Venous Leg Ulcer

Healing results of chronic lesions after treatment with a new debriding agent, Topical Desiccation Agent

Introduction: Debridement, the removal of biofilm and necrosis, is an essential step in wound healing since, with these detrimental aspects present, (chronic) wounds will not heal. Debrid...

Michel H.E. Hermans , MD;

08/19/2021

Reducing Slippage of Multilayer Compression Bandages in Patients with Chronic Lipodermatosclerosis

Introduction: Patients with long-standing venous insufficiency will often develop chronic lipodermatosclerosis (LDS). LDS is a form of panniculitis, with signs and symptoms including pain...

Emily Greenstein , APRN, CNP, CWON, FACCWS;

Anthony Tickner , DPM, FRCPS, FACCWS, FAPWH, FAPWCA;

08/19/2021

Compression Is Key: Silver, Elastic Compression Stockinet, and Hyper-Absorbent Felt in Direct Contact with VLU Granulation Tissue Reverses Comorbid Inflammation, Pain, and Exudate That Delays Effective Compression Therapy

Problem: The triad, bacterial inflammation, painful dermatitis, and exudate with skin maceration, can delay effective wound clinic compression for months resulting in venous leg ulcer (VL...

Marta Ostler , PT, CWS, CLT, DAPWCA, CCS;

10/25/2019

Letter from the Editor

Goodbye Volume, Hello Value

09/30/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

How much of your time do you spend focused on volume-based payment (the way you have always done things) vs. the new value-based system? Are you beginning the transition away from volume-based payment, or hoping you can retire before you have...

How much of your time do you...

09/30/2019

Today's Wound Clinic

Let's Be Frank

Managing the ‘Weepy Leg’ of Chronic Wound Edema

09/04/2019

Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC;

When treating excessive lower extremity drainage due to edema, complete decongestive therapy can go a long way to resolve a “weepy leg.”

When treating excessive lower...

09/04/2019

Today's Wound Clinic

From the Editor

How NPWT Changed Wound Care and Why We Need to Think Like Oncologists

09/03/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

My suite-mate in college used to refer to vacuuming as “Hoovering.” The first manufacturer of technology often becomes synonymous for the technology itself. I still remember the first time a representative from KCI came to talk to me about a...

My suite-mate in college used to...

09/03/2019

Today's Wound Clinic

Letter from the Editor

A Way to Save Wound Care

08/02/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

Normally we would remove a physician with numbers like that from our provider network.” That’s what the chief medical officer of a clinically integrated network (CIN) said on this week’s monthly physician advisory board conference...

Normally we would remove a...

08/02/2019

Today's Wound Clinic

CMS

The Uphill Path to Value-Based Wound Care with Nutritional Assessment

07/03/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

For decades, payment for most outpatient healthcare services has been based on the volume of services delivered. This approach can create perverse incentives for practitioners to provide more numerous or more expensive treatments than...

For decades, payment for most...

07/03/2019

Today's Wound Clinic

From the Editor

For Wound Care Formularies, It’s the Infrastructure, Stupid

06/07/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

A 2018 Navigant report1 found that two-thirds of health systems saw operating income decline between fiscal year (FY) 2015 and FY 2017. Among those hospitals experiencing a decline in operating earnings, the average drop was a staggering 44%....

A 2018 Navigant report1 found...

06/07/2019

Today's Wound Clinic

Let's Be Frank

Wound Dressing Selection Is More Than a Choice

06/07/2019

Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC;

The use of dressings to treat chronic wounds dates back to ancient times. But as we all well know that time does not truly heal all wounds, and certainly not chronic wounds, we also know that not all dressings heal all wounds. It’s what we do...

The use of dressings to treat...

06/07/2019

Today's Wound Clinic