Wound Care Essentials: Practice Principles

WOUND CARE ESSENTIALS: Practice Principles, Third Edition......Page 1
Half Title Page......Page 3
Title Page......Page 5
Copyright......Page 6
Dedication......Page 7
FOREWORD......Page 9
PREFACE......Page 11
CONTRIBUTORS......Page 13
CONTENTS......Page 17
PART I: Wound Care Concepts......Page 19
TREATING THE PATIENT AS WELL AS THE WOUND......Page 20
QUALITY OF LIFE......Page 22
ETHICAL DILEMMAS IN WOUND CARE......Page 31
TRANSITIONING TO HEALTH PROMOTION......Page 32
ISSUES AND CHALLENGES FOR CAREGIVERS......Page 33
SHOW WHAT YOU KNOW......Page 34
REFERENCES......Page 35
ROLE OF REGULATION IN HEALTH CARE......Page 39
CENTERS FOR MEDICARE AND MEDICAID SERVICES......Page 40
REIMBURSEMENT ACROSS HEALTHCARE SETTINGS......Page 41
QUALITY IMPROVEMENT EFFORTS......Page 48
PATIENT SCENARIO......Page 51
SHOW WHAT YOU KNOW......Page 52
REFERENCES......Page 53
LITIGATION......Page 55
THE PRETRIAL LITIGATION PROCESS......Page 56
LEGAL ELEMENTS OF A MALPRACTICE CLAIM......Page 59
THE MEDICAL RECORD IN LITIGATION......Page 61
LEGAL ASPECTS OF WOUND DOCUMENTATION......Page 62
PATIENT SCENARIO......Page 71
SHOW WHAT YOU KNOW......Page 72
REFERENCES......Page 74
SKIN ANATOMY AND PHYSIOLOGY......Page 75
SKIN FUNCTION......Page 79
AGING AND THE SKIN......Page 81
SKIN ASSESSMENT VS. WOUND ASSESSMENT......Page 82
IMPLICATIONS FOR PRACTICE......Page 84
PATIENT SCENARIO......Page 94
SHOW WHAT YOU KNOW......Page 95
REFERENCES......Page 97
WOUND HEALING CASCADE......Page 101
ROLE OF MATRIX METALLOPROTEASES IN WOUND HEALING......Page 110
ACUTE vs. CHRONIC WOUND HEALING......Page 111
SUMMARY......Page 115
PATIENT SCENARIO......Page 116
REFERENCES......Page 117
THE WOUND......Page 119
INITIAL PATIENT ASSESSMENT......Page 120
WOUND ASSESSMENT AND CLASSIFICATION......Page 121
WOUND DOCUMENTATION ESSENTIALS......Page 134
SUMMARY......Page 139
SHOW WHAT YOU KNOW......Page 140
REFERENCES......Page 141
BIOBURDEN IN WOUNDS......Page 144
INFECTION......Page 145
MANAGING WOUND BIOBURDEN......Page 158
SUMMARY......Page 166
PATIENT SCENARIO......Page 167
SHOW WHAT YOU KNOW......Page 168
REFERENCES......Page 169
SPEEDING THE HEALING PROCESS......Page 175
DEBRIDEMENT METHODS......Page 180
SUMMARY......Page 191
PATIENT SCENARIO......Page 192
SHOW WHAT YOU KNOW......Page 193
REFERENCES......Page 194
MOIST WOUND HEALING......Page 199
TREATMENT DECISIONS......Page 202
USING WOUND HEALING BIOLOGY TO SELECT TREATMENT......Page 207
ULTRASOUND ENERGY IN WOUND CARE AND HEALING......Page 226
SUMMARY......Page 227
SHOW WHAT YOU KNOW......Page 233
REFERENCES......Page 234
NUTRITIONAL SCREENING......Page 258
NUTRITIONAL ASSESSMENT......Page 260
ROLE OF NUTRIENTS IN HEALING......Page 266
NUTRITIONAL INTERVENTIONS......Page 270
SUMMARY......Page 276
SHOW WHAT YOU KNOW......Page 278
REFERENCES......Page 279
PREVENTING SKIN BREAKDOWN......Page 283
SOFT-TISSUE BIOMECHANICS......Page 284
SUPPORT SURFACE CHARACTERISTICS......Page 287
MATERIALS AND COMPONENTS USED IN SUPPORT SURFACE SYSTEMS......Page 290
FEATURES OF SUPPORT SURFACES......Page 293
MATCHING SUPPORT TO PATIENT NEEDS......Page 296
SUMMARY......Page 307
PATIENT SCENARIO......Page 308
REFERENCES......Page 309
ETIOLOGY AND DEFINITIONS OF PAIN......Page 313
TYPES OF PAIN......Page 314
UNDERSTANDING WOUND PAIN......Page 319
PAIN ASSESSMENT......Page 323
PAIN MANAGEMENT......Page 326
SUMMARY......Page 335
PATIENT SCENARIO......Page 336
SHOW WHAT YOU KNOW......Page 337
REFERENCES......Page 338
PART II: Wound Classifications and Management Strategies......Page 341
PRESSURE ULCERS AS A HEALTHCARE PROBLEM......Page 342
WOUND ETIOLOGY......Page 344
PREVENTION......Page 348
PRESSURE ULCER STAGING......Page 357
PRESSURE ULCER TREATMENT......Page 358
PREVALENCE AND INCIDENCE......Page 365
COMPETENCIES AND CURRICULUM......Page 367
PATIENT SCENARIO......Page 369
SHOW WHAT YOU KNOW......Page 370
REFERENCES......Page 372
VENOUS DISEASE: SCOPE OF THE PROBLEM......Page 378
VENOUS ANATOMY AND PHYSIOLOGY......Page 379
ULCER PATHOPHYSIOLOGY......Page 381
DIAGNOSING VENOUS ULCERS......Page 385
VASCULAR TESTING......Page 386
TREATING VENOUS ULCERS......Page 387
PATIENT SCENARIO......Page 395
EPIDEMIOLOGY OF LYMPHEDEMA......Page 397
LYMPHATIC SYSTEM......Page 399
TISSUE EDEMA......Page 401
LYMPHATIC FAILURE IN VENOUS DISEASE......Page 404
CLASSIFYING LYMPHEDEMA......Page 405
PATIENT SCENARIO......Page 407
SHOW WHAT YOU KNOW: VENOUS DISEASE......Page 408
SHOW WHAT YOU KNOW: LYMPHEDEMA......Page 409
REFERENCES......Page 410
VASCULAR ANATOMY AND PHYSIOLOGY......Page 416
ARTERIAL ULCER PATHOPHYSIOLOGY......Page 419
DIAGNOSING VASCULAR ULCERS......Page 420
VASCULAR TESTING......Page 423
TREATING VASCULAR ULCERS......Page 427
PATIENT EDUCATION......Page 432
PATIENT SCENARIO......Page 433
SHOW WHAT YOU KNOW......Page 435
REFERENCES......Page 436
DIABETES: A GROWING PROBLEM......Page 438
ETIOLOGY OF AND RISK FACTORS FOR FOOT ULCERS......Page 439
MULTIDISCIPLINARY STRATEGIES......Page 445
WOUND CHARACTERISTICS AND ASSESSMENT......Page 449
STRATEGIES TO REDUCE PRESSURE......Page 451
CARE PLAN FOR TREATMENT......Page 457
PATIENT SCENARIO......Page 458
REFERENCES......Page 460
ULCER PATHOGENESIS......Page 465
PREVENTING ULCERS......Page 473
PATIENT SCENARIO......Page 474
SHOW WHAT YOU KNOW......Page 475
REFERENCES......Page 476
EXTRINSIC AND INTRINSIC CAUSES OF NONHEALING WOUNDS......Page 478
GOALS OF CARE......Page 479
SUMMARY......Page 491
PATIENT SCENARIO......Page 492
SHOW WHAT YOU KNOW......Page 493
REFERENCES......Page 494
TUBES AND DRAINS......Page 495
ENTEROCUTANEOUS FISTULAE......Page 499
SUMMARY......Page 503
PATIENT SCENARIO......Page 504
SHOW WHAT YOU KNOW......Page 506
REFERENCES......Page 507
TYPES OF ATYPICAL WOUNDS......Page 509
ETIOLOGIES OF ATYPICAL WOUNDS......Page 510
SUMMARY......Page 524
SHOW WHAT YOU KNOW......Page 525
REFERENCES......Page 527
Objectives......Page 529
RISK FACTORS......Page 530
RISK-BASED PREVENTION......Page 532
SKIN ASSESSMENT......Page 535
REFERENCES: INTENSIVE CARE POPULATION......Page 536
SPINAL CORD INJURY INCIDENCE AND PREVALENCE......Page 538
SCOPE OF THE PROBLEM......Page 539
FINANCIAL CONCERNS......Page 540
RISK FACTORS......Page 541
RISK-BASED PREVENTION......Page 542
SKIN ASSESSMENT......Page 543
TREATMENT......Page 544
SUMMARY......Page 545
PATIENT SCENARIO: SPINAL CORD INJURY POPULATION......Page 546
REFERENCES: SPINAL CORD INJURY POPULATION......Page 547
SKIN ALTERATION IN HIV AND AIDS PATIENTS......Page 550
CUTANEOUS DRUG ERUPTIONS......Page 551
INFECTIOUS SKIN DISORDERS......Page 552
NONINFECTIOUS SKIN DISORDERS......Page 556
NEOPLASTIC DISORDERS......Page 557
PATIENT SCENARIO: HIV/AIDS POPULATION......Page 558
REFERENCES: HIV/AIDS POPULATION......Page 559
AN IMPORTANT HEALTHCARE CONCERN......Page 560
MEETING PATIENT NEEDS......Page 561
SKIN ASSESSMENT......Page 562
INTERTRIGO......Page 563
PRESSURE ULCERS......Page 565
SUMMARY......Page 567
REFERENCES: BARIATRIC POPULATION......Page 568
PRESSURE ULCER PREVALENCE AND INCIDENCE......Page 570
RISK FACTORS......Page 571
RISK ASSESSMENT TOOLS......Page 573
PRESSURE REDISTRIBUTION PRODUCTS......Page 576
TOPICAL MANAGEMENT......Page 577
SHOW WHAT YOU KNOW......Page 578
REFERENCES......Page 579
DEFINING PALLIATIVE WOUND CARE......Page 582
RISK FACTORS FOR SKIN BREAKDOWN AND PRESSURE ULCER DEVELOPMENT......Page 583
PALLIATIVE WOUND TREATMENT......Page 584
FUNGATING WOUNDS......Page 591
RADIATION WOUNDS......Page 592
PATIENT SCENARIO......Page 594
SHOW WHAT YOU KNOW......Page 595
REFERENCES......Page 596
Partnering to enhance education and patient outcomes......Page 601
Our personal wound wish list......Page 602
Future wound care challenges......Page 604
INDEX......Page 605