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 8 - August, 2009
A Randomized, Double-Blind, Placebo-Controlled Trial to Determine the Effects of Topical Insulin on Wound Healing
- Tue, 8/18/09 - 9:07am
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Abstract: Although the literature contains evidence demonstrating the beneficial effects of insulin on wound healing, no suitable method for the routine administration of insulin has been reported. A randomized, double-blind, placebo-controlled trial was conducted to determine the safety and efficacy of topical insulin on healing in 45 patients (29 men, mean age for both groups 40.62 years, range 12 to 71 years) with noninfected acute and chronic extremity wounds. Patients were randomly assigned to twice-daily topical application (spray) of 1 cc saline 0.9% for each 10 cm2 of wound with or wit
A Study of HVPC as an Adjunctive Therapy in Limb Salvage for Chronic Diabetic Wounds of the Lower Extremity
- Tue, 8/18/09 - 10:11am
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Abstract: Complex diabetic ulcers of the lower extremity can be slow to heal and may lead to amputation. A retrospective study was conducted to evaluate the effect of a form of electrical stimulation using high-voltage, pulsed current (HVPC) as an adjunct to a multidisciplinary approach to limb salvage for chronic diabetic wounds of the lower extremity. Data from 30 patients with diabetes (17 men, 13 women, mean age 65.8 ± 12.6 years, mean HgbA1c level = 8.2 ± 1.5, with varying comorbidities) and 45 wounds were reviewed. Mean wound duration before referral and treatment was 25.0 weeks (range
A Cross-sectional Validation Study of Using NERDS and STONEES to Assess Bacterial Burden
- Tue, 8/18/09 - 10:50am
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Abstract: All chronic wounds are colonized by micro-organisms. Although the presence of bacteria is not necessarily harmful, and may be beneficial in some instances, accurate evaluation of wound-related bacterial damage and infection is crucial. A cross-sectional validation study involving 112 patients was conducted to estimate the specificity and sensitivity of clinical assessment variables individually and in combination to determine the presence and quantity of bacteria in the wound. The average age of study participants was 66 years (range 33 to 95 years) and most had leg (44) and foot (68
Utilization of Bovine Acellular Dermal Matrix for Abdominal Wall Reconstruction: A Retrospective Case Series
- Tue, 8/18/09 - 11:18am
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Abstract: Abdominal wall reconstruction using nonabsorbable synthetic material can be challenging due to the risk for bacterial colonization and subsequent complications. Bioprosthetic materials are a safe alternative that can facilitate soft tissue reconstruction, including abdominal wall repair. To assess the short-term outcomes of using a bovine acellular dermal matrix in contaminated postsurgical wounds, charts of all patients who were managed using the bovine acellular dermal matrix between November 2006 and July 2007 were reviewed. Six related procedures were performed in five patients:
Use of Negative Pressure Therapy on Closed Surgical Incisions: A Case Series
- Thu, 8/20/09 - 4:16pm
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Abstract: Multiple patient comorbidities and environmental factors increase the risk of incisional wound complications. The literature suggests that negative pressure therapy (NPT) on clean closed surgical incisions may help reduce the risk of wound infections and other complications. In this case study, NPT was applied in the operating room to clean closed surgical wounds in four high-risk patients (two men, two women) following coronary artery bypass grafting using bilateral internal mammary arteries, transmetatarsal amputation, and abdominal hysterectomy. All wounds healed well. These resul
Healing the Wounds of American Healthcare: Investing in Our Future
- Tue, 8/18/09 - 12:42pm
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Whatever change we pursue, we will need to work together to reform healthcare.
We beseech clinicians to be part of the healthcare change endeavor.
— Dr. Henry D’Silva1 (Ostomy Wound Management 2008)
During the past 12 months, much more has been said than done about health insurance and healthcare reform. Hopefully, you have been part of the discussion. If not, it is not too late to give voice to your concerns. In August, members of Congress are back in their districts and away from the lobbyists in Washington — your opportunity to mak
Treating Stage III Pressure Ulcers
- Tue, 8/18/09 - 12:48pm
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The most important approach in managing Stage III pressure ulcers is a complete assessment of total patient needs. Assessment usually includes wound type, location, measurement, and duration; nutrition; mobility; mental status; social and financial support; medications; oxygenation needs; pressure distribution; lab data; and comorbidities. Appropriate and effective dressing selection should take into account the amount and type of drainage, undermining, tunneling, type and amount of necrotic tissue, edema, signs and symptoms of bacterial burden, and pain.
Best Practices, Tips, and Techniques for Preventing Unintended Weight Loss and Healing Wounds
- Tue, 8/18/09 - 12:55pm
- 1 Comments
- 3254 reads
Obesity in the US has reached epidemic proportions. Each day, the media features at least one article on the health consequences of extra weight. But another epidemic is occurring much more quietly in our nation’s hospitals, nursing homes, wound care clinics, and patients’ private homes: Medical teams and caregivers are struggling to keep the pounds on patients who have lost interest in eating, endure taste abnormalities, are too fatigued to shop and prepare meals, get a feeling of fullness quickly, and suffer many other impediments to consuming a proper diet.
 
Writing Objectives
- Thu, 8/20/09 - 3:50pm
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Congratulations — you’ve just finished conducting your needs assessment. What comes next? Action items should focus on determining what information needs to be taught and how to teach it. Learning is defined as a change in behavior — thus, learning objectives are a central component of planning because they describe observable and measurable behaviors that allow the educator to make judgments about the learning.
As you plan your session, begin by writing a list of concepts that need to be covered and determine what the learners need to know
Our Collective Responsibility to an Aging Society
- Tue, 8/18/09 - 1:23pm
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Increasing longevity is exerting a major impact on every sector of our economic and social structure, including healthcare. Modern technology and advanced pharmaceuticals render Americans less vulnerable to mortality from infections and other forms of disease that in earlier decades led to imminent death.1 As a consequence, half of all Americans today are living with one or more chronic condition or illness such as heart disease, osteoarthritis, and chronic pulmonary conditions.2
This puts an enormous financial strain on health
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