Best Practices

Accurate and considered wound assessment is essential to fulfill professional nursing requirements and ensure appropriate patient and wound management.

November/December 2016 Vol. 5 No. 6

Author: Jodi McDaniel, PhD, RN

Chronic venous leg ulcers (CVLUs) affect nearly 2.2 million Americans annually, including an estimated 3.6% of people over the age of 65. Given that CVLU risk increases with age, the global incidence is predicted to escalate dramatically because of the growing population of older adults. Annual CVLU treatment . . .

May/June 2016 Vol.5 Nov.3

Author: By Debra Clair, PhD, APRN, WOCN, WCC, DWC

Why would a patient with a wound spend almost 2 hours a day, 5 days a week, in a locked chamber receiving 100% oxygen? The answer is that medical grade hyperbaric oxygen therapy (HBOT) can be a valuable adjunct therapy for selected types of wounds.
In this article, I’ll . . .

July/August 2016 Vol. 5 No. 4

Author: Kulbir Dhillon, NP, WCC

The goal of wound-bed preparation is to create a stable, well-vascularized environment that aids healing of chronic wounds. Without proper preparation, even the most expensive wound-care products and devices are unlikely to produce positive outcomes.
To best prepare the wound bed, you need to understand wound healing . . .

July/August 2016 Vol. 5 No. 4

Author: Bill Richlen PT, WCC, DWC, and Denise Richlen, PT, WCC

Nurses and therapists often wonder if their license permits them to perform sharp wound debridement. Scope of practice varies significantly from state to state, so it’s imperative to check your state for specific guidance, but we can address some of the challenges clinicians face in deciding whether they can . . .

May/June 2016 Vol.5 Nov.3

Author: Sally Anne Jewell, RN, WCC, OMS

Using maggots to treat wounds dates back to 1931 in this country. Until the advent of antibiotics in the 1940s, maggots were used routinely. In the 1980s, interest in them revived due to the increasing emergence of antibiotic-resistant bacteria.
At Select Specialty Hospital Houston in Texas, we recently decided . . .

March/April 2016 Vol. 5 No.2

Author: Jill Cox, PhD, RN, APN-C, CWOCN, and Sophia Zigouras, MS, RD, CNSC

Optimizing nutritional status is a key strategy both in preventing and managing pressure ulcers. In patients across all care settings, compromised nutrition— as from poor intake, undesired weight loss, and malnutrition—increases the risk of pressure ulcers. It contributes to altered immune function, impaired collagen synthesis, and decreased tensile strength . . .

March/April 2016 Vol. 5 No.2

Author: Tony Forsberg, RN, BSBA, AMS, WCC, and Rosalyn S. Jordan, RN, BSN, MSc, CWOCN, WCC

Support surfaces are consistently recommended for the prevention and treatment of pressure ulcers. So patients can derive optimal benefits from support surfaces, clinicians must understand how to use them effectively. This article answers several questions about these useful tools.

What is a support surface?
The National Pressure Ulcer Advisory Panel . . .

January/February 2016 Vol. 5 No. 1

Author: Hannah Miller, MSN, RN

Developing a pressure ulcer can cause the patient pain, lead to social isolation, result in reduced mobility, and can even be fatal. According to the Agency for Healthcare Research and Quality, estimated costs for each pressure ulcer range from $37,800 to $70,000, and the total annual cost of . . .

Best of the Best 2016

Author: Susan Lee, BSN, RN, WCC


As a wound care specialist, you have learned about many skin conditions, some so unusual and rare that you probably thought you would never observe them. I’ve been a nurse for 38 years, with the last 10 years in wound care, and that’s certainly what I thought . . .

Best of the Best 2016

By Donna Sardina, RN, MHA, WCC, CWCMS, DWC, OMS
Having the proper support surface for beds and wheelchairs is imperative in preventing pressure ulcers. “Pressure” ulcers are named that for a reason—pressure is the primary cause of interruption of blood flow to the tissue. Unfortunately, guidelines for support surface . . .