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 56 - Issue 6 - June, 2010
Working Smarter, Not Harder
- Wed, 6/9/10 - 4:24pm
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In October 2009, the Robert Wood Johnson Foundation and the Institute of Medicine1 hosted a public forum on the future of nursing, targeting nursing in the acute care setting. The timing could not have been more fortuitous, given recent legislation aimed at reforming the healthcare system. The point of the forum was to present best practices and successes in innovative nursing care projects as wel
Addressing duplicate publication concerns
- Wed, 6/9/10 - 4:28pm
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- 1100 reads
Regarding Takahashi PY, Chandra A, Cha SS, Crane SJ. A predictive model for venous ulceration in older adults: results of a retrospective cohort study. Ostomy Wound Manage. 2010;56(4):60–66
Dear Editor,
This brief letter of explanation and discussion describes the major findings in the two articles under comparison: A cross-sectional evaluation of the association between lower extremity venous ulceration and predictive risk factors1 and A predictive model for venous ulceration in older adults: results of a retrospective cohort study.2 Whi
Management of a Patient With Fournier’s Gangrene
- Wed, 6/9/10 - 4:50pm
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- 3125 reads
A 52-year-old man presented to the emergency room with a 4-day history of scrotal pain, edema, and the rapid development of black, foul-smelling, moist lesions on his scrotum and penis. Blood values revealed an increased white blood cell count and an increased creatine phosphokinase consistent with necrosis of muscle tissue. A urologist saw the patient and quickly made the diagnosis of Fournier’s gangrene (FG).
An uncommon but life-threatening urologic emergency, FG is an infectious necrotizing fasciitis that involves the perineum, genitalia, and perineal areas.
Use of Active Leptospermum Honey for a Pediatric Patient with Hydradenitis Suppurativa
- Wed, 6/9/10 - 5:02pm
- 0 Comments
- 4233 reads
Hydradenitis suppurativa (HS) is a chronic, debilitating disorder, sometimes described as a severe form of acne, occurring deep in the skin around sebaceous glands and hair follicles of the axilla, inguinal canal area, and perineum where the apocrine sweat glands are located.1 Prevalence in the US population is an estimated 1% to 2%, the condition affects more women than men, and onset usually occurs between puberty and 40 years of age. Although the exact pathophysiologic mechanisms are unknown, contributing factors include axillary adiposity, sweat, heat, stress, tight
Advancing and Acknowledging Excellence
- Thu, 6/10/10 - 10:14am
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- 807 reads
One of the primary reasons I genuinely enjoy working in the field of continence care is its rich diversity of trials and triumphs, afforded especially by the National Association For Continence (NAFC). On the patient front, we routinely interact with middle-aged women considering surgery for stress urinary incontinence or pelvic organ prolapse to discuss procedural options and risk factors. Young mothers email us for advice, plagued by older children who cannot conquer bedwetting. Elderly spouses call for guidance on product choices and strategies as caregivers to a husband with Pa
Dealing With Patients Who Disregard Nutrition Advice
- Thu, 6/10/10 - 10:22am
- 0 Comments
- 2843 reads
“You can lead a horse to water but you can’t make him drink.” Or can you? In an ideal world, the registered dietitian (RD) dispenses nutrition advice to eager patients who listen attentively and then follow the instructions to the letter. In the real world, this usually does not occur. The typical patient has fears, food beliefs, logistical concerns, cultural and religious ideals, and many other individual factors that all play a role in lifelong eating habits. This makes giving “simple” nutrition advice much more complicated than it appears.
Patients who do
Topical Wound Oxygen Therapy in the Treatment of Severe Diabetic Foot Ulcers: A Prospective Controlled Study
- Thu, 6/10/10 - 11:45am
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- 7759 reads
Abstract
Diabetic foot ulcers (DFU) are common, difficult-to-treat, and prone to complications. A prospective, controlled study was conducted to: 1) examine the clinical efficacy of a pressurized topical oxygen therapy (TWO2) device in outpatients (N = 28) with severe DFU referred for care to a community wound care clinic and 2) assess ulcer reoccurrence rates after 24 months. Seventeen (17) patients received TWO2 five times per week (60-minute treatment, pressure cycles between 5 and 50 mb) and 11 selected a silver-containing dressing changed at least
Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers — Prudent or Problematic: A Case Report
- Thu, 6/10/10 - 11:54am
- 1 Comments
- 5580 reads
Abstract
Hyperbaric oxygen (HBO) therapy is increasingly used in the management of problem wounds, notably diabetic foot ulcers. However, concerns about unnecessary, inappropriate, and prolonged use of this adjunctive treatment exist. A case report of a 52-year-old patient with diabetes mellitus, Charcot foot, and a nonhealing plantar ulcer who had received HBO treatments only illustrates these concerns. He presented with normal pedal pulses, adequate transcutaneous partial oxygen pressure levels, no offloading footwear, and a heavily contaminated ulcer (Pseudomonas
Chronic Wounds Treated With a Physiologically Relevant Concentration of Platelet-rich Plasma Gel: A Prospective Case Series
- Thu, 6/10/10 - 12:34pm
- 0 Comments
- 4215 reads
Abstract
Chronic wounds are characterized by a long inflammatory phase that hinders regenerative wound healing. The purpose of this prospective case series was to evaluate how a physiologically relevant concentration of an autologous platelet-rich plasma (PRP) gel affects initial wound healing trajectories of chronic, nonhealing wounds of various etiologies and in different care settings. Using convenience sampling methods, 49 patients (average age: 60.6 years, SD 14.7) with 65 nonhealing wounds (mean duration 47.8 weeks, range 3 to 260) at eight long-term acute care (LTAC)
A Discourse on the Contributions of Evidence-based Medicine to Wound Care
- Thu, 6/10/10 - 3:00pm
- 0 Comments
- 4912 reads
Abstract
Although a healthcare system crippled by lack of resources cannot perform effectively, spending more money in an ineffective system may not lead to better outcomes. To ensure systemwide resource maximization, evidence-based medicine and guidelines that consider treatment cost-effectiveness and recommend treatment for persons with the most to gain are required. To demonstrate that increasing use of evidence-based medicine can improve wound care, the effect of informed treatment decisions on improving patient care was reviewed. A Medline and OvidSP literature search
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