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Mitch Roob of WoundVision

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OWM: Please describe your education, training, and work experiences that have prepared you for your current position as CEO of WoundVision.   I am a graduate of DePauw University and I have a Master of Business Administration from the University of Notre Dame.   Most recently, I served as Secretary of Commerce for the State of Indiana and Chief Executive Officer of the Indiana Economic Development Corporation (IEDC). As the Secretary of Commerce, I was a member of Governor Mitch Daniels’ cabinet and lead the state’s economic development efforts.

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Micro-contouring in Clinical Practice: the Impact on Infection

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One of the key challenges in wound management is infection prevention. This can be achieved through control of the superficial bioburden — ie, wound microbial colonization. One consideration in infection prevention is that antimicrobial effectiveness may be a factor of the different physical properties of dressings.1 The ability of a dressing to conform to the wound surface appears to be a factor in the prevention of wound infection as a result of the antimicrobial protection provided at the wound-dressing interface.2 However, the choice of the optimal dressing for skin ulcers, diabetic lesions, or surgical wounds remains controversial.3

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Pierre Guyot of Mölnlycke Health Care

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OWM: Please describe your education, training, and work experiences that have prepared you for your current position as CEO of Mölnlycke Health Care.   I have been working in the medical healthcare industry for more than 25 years. After obtaining an MBA, I knew healthcare was the direction I wanted to pursue. I felt there was no better place to be to get personal fulfillment, sense of purpose, and the satisfaction of helping people improve their quality of life. After all these years, I still have the same motivation and satisfaction.

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Managing Diabetic Foot Ulcers Using Chinese Medicine

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Chinese medicine (CM) has been used in China and other Asian countries for thousands of years and has proven effective in the treatment of many chronic diseases and conditions, including diabetic foot ulcer (DFU). This article describes the literature addressing DFU and discusses a comprehensive approach for treating DFU with CM. Many of the substances mentioned are not common in Western medicine; they are presented to underscore the training and skill necessary to utilize an alternative/holistic approach to DFU care.

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What Lies Beneath the Surface…

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Clinicians who specialize in wound care may be encountering an invisible army of chemicals that may contribute to the already challenging micro-environment of wound care. The most recent and seemingly little-recognized factor is the surface on which the patient is placed, the single contact point to which the wound and caregiver are routinely exposed. Although many studies have reviewed the efficacy of surface therapies such as low air loss and more, few consider the content of the surface fabric and what chemicals may be emitted through micro-abrasion or prolonged exposure.

Alternative Negative Pressure Dressing Sealing Trick

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An easy way to seal a negative pressure wound dressing on a sacral wound (or any place that has a very irregular surface) is to take a flat barrier ring used as an alternative to stoma paste for ostomy appliances, and cut 1/3 to 1/2 off the bottom to make a “smile.” Apply skin prep to the entire periwound. Place the smile-shaped barrier (the piece of flat barrier ring) and while it is tacky, but not wet, press it into the skin prep at the most distal part of the sacral wound between the cheeks. Then apply a bit more skin prep to the top of the ring and wait until it is tacky.

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Tom Cycyota of AlloSource

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OWM: Mr. Cycyota, please describe your education, training, and work experiences that have prepared you for your current position as CEO of AlloSource.

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The Patient Advocate

One of the most important roles that a CWOCN plays is that of patient advocate. Recently my team and I were able to improve the quality of life of a patient by appropriately treating a 10-year-old vascular ulcer. The key to this success was a little pushback on the doctor that was convinced this wound would never heal.

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Otoscopes for Evaluation

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Use an otoscope to help visualize the wound bed. The device, commonly available in a wall-mounted unit in most offices, will magnify the wound bed. Pocket otoscopes are also available and are useful to evaluate wounds in the acute care, home health, or long-term care settings where lighting maybe inadequate. Having disposable tips of various sizes assists the clinician in assessing the base of conical-shaped wounds or areas that are healing into “anatomical dimple.” 

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Three Tips for Ostomy Care

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  When patients wish to wear an ostomy pouch or wafer while showering, we encourage them to use “Press and Seal” plastic wrap, available in any grocery store to keep the shower water off the appliance. If the wafer is the only portion that is left on the skin, the plastic wrap can be removed so the effluent drains away. — Mary Ann Mullaney, WCN, MS, CGNP, RN

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