You may have heard the term ‘suspected deep tissue injury’ before without understanding what a deep tissue injury is and its implications in terms of wound management. If you have never heard the term before, or just need a quick review to refresh your memory, here is a brief description of deep tissue injury. What…
The typical treatment for infected wounds continues to include antimicrobial therapy, however other therapies are gaining in popularity due to the rise in antibiotic resistance. Maggots Maggot Debridement Therapy is the medical use of live maggots (fly larvae) for treating non-healing wounds. Maggot therapy has also been around for a long time, going all the…
Overview of Pyoderma Gangrenosum Pyoderma is a noninfectious, progressive necrotizing skin condition. The etiology of pyoderma is unclear. Half of patients have a systemic inflammatory condition such as ulcerative colitis, Crohn’s disease, irritable- bowel syndrome, lupus, or rheumatoid arthritis. About a quarter of pyoderma cases begin after some sort of trauma or surgery. But another quarter…
Venous insufficiency leg ulcers are the most common type of leg ulcer, accounting for 70% to 90% of all ulcers. Of the remaining ulcers, an estimated 10% to 15% are due to combined venous and arterial insufficiency. Women are three times more likely than men to have a venous- insufficiency ulcer. The risk of ulceration…
Calciphylaxis is a severe and complex syndrome involving vascular calcification, thrombosis, and skin necrosis. Although the condition is relatively rare, occurring almost exclusively in patients with advanced (Stage 5) chronic kidney disease (CKD), it can often be fatal. In fact, mortality rates higher than 50 percent are reported within one year of diagnosis, mostly due…
Malignant Melanoma Malignant melanoma is a rapidly progressing, metastatic form of cancer involving the melanocytes. Early recognition of the tumor is essential because the patient’s chance of survival is increased with early treatment. Malignant melanomas differ in shape and size, and they can appear anywhere on the body. They present with irregular borders, uneven surfaces, and…
It is crucial to apply a standardized measurement system to evaluate whether a diabetic foot ulcer is responding to care, as a result several classification systems have been proposed. At the present time no specific system has been universally accepted. Even so, most clinicians use one of the available systems when assessing and documenting a diabetic ulcer. In this article we…
Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer. Slough and/or eschar may be visible. Epibole (rolled edges), undermining and/or tunneling often occur. Depth varies by anatomical location. If slough or eschar obscures the extent of tissue loss this is an Unstageable Pressure Injury….
Adherence is a term that is meant to denote a patient’s choice in taking an active part in their treatment by following suggested guidelines. Patient adherence is crucial in wound care to achieve wound healing and closure. As clinicians, it is up to us to figure out why some patients become nonadherent and decide what…
It will probably come as no surprise that patients who are malnourished are prone to complications during wound healing. Mild malnutrition may cause a delay in wound healing, while severe malnutrition can lead to infection, sepsis and even death. For this reason, it is important to perform a nutritional assessment on patients presenting with a…
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