impair all phases of healing. Healthcare professionals must understand the DM disease process and its implications in order to promote optimal wound healing. While another provider oversees the medical management and coordinates the team care of DM, the wound care clinician should ensure adequate control of the disease is met.
Today's Wound Clinic, Wound Care
05/13/2019
Successful healing of wounds is achievable in patients with muscular dystrophy with an interdisciplinary approach. What role does the outpatient clinic play?
Patients who live with muscular dystrophy and present with wounds are oftentimes medically complex and therefore can be perplexing to treat. Knowledge of the unique medical diagnosis, associated risk factors, comorbidities, and how these affect wound development and healing are important to identify and contemplate for effective treatment strategies.
Today's Wound Clinic, Wound Care
07/03/2017
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure information accuracy. However, HMP Communications and the author do not represent, guarantee, or warranty that coding, coverage, and payment information is error-free and/or that payment will be received. The ultimate responsibility for verifying information accuracy lies with the reader.
Today's Wound Clinic, Wound Care
03/31/2017
… by a competitor more adept at providing follow up. Rafael Mazuz is the managing director of Diligence Wound Care Global …
Today's Wound Clinic
05/24/2007
Several times a week, wound care professionals call with questions about their wound clinics. Following are the top 10 questions that were asked in 2006 — common concerns among wound care centers. We present these questions as reassurance: if you have these dilemmas, you are not alone.
Today's Wound Clinic, Wound Care
06/08/2017
In our continued series on skin care in the wound clinic, this article discusses the utilization of wound healing products containing small molecule nutrients, including those offering plant-derived biologics, to promote rapid healing and to decrease risk of infection following surgery.
Today's Wound Clinic
05/11/2011
(Note: All Listing Are Based on the Opinion and Claim of the Individual Company)
Well Care Strategies, Inc. (formerly Wound Care Strategies, Inc.)
Harrisburg, PA, San Francisco, Washington, DC
Founded: 1995 • WellCareStrategies.com • Cathy@wcscare.com
Today's Wound Clinic
01/13/2016
Antimicrobials, especially antibiotics, are now under great scrutiny due to issues with emerging antibiotic resistance, secondary infections, and increased cost. What is the best prevention and/or treatment for the patient with present resources, and how can present tools be preserved for future patients?