Nurse Directories on: The Nurse Friendly
Wound Care, Ulcers, Decubiti, Bedsores & Skin Breakdown Links

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See also: WoundCare Nurse Entrepreneurs

New!

WoundRounds, Benefits For Wound Care Nurses:"As a wound care nurse, gathering data is a time consuming process. Entering data multiple times, filling out paper forms and searching for past notes to complete required documentation is inefficient and prone to error. WoundRounds eliminates the need for hand written charting and redundant documentation. Team collaboration for patient care is enhanced. Patient information is electronically captured at the bedside and uploaded over the internet to secure servers. Information is immediately available over the Internet—whenever and where ever it is needed."
WoundRounds, a Telemedicine Solutions Company
1721 Moon Lake Boulevard, Suite 201
Hoffman Estates, IL 60169
Phone: (847) 519-3500
Email: Information@woundrounds.com
LinkedIn: http://www.linkedin.com/company/2117442 Twitter: http://twitter.com/#!/WoundRounds
Youtube: http://www.youtube.com/user/WoundRounds http://www.woundrounds.com/overview/benefits-for-wound-care-nurses/
Categories: Illinois Nursing, Wound Care, Ulcers, Decubiti, Bedsores & Skin Breakdown, Wound Care Nurse Entrepreneurs

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Pressure Ulcers: "Avoidable" versus "Unavoidable"By Jill Thomas RNC, LNC, LNHA, CWCN:"It is estimated by some experts that only a small percentage of pressure ulcers, perhaps as low as two percent, are unavoidable. The outcome of litigation can often depend upon successfully defining avoidable versus unavoidable. Although attempting to define these two opposing terms is often confusing and difficult, the Health Care Financing Administration (HCFA) has provided some direction."
http://www.nursefriendly.com/avoidable/

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Addressing an Elderly Patient's Stage IV Ischemic Ulcer, By Bill Thornton, LPN, and Cynthia A. Fleck, RN, BSN, ET, CWS (Photos/Pictures included):"Approximately 25% of long-term-care patients suffer from ischemic ulcers. Given the acuity and risk that many of these geriatric patients face, a cost-effective wound care prevention and treatment protocol should be in place. Part of this protocol involves choosing a cost-effective therapeutic pressure-relieving support surface that fits in with the Medicare Prospective Payment Systems. The following study reveals the management of a Stage IV ischemic (pressure) ulcer of the coccyx."

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Burnsurgery.org -- Educating the burn care professionals around ...
Web, page, burn, burns, 1st degree burn,first degree burn, second degree burn, 2nd degree burn, th...
http://www.burnsurgery.org

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Decubitus Ulcers - Shearing [friction] on the Buttock and Coccyx (Diagrams included):"Shearing or rubbing occurs whenever there is friction on the surface of the skin over the coccyx (tail-bone) area from another surface, be it clothing, bed linens, or a wheelchair. The buttock and coccyx must be clean and dry at all times. Any moisture from bodily fluids or perspiration will make the skin more soft and more easily sheared or broken from friction and rubbing. The maximum recommended time interval to remain with pressure on any area is 2 hours before the person needs to change position."
L D H P Medical Review Services Corp.
Telephone (505) 286-9344, president@ldhpmed.com FAX (505) 286-9346
P. O. Box 483 Sandia Park. New Mexico 87047-0483
http://www.ldhpmed.com/DU_index.htm

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Down-Under Wool- the Bedsore ( Pressure Sores ) Prevention & Treatment Specialists:"NoPressureSores.com is owned and operated by Down-Under Wool- the Bedsore ( Pressure Sores ) Prevention & Treatment Specialists. Our company is devoted to the manufacture and distribution of Australian Medical Sheepskin and Wool-Pile products. These products will prevent and/or treat pressure sores, bedsores and decubitus ulcers. Bedsores are unnecessary and can be prevented, in 95% of cases studied. We know that if a client uses the correct product, pressure sores can be prevented. Down-Under Wool is passionate about making sure that clients get the product best suited to the clients need. To facilitate this, we encourage customers to call us at 1- 800- 463-1985 to discuss their current needs. Custom orders are possible. "
Phone: 1- 800- 463-1985, FAX : 905- 295 - 3816
http://www.nopressuresores.com/

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Dressings.org:"Dressings.org contains an exhaustive list of woundcare products, including the SMTL dressings datacards, technical papers and test reports from SMTL."
http://www.dressings.org/

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SkinWound.com:"This online training manual focuses on effective wound management protocols to promote healing, prevent wound infection, and maintain skin integrity.
http://www.skinwound.com/

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Antibiotic Therapy:

Topical Ampicillin For Prophylaxis Against Wound Infection In Acute Appendicitis:"A total of 249 patients, undergoing appendectomy for acute appendicitis, were prospectively randomized into two groups. Group I, comprising 132 patients, received sterile normal saline irrigation to the surgical wound at closure. Alternatively, Group II included 117 patients, who received intraoperative topical ampicillin irrigation of the wound."
http://www.kfshrc.edu.sa/annals/143/93012ab.html

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Bite Wounds:

Mammalian Bite Wounds:"Clinical data were collected prospectively from a series of 160 patients presenting with mammalian bite wounds. Anaerobic and aerobic cultures were prepared from sterile swabs placed in 65 bite wounds prior to cleansing. Infection was noted in 11 of 22 cat bites, six of 37 human bites, three of 80 dog bites, and in none of the 21 bites caused by other mammals."
http://www4.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&uid=80128323&Dopt=r

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Wound Infections:

Total and Attributable Costs of Surgical-Wound Infections at a Canadian Tertiary-Care Center:"Retrospective incidence series study with chart review and examination of resource utilization attributable to wound infection. The charts of inpatients with wound infections were examined using the Appropriateness Evaluation Protocol (AEP), a validated chart review instrument designed to determine appropriateness of care, modified for wound infections."
http://www.slackinc.com/general/iche/stor0498/zout.htm

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Aggressive Diabetes Management Prevents Heart Surgery Complication:"January 26, 1998 -- Short-term post-operative monitoring and control of blood glucose in people with diabetes after heart surgery greatly reduces the risk of a life-threatening complication known as a deep sternal wound infection, according to a study presented today at The Society of Thoracic Surgeons Annual Meeting in New Orleans."
http://www.pslgroup.com/dg/526ee.htm

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Current Guidelines for Antibiotic Prophylaxis of Surgical Wounds:"Appropriately administered antibiotic prophylaxis reduces the incidence of surgical wound infection. Prophylaxis is uniformly recommended for all clean-contaminated, contaminated and dirty procedures. It is considered optional for most clean procedures, although it may be indicated for certain patients and clean procedures that fulfill specific risk criteria. Timing of antibiotic administration is critical to efficacy. The first dose should always be given before the procedure, preferably within 30 minutes before incision."
http://www.aafp.org/afp/980600ap/woods.html

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Deep Wound Infection After Minimally Invasive Direct Coronary Artery Bypass Grafting:"The aim of minimally or less invasive techniques in coronary artery bypass grafting (CABG) is to reduce surgical trauma and morbidity of cardiopulmonary bypass and thereby to shorten length of stay in the intensive care unit as well as total hospital length of stay [1]. Access to the target coronary vessels by the new minimally invasive direct coronary artery bypass grafting (MIDCAB) techniques is gained via minithoracotomy [1,2], ministernotomy [3] and parasternal [4] or subxiphoid incisions which are thought to cause less trauma to the patient than standard sternotomy. Rates of wound infections after MIDCAB cannot be estimated at present and exact techniques to treat these complications have not yet been reported"
http://www.ispub.com/journals/IJTCVS/Vol1N2/wound.htm

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Ceftriaxone Versus Cefazolin in Peripheral Arterial Operations: A Randomized, Prospective Trial:"Serious morbidity and mortality are associated with postoperative wound infections in peripheral vascular surgery. The use of prophylactic antibiotics is considered the standard of care, with attention focused on the most efficacious agent. A prospective, randomized study was conducted to evaluate the efficacy of ceftriaxone versus cefazolin in prevention of postoperative wound infections in a group of patients who had peripheral arterial operations between October 1991 and February 1993. Patient characteristics associated with an increased risk of postoperative wound infection were evaluated. Prophylaxis was provided for 105 operations with cefazolin and 103 operations with ceftriaxone. The overall wound infection rate was 3.85%. Six operations (5.7%) in the cefazolin group were complicated by wound infection versus 2 operations (1.9%) in the ceftriaxone group. Diabetes (6 infections/64 operations; infection rate, 9%) and a personal history of previous aortocoronary bypass (5 infections/49 operations; infection rate, 10%) were characteristics associated with an increased chance for postoperative wound infection. Ceftriaxone is therapeutically equivalent to cefazolin in the prevention of postoperative wound infections in peripheral vascular surgery."
http://www.sma.org/smj/97jan4.htm

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Organisms:

Clostridia: Sporeforming Anaerobic Bacilli:"Clostridia are strictly anaerobic to aerotolerant sporeforming bacilli found in soil as well as in normal intestinal flora of man and animals. There are both gram-positive and gram-negative species, although the majority of isolates are gram-positive. Exotoxin(s) play an important role in disease pathogenesis."
http://gsbs.utmb.edu/microbook/ch018.htm

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Pressure Sores:

What is a pressure sore? Aquila Corporation:"This definition of a pressure ulcer is taken from the wound care communications network. ‘Pressure ulcers are red areas of sores on the skin’. They are also called bed sores, pressure sores, and decubitus ulcers. They can occur over any bony part of the body, but for the wheelchair bound, the ischial tuberosities and sacrum are the major risk areas. There are four degrees of severity of pressure sores with the most severe causing tissue necrosis, or damage to muscle, bone or supporting structure."
Aquila Corporation
2610 Y.H. Hanson Avenue Albert Lea, MN 56007
Phone: 507-373-2590 Fax: 507-377-1354 E-mail: aquila@aquilacorp.com
http://www.aquilacorp.com/html/pressure_sores.html

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Created on July 4, 1999

Last updated by Andrew Lopez, RN on Wednesday, August 19, 2014


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