I'm interested in taking the CWCA exam, but a friend of mine mentioned that the WCC is better. What is the difference between the two?
Volume 55 - Issue 4 - April, 2009
Deep Tissue Injury from a Bioengineering Point of View
- Mon, 4/20/09 - 1:45pm
- 1 Comments
- 9266 reads
Abstract: The phrasing of the National Pressure Ulcer Advisory Panel’s (NPUAP) definition of deep tissue injury (DTI) was based on case reports, clinical observations, and experience. Although etiological studies of DTI, primarily related to characterizing biomechanical factors affecting onset and progression, support and strengthen parts of the NPUAP’s definition, some recent findings suggest a need to re-evaluate the wording and perhaps refine future definitions of DTI. Application of existing bioengineering research to underlying biological, physical, biomechanical, and biochemic
Clinical Experience with Wound Biofilm and Management: A Case Series
- Mon, 4/20/09 - 1:54pm
- 0 Comments
- 14332 reads
Abstract: Biofilm is a relatively new concept in the fields of infectious disease, wound infection, and healing. Although scientific research and “noise” regarding wound biofilm is increasing, little is known about the presentation, diagnosis, potential implications, and management strategies regarding wound biofilms. A series of four clinical cases is utilized to demonstrate the existence of wound biofilm. All patients presented with or developed a film on the wound bed that appeared to be distinct from slough; wounds also were failing to progress. Although the slough in some of th
Reducing Pressure Ulcer Prevalence Rates in the Long-Term Acute Care Setting
- Tue, 4/21/09 - 9:53am
- 1 Comments
- 10725 reads
Abstract: Information about pressure ulcer prevalence, prevention, and optimal management strategies in the long-term acute care hospital (LTACH) setting is sparse. Although care processes in other patient care settings have been reported to affect pressure ulcer prevalence rates, the effect of such programs in the LTACH is unknown. To reduce perceived above-average pressure ulcer prevalence rates and improve care processes, a 108-bed LTACH used a failure mode and effects analysis to identify and address high-priority areas for improvement. Areas in need of improvement included a lack o
Global Climate Change and Wound Care: Case Study of an Off-season Vibrio alginolyticus Infection in a Healthy Man
- Tue, 4/21/09 - 10:07am
- 0 Comments
- 3839 reads
Abstract: Vibrio alginolyticus is a halophilic Gram-negative bacterium normally present in seawater. Vibrios are not capable of cutaneous invasion through intact skin and their isolation from extraintestinal sites is uncommon. However, interruptions in skin integrity (cuts or abrasions) can allow these bacteria to cause complicated skin and soft tissues infections. This case study describes the clinical assessment and management of a nonhealing traumatic wound, sustained in a coastal area during the winter months, in a healthy 70-year-old man. Culture results were positive for V. algino
Skin Cancers and Wounds in the Geriatric Population: A Review
- Tue, 4/21/09 - 11:40am
- 0 Comments
- 11346 reads
Abstract
Diagnosis of wound malignancy often remains elusive and is of particular concern in the geriatric population because the average age for presentation of squamous cell cancer is 70 years. Basal and squamous cell carcinoma, as well as Marjolin’s ulcer, may look like a chronic or acute wound, can develop in the wound itself, or be found in the scar tissue of these wounds. A complete patient history should include questions about sun exposure and personal and family history of skin cancer. Some wounds exhibit typical clinical signs of cancer — ie, raised borders, crusting — but man
On Immediacy, Accessibility, and Multi-Tasking
- Tue, 4/21/09 - 12:13pm
- 0 Comments
- 1395 reads
Growing up, I thought instant communication meant a string and two empty green bean cans strung across the breezeway between bedroom windows. One friend would yell to the other, “Pick up!” and a satisfying chat ensued (“What are you doing?” “Nothing. What are you doing?”) until one of us was called away. We thought it was the greatest thing ever.
In those days when you were on the phone (Green Giant or otherwise), you could perform only those tasks that could be accomplished in the immediate vicinity of the phone or as far as the phone cor
Healing wounds in long-term care
- Tue, 4/21/09 - 12:16pm
- 0 Comments
- 1370 reads
The study presented in Takahashi PY, Kiemele LJ, Chandra A, Cha SS, Targonski PV, A retrospective cohort study of factors that affect healing in long-term care residents with chronic wounds (Ostomy Wound Manage. 2009;55[1]:32–37) provides valuable insights into factors affecting healing in long-term care (LTC) residents with chronic wounds. A prospective cohort study1,2 conducted in several settings including LTC reported ulcer depth, characterized as partial-thickness or full-thickness, was a significant predictor of chronic wound healing time as well as perce
Accurate Assessment of Stage II Pressure Ulcers
- Tue, 4/21/09 - 12:21pm
- 0 Comments
- 4661 reads
Two recent events relate to pressure ulcers. In February 2007, the National Pressure Ulcer Advisory Panel (NPUAP) restated its definitions of and staging process for pressure ulcers. Included in the staging process are modifications of the original four stages plus new categories: deep tissue injury and unstageable. In October 2008, the Centers for Medicare and Medicaid Services (CMS) put into effect “non-payable codes” for Stage III and Stage IV pressure ulcers that develop in a hospital setting. These changes underscore the need to understand Stage II pressure ulcer s
Partners in Care
- Tue, 4/21/09 - 12:24pm
- 0 Comments
- 3496 reads
My mother had ulcerative colitis (UC). I have spent a lifetime aware of frequent bathroom visits, restricted diets, irritability, and side effects from medications, such as bloating and fatigue. Ultimately, my mom underwent a total colectomy with end ileostomy just before her 70th birthday; despite the challenges of adjusting to a new body image and managing a pouching system, she wonders why she didn’t have surgery sooner. My mom’s experience reinforces the importance of providing counsel, product choices, and education for individuals undergoing ostomy surgery in ord
The Face of Dedication
- Tue, 4/21/09 - 12:29pm
- 0 Comments
- 2270 reads
You're not obligated to win. You're obligated to keep trying to do the best you can every day
- Marian Wright Edelman
A graduate of the Texas Woman’s University (Denton, Tex) nursing program, Julie Ortiz, CWOCN, joined the staff of the University of Texas MD Anderson Cancer Center (MDACC, Houston, Tex) in 1996 as a medical surgical nurse; she became a research nurse in 1997. In the latter capacity, Julie worked with several surgeons in the center’s Department of Surgical Oncology. By 2002, ready for a career change, Julie left her researc
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