Online Exclusives

Alliance of Wound Care Stakeholders Advocacy Update 2Q 2018

Alliance of Wound Care Stakeholders 2Q 2018

CMS "Comment Season" Heats Up 

"Comment season" is heating up. As summer temperatures rise, we at the Alliance are busy reviewing and addressing the FY2019 prospective payment system updates from the Centers for Medicare & Medicaid (CMS) that can have impacts large and small across the wound care space.

My Scope of Practice: The Wound Care Jigsaw Puzzle

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My Scope of Practice

To the outside world, wound care can seem like glorified dressing application, but people within the field understand all too well the complex care puzzle. Treating a wound, coordinating care with other clinicians, and gaining the patient’s trust can make achieving results seem almost impossible to piece together. Nancy Weckel, BSN, RN, CWCN, reassures her patients that they can figure out the wound care jigsaw puzzle through an individualized treatment plan. 

Two Innovative Approaches for Wound Care/Closure

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Farid Blog

In previous blogs, I have advocated the use of Montgomery straps to relieve tension on wounds. Montgomery straps are readily available online and can be purchased through Amazon or individual medical supply companies (Google search Montgomery straps). Each strap is approximately 11 in long with a 6-in wide adhesive strip. The silk tape adhesive is porous, “kind” to the skin, and can be worn in the shower (afterward, it dries quickly).

Handling the Changing Reimbursement Scene

In the November issue of OWM, Kathleen D, Schaum, President and Founder of Kathleen D. Schaum & Associates, Inc, Lake Worth, FL, and a 50-year veteran of reimbursement issues, addressed recent changes to reimbursement policies that will impact wound care providers as part of the new value-based system. Here, she further outlines strategies she anticipates will become part of her, and your, wound care scenarios. Ms.

Farid Blog: Ileostomy Management

Karen Farid, RN, MA, CWON

Managing Liquid Output

Farid Blog: Venous Stasis Dermatitis/Ulcerations Management

Venous stasis dermatitis and associated ulcerations are common in the elderly, most likely due to decreased activity and hours of sitting. This is a problem also is common among persons limited to wheelchair mobilization (with legs in the dependent position for hours at a time) and among people with an injury and/or a neurological deficit in 1 or both lower extremities, even with ambulation. The lower extremity venous return relies on the “kneading” action of the musculature to assist with the pumping of the venous blood supply to return it to the central circulation (see Orr et al.

High-output Stomas: Education is Your Best Back-up

In past blogs I have provided a multitude of strategies to help wound ostomy continence (WOC) nurses oversee care for inpatients and outpatients with high-output stomas. None of us work 24/7 and none of us is the ongoing primary caregiver across all settings (acute, rehab/long-term care, home care, palliative, and hospice) where ostomy care is needed. That responsibility falls on the family/significant others, who need WOC nurses to educate and instruct them.

So, WOC nurses, here goes:

Industry Spotlight: Mark R. Lacerte, President & CEO, HARTMANN USA

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Industry Spotlight
Please provide a short description of your background, training, and experience.

Is it time to consider doing ultrasounds of the skin upon admission to the emergency department?

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Farid Blog

The March 2017 of Ostomy Wound Management includes our pilot study regarding the use of hospital-grade ultrasound (US) technology to discover deep tissue injuries (DTI) not yet visible on the skin. I know of at least 1 long-term care facility that uses an US unit no bigger than a loose-leaf binder to obtain grainy images of the epidermis/dermis on the heels and sacrum of new admissions, specific only for skin edema to at least document abnormalities of the skin on those areas.

Farid Blog: Rehabilitation: A concept with far-reaching significance and potential

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Farid Blog

Over the past 20 years, we have seen a welcome expansion of provider reimbursement for rehabilitation services. What used to be a nursing home option for patients who did not have the ability to care for themselves has evolved into a nursing home and rehabilitation center with updated capabilities for restoring function. In addition, there are acute rehabilitation centers embedded in acute care facilities for patients needing exercise and ambulation who have serious cardiovascular conditions.