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PEARLS FOR PRACTICE

PEARLS FOR PRACTICE
04/01/2009
     Two recent events relate to pressure ulcers. In February 2007, the National Pressure Ulcer Advisory Panel (NPUAP) restated its definitions of and staging process for pressure ulcers. Included in the staging process are modifications of...
     Two recent events relate to pressure ulcers. In February 2007, the National Pressure Ulcer Advisory Panel (NPUAP) restated its definitions of and staging process for pressure ulcers. Included in the staging process are modifications of...
     Two recent events relate to...
04/01/2009
Wound Management & Prevention
PEARLS FOR PRACTICE
03/01/2009
     Managing Stage IV pressure ulcers presents a challenge to the healthcare community, particularly in the home health setting. During the initial home care visit, the wound and related management issues must be thoroughly assessed and...
     Managing Stage IV pressure ulcers presents a challenge to the healthcare community, particularly in the home health setting. During the initial home care visit, the wound and related management issues must be thoroughly assessed and...
     Managing Stage IV pressure...
03/01/2009
Wound Management & Prevention
PEARLS FOR PRACTICE
02/01/2009
     Tunneling wounds have channels that extend from a wound into and through subcutaneous tissue or muscle. They often are difficult to manage and may persist for long periods of time.      Tunnels occur for a variety of reasons. Commonly,...
     Tunneling wounds have channels that extend from a wound into and through subcutaneous tissue or muscle. They often are difficult to manage and may persist for long periods of time.      Tunnels occur for a variety of reasons. Commonly,...
     Tunneling wounds have...
02/01/2009
Wound Management & Prevention
PEARLS FOR PRACTICE
01/01/2009
     Wound healing is an organized, four-phased system involving homeostasis, inflammation, proliferation, and maturation. If injured tissue follows these phases, the wound will close. However, this process is far from simple. A variety of...
     Wound healing is an organized, four-phased system involving homeostasis, inflammation, proliferation, and maturation. If injured tissue follows these phases, the wound will close. However, this process is far from simple. A variety of...
     Wound healing is an...
01/01/2009
Wound Management & Prevention
PEARLS FOR PRACTICE
12/01/2008
  Clinicians are taught to cleanse a wound before applying a dressing of any kind. The goal of wound cleaning is to remove debris and contaminants from the wound without damaging healthy tissue. Our mothers used hydrogen peroxide at full...
  Clinicians are taught to cleanse a wound before applying a dressing of any kind. The goal of wound cleaning is to remove debris and contaminants from the wound without damaging healthy tissue. Our mothers used hydrogen peroxide at full...
  Clinicians are taught to...
12/01/2008
Wound Management & Prevention
PEARLS FOR PRACTICE
11/01/2008
     Silver-containing dressings are used for managing wound bioburden and are available as alginates, foams, films, hydrocolloids, hydrogels, contact layers, and collagens. Typically, a silver dressing is chosen because 1) the wound is at...
     Silver-containing dressings are used for managing wound bioburden and are available as alginates, foams, films, hydrocolloids, hydrogels, contact layers, and collagens. Typically, a silver dressing is chosen because 1) the wound is at...
     Silver-containing dressings...
11/01/2008
Wound Management & Prevention
PEARLS FOR PRACTICE
10/01/2008
   Patients with venous ulcers often report pain, which may be continuous or intermittent and often is associated with dressing changes. The pain may be perceived as generalized in the leg, focused in the ulcer or periwound, or both....
   Patients with venous ulcers often report pain, which may be continuous or intermittent and often is associated with dressing changes. The pain may be perceived as generalized in the leg, focused in the ulcer or periwound, or both....
   Patients with venous ulcers...
10/01/2008
Wound Management & Prevention
PEARLS FOR PRACTICE
09/01/2008
  A clean, beefy-red wound bed often represents a good sign of wound healing. However, many interventions may be necessary before a wound reaches this point. As a general surgeon, I am often asked to consult on wounds that clearly require...
  A clean, beefy-red wound bed often represents a good sign of wound healing. However, many interventions may be necessary before a wound reaches this point. As a general surgeon, I am often asked to consult on wounds that clearly require...
  A clean, beefy-red wound bed...
09/01/2008
Wound Management & Prevention
PEARLS FOR PRACTICE
08/01/2008
  A few years back, I had a mole removed and covered the resulting wound with a hydrocolloid bandage. My first dressing change was uneventful. During a subsequent dressing change a few days later, I cleaned the exudate and dressing residue...
  A few years back, I had a mole removed and covered the resulting wound with a hydrocolloid bandage. My first dressing change was uneventful. During a subsequent dressing change a few days later, I cleaned the exudate and dressing residue...
  A few years back, I had a mole...
08/01/2008
Wound Management & Prevention
PEARLS FOR PRACTICE
06/20/2008
  Dressing selection is an important part of a comprehensive wound care regimen that involves proper diagnosis, debridement/excision of necrosis, restoring circulation, and providing secondary measures, such as offloading or compression. As...
  Dressing selection is an important part of a comprehensive wound care regimen that involves proper diagnosis, debridement/excision of necrosis, restoring circulation, and providing secondary measures, such as offloading or compression. As...
  Dressing selection is an...
06/20/2008
Wound Management & Prevention