Press Release
Best in Class: Scottsdale Wound Management Guide
Comprehensive pocket handbook offers differential diagnosis and treatment options at your fingertips
Malvern, PA (June 8, 2009) – Proper wound care management has become one of the top concerns for many clinicians across various medical specialties. Treatment is specific to the wound type, the patient and the long-term care plan and requires ongoing assessment. Read More
2009 Author Index
Non-Accredited Education
Taking the Trauma Out of Burn Trauma
Complimentary On-Demand Webcast
Non-Accredited
The Importance of Advanced Dressing Technology in Managing Wounds and the Risk of Infection
Complimentary On-Demand Webcast
Non-Accredited
Heel Pressure Ulcers: A to Z
Complimentary On-Demand Webcast
Non-Accredited
LIVE WEBCAST - Head Over Heels and Butts 3.0
Complimentary On-Demand Webcast
Non-Accredited
Feature
Global Climate Change and Wound Care: Case Study of an Off-season Vibrio alginolyticus Infection in a Healthy Man
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
Reducing Pressure Ulcer Prevalence Rates in the Long-Term Acute Care Setting
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
Clinical Experience with Wound Biofilm and Management: A Case Series
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
Deep Tissue Injury from a Bioengineering Point of View
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
Developing and Evaluating Outcomes of an Evidence-based Protocol for the Treatment of Osteomyelitis in Stage IV Pressure Ulcers
Abstract: Osteomyelitis affects up to 32% of full-thickness pressure ulcers and increases treatment costs and the risk of systemic complications. Current diagnosis and treatment practices are variable. A literature and retrospective chart review, using a wound electronic medical record (WEMR), were conducted to develop an evidence-based protocol of care for treatment of osteomyelitis in pressure ulcers and to evaluate outcomes of care. The seven steps in the protocol of care include: 1) acknowledgment of osteomyelitis risk in patients with Stage IV pressure ulcers, 2) clinical evaluatio
Using a Programmable Pneumatic Device with Truncal Therapy to Facilitate Wound Healing: A Case Series
Abstract: Chronic, recurring limb ulcers require a comprehensive approach that addresses the wound pathology, vascular status, and swelling. Although studies have shown that compression, especially high compression, is more effective than dressings alone, evidence to support one particular method of compression is limited. A sequential intermittent pneumatic compression (IPC) device was evaluated in four patients (two men, two women, age range 47 to 59 years) with nonhealing (history of 1 to 6 months) venous insufficiency (n = 2), postsurgical complication (n = 1), and radiation burn (n
Five Millennia of Wound Care Products — What is New? A Literature Review
Abstract: The first wound and wound treatments were described five millennia ago. Since then, various principles of wound care have been passed on from generation to generation. In contrast to large numbers of general technological inventions over the last 100 years, progress beyond ancient wound care practices is a recent phenomenon. It is essential to know the historical aspects of wound treatment (both successes and failures) in order to continue this progress and provide future direction. A survey of the literature shows that concepts such as “laudable pus” persisted for hundred
A Prospective, Randomized Clinical Trial to Assess the Cost-effectiveness of a Modern Foam Dressing vs. a Traditional Saline
A Prospective, Randomized Clinical Trial to Assess the Cost-effectiveness of a Modern Foam Dressing versus a Traditional Saline Gauze Dressing in the Treatment of Stage II Pressure Ulcers
Abstract Modern dressings such as hydrocolloids, gels, and foams are typically more expensive than traditional dressings such as gauze. However, if modern dressings require fewer changes, the overall cost of treatment may be lower despite the higher initial purchase price. If healing rates are comparable or better, modern dressings also may be cost-effective. A 4-week, prosp
The Effect of Using a Low-Air-Loss Surface on the Skin Integrity of Obese Patients: Results of a Pilot Study
Abstract Obese patients often are immobile, acutely ill, and at high risk for developing pressure ulcers when admitted to acute care facilities. Pressure-relieving mattresses are an integral part of a pressure ulcer prevention plan of care. Patients with a body mass index (BMI) >35, weight between 250 and 500 lb, and a minimum 3-day length of stay were recruited to participate in a pilot study to evaluate the safety and use of a new low-air-loss, continuous lateral rotation bariatric bed. Skin inspection was performed at the beginning and end of the study (maximum 7 days). Participants
A Quasi-experimental Study to Assess the Effect of Technology-Assisted Training on Correct Endorsement of Pressure Ulcer Prevent
Abstract The two-fold purpose of the Detroit Medical Center (DMC) Braden Scale Training Module is to teach nurses to use the Braden Scale to correctly assess pressure ulcer risk and to effectively plan risk-based prevention interventions. A pre-test, post-test, two-group, quasi-experimental study was conducted to evaluate the effect of web-based DMC Braden Scale Training on staff nurses’ ability to correctly endorse the use or non-use of 10 commonly-used risk-based pressure ulcer preventive interventions for patients at different levels of risk for pressure ulceration. “Regular” o
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