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Featured Articles

  • May 24, 2017

    Using Fibrous Borate Bioactive Glass in Wound Healing 

    Wound healing is usually taken for granted; however, there are many factors that can affect this complex process, such as medications, infection, and lack of oxygen. Age and diabetes are considered the top risk factors for impaired or delayed wound healing. Diabetes and aging can result in blood and other body fluids that accumulate in the lower limbs and feet owing to damaged valves or stretched veins, and therefore prevent these fluids from being pumped back to the heart. When more and more fluid accumulates, it increases the pressure which, in turn, causes the accumulated fluids to seep through the skin. This triggers a venous stasis ulcer.  Read More

    The Art and Science of Wound Care Nursing

    For wound care nurses, in particular, making a difference in the lives of our patients requires a holistic approach. Our relationships often span many years, as we care not only for patients' chronic and difficult-to-heal wounds over time, but also address their nutrition, ability to function, and lifestyle habits. We offer reassurance, guidance, and education as they endure complicated and frequently painful procedures and surgeries. We serve as their advocates, cheerleaders, health and wellness educators, and weight loss coaches. Good nursing care is the science of treating the problem at hand and the art of understanding the big picture regarding a patient's individual needs. Read More

    Diabetes Management: The Pathogenesis and Management of Diabetic Foot Ulcers

    Two frequent features of diabetes are peripheral vascular disease leading to ischaemic lower limb extremities, and sensory neuropathy, which renders the patient prone to foot injury and vulnerable to the development of diabetic foot ulcers. The diabetic foot results from an interplay between a number of factors: vascular disease, neuropathy, trauma and infection - the two main ones being peripheral neuropathy and peripheral vascular disease (PVD). Read More  

  • May 16, 2017

    IAD Prevention Cited as Reason for More Wound-Care Nursing 

    A first-of-its-kind study tying incontinence-associated dermatitis to several risk factors underscores the need for wound and ostomy care nurses in skilled nursing facilities. Researchers from the University of Minnesota School of Nursing found a greater incidence of dermatitis among patients admitted with a perineal pressure injury; those not receiving preventative interventions; and those with greater functional limitation, more perfusion problems or fewer cognitive deficits.  Read More

    Pollution Can Delay Wound Healing: Study

    Air-polluting diesel exhaust particles, already linked to cardiovascular and respiratory diseases, also can delay diabetic wound healing, according to South Korean researchers. The team examined the effect of such pollutants on rats, measuring levels of post-exposure inflammation in normal and diabetic fibroblasts, critical collagen-producing cells found in connective tissue.The resulting inflammation can be particularly dangerous for patients with diabetic ulcers.  Read More

    Developing Guidelines for Staphylococcus Aureus Decolonization a Difficult Task

    The Centers for Disease Control and Prevention estimates that about 30% of the general population is colonized with Staphylococcus aureus in their nasal mucosa. The majority are colonized with methicillin-sensitive S. aureus (MSSA), with up to 10% harboring methicillin-resistant S. aureus (MRSA). S. aureus also colonizes the oropharynx, rectum and skin folds. Risk factors for S. aureus colonization include health care exposure (previous hospitalization, long-term acute care facility or nursing home residents), certain comorbid conditions (HIV infection, chronic dialysis, eczema) and groups in close contact (prisoners, military recruits and athletes).  Read More  

  • May 10, 2017

    Can Compression Socks Be Safely Used in Diabetics With Lower Extremity Edema? 

    RUse of mild compression diabetic socks may reduce ankle and calf circumferences in patients with diabetes and lower extremity (LE) edema, according to recent research published in Diabetes Research and Clinical Practice. "Macro and microvascularity was not compromised in either group. Results of this study suggest that mild compression diabetic sock may be effectively and safely used in patients with diabetes and [LE] edema," Stephanie C. Wu, DPM, from the Center for Lower Extremity Ambulatory Research, and colleagues wrote in their study.  Read More

    Hospital Lower-Extremity Amputation Volume Linked to Major Amputation, Mortality in Patients with CLI

    Among patients with critical limb ischemia, those in hospitals with a high volume of amputation procedures had elevated rates of major amputation and mortality, but those in hospitals with a high volume of revascularization procedures had better outcomes, according to new findings. We believe that unless it is otherwise contraindicated, these data support consideration for selective referral of CLI patients to high-volume centers for [lower-extremity revascularization] regardless of distance."  Read More

    Gene Therapy and Epidermolysis Bullosa

    At the Society for Investigative Dermatology conference last week, data on Abeona's gene therapy to treat chronic wounds in patients with epidermolysis bullosa (EB) was presented. The ongoing Phase 1/2 trial continues to impress. In the Phase 1/2 trial, Abeona is using gene therapy techniques to add Collagen VII to skin grafts that can be applied to large chronic wounds often observed in EB. The grafts were given to 6 patients with non-healing chronic wounds, and the primary outcome measures were safety and wound closure. Read More  

  • May 2, 2017

    Stress Slows Down Wound Healing in Diabetic Foot Ulcers 

    Results of a recent study conducted by a combined team from Baylor College of Medicine, the University of Arizona's Southern Arizona Limb Salvage Alliance (SALSA) along with Qatar's Hamad Medical Center suggests that rate of healing is poorly impacted by physiological stress. The novel study, which used advanced wearable technologies may soon lead to mobile applications that can promote simple relaxation techniques, measure their outcome and perhaps speed healing.  Read More

    Imaging Technology to Aid Wound Care

    Wanda Sohn, nurse manager at Nash Wound Care Center, said the new technology has allowed Nash to photograph wounds and automatically derive the rate at which a wound is healing. She added it also has allowed the hospital to be in better compliance with the Health Insurance Portability and Accountability Act law, because in the past Nash used a digital camera to download wound images that Sohn acknowledged wasn't always the best way of safely keeping patients' records.  Read More

    Vomaris' Technology Impacts Biofilm-induced Antibiotic Resistance

    Bacteria readily form biofilms to shelter themselves from both antibiotics and the body's immune defenses. Using electric interactions, bacteria communicate with each other. Once bacteria adhere to a surface, they continue their signaling activity to multiply and encase themselves within a protective barrier called a biofilm. Biofilm makes the bacteria tolerant to antibiotics and impedes a patient's ability to fight an infection, making biofilm-infected wounds extremely difficult to treat. The need for alternative therapeutic strategies is of utmost priority. Read More  

  • April 25, 2017

    Control Your Claims: Pressure Injury/Wound Care Management 

    One of many dreaded tags from a Centers for Medicare & Medicaid Survey is F-Tag 314 - Pressure ulcers. CMS writes, "Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care." Our loss trending experience has shown us that the same issues that result in F-tags during a survey can also result in a patient event or claim.  Read More

    Smart Bandages Which Tell Doctor How Wound is Healing to Begin Trials

    Smart bandages which can detect how well a wound is healing and send a progress report to the doctor will be trialled within the next year, scientists have said. The dressings are fitted with tiny sensors which can pick up blood clotting, or spot infections, and wirelessly send data back to a clinician. Swansea University, which is hoping to trial the bandages within 12 months, said the new technology could offer a personalised approach to medicine. Read More

    Substantial Increase in Chronic Venous Insufficiency Procedures in Medicare Population

    A new study by the Harvey L. Neiman Health Policy Institute found that utilization of procedures to treat chronic venous insufficiency in the Medicare population increased markedly from 2005 through 2014. The study is published online in the Journal of Vascular and Interventional Radiology. The researchers used aggregated Centers for Medicare and Medicaid Services claims data to identify recent temporal trends in the use of CVI treatment procedures in the Medicare population, with attention to conventional versus new minimally invasive procedures, as well as performance by site of service and physician specialty.  Read More  

  • April 12, 2017

    Fast Facts for the Frontline: Ostomy Care 

    A normal stoma is pink to red and should be moist. New stomas will be inflamed, but will shrink to a much smaller size over several weeks. The stoma is highly vascularized and may bleed if rubbed too vigorously; however, it doesn't have any nerve endings, so the patient may not realize that trauma is occurring. As food moves through the GI tract, nutrients and moisture are extracted. Therefore, output from an ileostomy will contain more liquid, and output from a colostomy will be more formed and contain less moisture. Read More

    Ask the Treatment Expert: Diabetic Foot Ulcers

    Diabetic foot ulcers usually are located on weight-bearing plantar surfaces, the medial surface of the metatarsophalangeal joint, the lateral aspect of the fifth metatarsophalangeal joint, or the tips of the toes. It is very important to provide a management program that treats the underlying disease process, addresses factors to promote blood flow, offloads pressure-affected areas, and provides infection prevention.  Read More

    Cost Effectiveness of Preventing Diabetic Foot Ulcers

    According to the ADA, treatment of diabetic foot ulcers (DFUs) along with associated infections, below the knee amputations, and surgeries to revascularize the lower limbs account for a significant portion of the costs incurred in the treatment of diabetes. Yet with the frequency of occurrence of these complications, there are very few studies that drive the paradigm toward either primary prevention (avoiding DFUs entirely) or secondary/tertiary measures (efficient treatment of DFUs in those who are not aware [secondary]/are aware [tertiary] of diabetic ulcers). Read More

    Dragon Blood May Help Wounds Heal Faster

    According to a paper published today in Biofilms and Microbiomes, a peptide that mimics a molecule found in dragon blood may slay bacteria, helping wounds heal faster. Researchers tested the compound in mice with skin lesions, and found the dragon-derived treatment helped the wounds close up faster. If the treatment proves successful in human trials, it may one day provide a new weapon in the battle against antibiotic-resistant bacteria, which are starting to become deadly, as well as biofilms-tough clumps of bacteria that are often impervious to antibiotics. Read More