From The Journal

Extracorporeal Shock Wave Therapy as an Adjunct Wound Treatment: A Systematic Review of the Literature

Standard care procedures for complex wounds are sometimes supported and reinforced by physical treatment modalities such as extracorporeal shock wave therapy (ESWT). To evaluate available evidence of ESWT effectiveness in humans, a systematic review of the literature was conducted using MEDLINE, PubMed, Scopus, EBSCOhost, and PEDro databases....

Transcutaenous Electrical Nerve Stimulation to Manage a Lower Extremity Wound Complicated by Peripheral Arterial Disease: A Case Report

Transcutaneous electrical nerve stimulation (TENS) is used to alleviate muscle pain, and there is some evidence it may affect healing in chronic wounds. An 80-year-old male patient with a chronic left lower extremity wound and a history of peripheral arterial disease, type 2 diabetes, hypertension, chronic obstructive pulmonary disease, and lung cancer presented for treatment. Previous protocols of care, mainly consisting of sharp debridement and daily dressing changes, had not resulted in a decrease in wound size....

A Retrospective, Quality Improvement Review of Maggot Debridement Therapy Outcomes in a Foot and Leg Ulcer Clinic

Maggot debridement is the deliberate use of larvae known to consume only necrotic tissue. A retrospective quality improvement analysis of maggot debridement therapy (MDT) was conducted among patients with devitalized tissue or gangrene attending a Canadian foot and leg ulcer clinic who received MDT between January 2001 and June 2006....

Editorial Opinion

From the Editor

Medicine is as much art and creativity as it is science; our niche is a microcosm of the ingenuity and persistence needed to maintain and/or achieve health and healing. Clinicians in this field seem especially willing to try anything (using evidence-based methods, of course) when nothing seems to work.

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Featured Column

A Clinical Minute

The main challenges associated with complex wounds include the need for multiple modalities, limitations of advanced therapies, and underlying disease concerns. In my wound care clinic patient population, these complex patients are the norm.

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Featured Department

My Scope of Practice

Mary Haddow, RN, CWCN, has deemed herself a poster child for delicate, at-risk skin. “I have struggled with managing delicate, at-risk skin all of my life,” she says. “Self-preservation was and remains an underlying motivator for why I decided to focus on wound care.”

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