|
Nov 15, 2010
Home Page
|
Survey Results
We asked clinicians who sit on
product selection committees to tell us about the committee and how wound
care products are viewed. Overall, the committee members said:
-
Committee meetings typically occur
monthly or once a quarter
-
Many departments are represented
-
On a scale of 1 - 5, with 1 being
'virtually impossible' and 5 being 'really easy', participants said that it's
relatively easy to get a new wound care product admitted (3.8 was the avg score)
-
In terms of what's important to the
committee, evidence of wound healing, wound improvement and quality of life
benefits scored the highest.
The messages in this table
are New.
Please e-mail your answers by using the links to the right of each question.
I have an open wound about 3/4 in. deep and 3
in. long as the result of 2 surgeries to address peritenonitis brought on by
a ruptured appendix. The wound had been cleaned about twice daily and
repacked with gauze lightly wetted with saline solution. A week ago two
penrose? drains were removed. A day later a small amount of light green
mucous like staining began to appear on the section of bandage touching the
bottom of the wound. The mucous has no odor. Our family physician examined
the wound assessed the wound and said it was healing quite satisfactorily.
He said if it increased in amount we might look further into it. Aside from
sign of infection what might this mucous be caused by?
Thomas |
Reply directly to Thomas:
tnicas@infomagic.net
|
|
I was wondering if you have any suggestions as
to any products on the market at this time that would compare to the
enzymatic debriders that have been removed from the market. or suggestions
as to what can be used to cleanse out wounds of necrotic, dead or otherwise
non viable tissue from a wound bed that doesnt warrant mechanical
debridement. Eddie |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional. |
Can you help me understand how to bill for a nurses visit in an office
setting? The RN sees the patient for approximately 30 minutes measuring,
cleaning, notating, and educating the patient. Patient never sees the
doctor. We use the 99211 but the reimbursement on some of the insurances is
very minimal. Do you have any suggestions on a better CPT code to use?
We would also like to know the best way to bill the supply codes?
Thank you - Ruth |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional. |
|
I would like to get training in wound care. Any where near Statesville, NC?
unsigned |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional. |
My mother has been in remission over 10 yrs. from her bout with colon
cancer. She is now 75 and has Alzheimer's. While going through radiation
treatments her oncologist suggested she have a colostomy due to the
foreseeable complications of the radiation treatments to her intestines. She
now suffers daily from the inability to clean herself properly and her
insistence in trying to wipe herself with a cotton towel instead of wipes.
She has gone through hyperbaric treatments and uses all sorts of prescribed
ointments and suppositories with no relief. Most of her problems are
self-inflicted as a result of the Alzheimer's but I'm looking for other
options besides a colostomy bag at this point. If you have any suggestions
they would be greatly appreciated. I live in Baytown, Tx. and my parents
live in Brownsville, Tx. Thank you.
Joe |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional. |
Can sequential compression therapy be initiated while MRSA is located on
dorsal aspect of foot? …is it ok to just eliminate compression to that
particular foot and have the compression start above the ankle?
Peter |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional.
|
I have a 79 year old man this is diabetic and has an open wound that was
cause by cellulisus. He is now being treated with Selvercel Hydro-Alginate.
I was wondering is there are side effect from this dressing? If so what are
they.
Thanks,
Diane |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional. |
|
Can any one give me information regarding a
product by the name of Risamine ointment by rising pharm?
I'm comparing it to calmoseptine.
Terri (ANP, CWOCN) |
Reply to
this posting by clicking here:
Don't forget
to include your name and credentials if you are a healthcare professional. |
Submit your new question to the group right now: wounds@medicaledu.com
Sign up with our Email Service to see replies.
Previous email questions & their replies are listed
below. Remember, replies have not been validated for accuracy or truthfulness.
|
I'm a 53 old male,left leg amputated 7 inch's
below knee aprox33 years ago--motorcycle acc---revision in 2002-Dr.Yen-des
Moines,Ia--have another pressure sore approx.,(you can about put your little
finger in it up to the end of nail) that's how deep it is. Question being
,can a sore like this heal by-it's self over time or not? Please advise.
Marshall - Murray,Ia |
Mr. Marshall,
It depends on several things.
1. if infection is present. (purulent discharge, odor, redness or warmth.
2. What does the wound bed look like. (is yellow loose slough present,
necrotic tissue ect. You need a clean wound bed for wounds to heal. You may
want to consider a negative pressure wound therapy.
M Puglia BS, RN, CWON----
Good morning
I think this kind of wound can be treated there is a lot of products can
help depend on the wound it self if its infected can use any product with
silver if cavity with exudate or with out
The question did not describe the wound status but at end if the patient is
compliant with the management his wound can be treated I don’t know also if
the patient is diabetic or not thanks
----
In my experience, the sore will not heal by itself most especially since
it is a pressure ulcer from your prosthesis.
You need to have it thoroughly cleaned (debrided) by the wound care
physician in order for the wound to start to heal. Usually, the doc will
prescribe silver dressings to be changed every 3 to 4 days. This is done by
the wound care nurse. The silver really helps the healing process.
Meanwhile, during the healing, the pressure on the wound must be removed.
Even after the wound heals, it is subject to breaking much more quickly than
that of the surrounding skin.
PLEASE see a wound clinic......
Frances J. Jessup, RN, BSN
---
It seems you may still have circulation issues in the stump area. First
you need to make sure that area is not being pressurized in any way. You
didn't say whether you are using a prosthesis. If yes then you need to stop
immediately and have it refitted. If not, you need to check out your
positions when sleeping or sitting in a chair to see if the area with the
open wound is being pressurized. You also need to check you blood sugar
levels frequently throughout the day and be careful withy your diet and
insulin regimen. Finally you need to consult a vascular surgeon to check the
circulation of the remaining leg.
There is also the Diapulse wound treatment system, which might be available
in your area. You will have to go to diapulse.com or call 516-466-3030 for
more information. I pray that you will heal completely.
Regards,
Tom Sharon, RN, MPH |
I am having issues with a few codes for medicare.
What codes can I use for wound debridements in nusing homes by nurses. Amy
|
Sorry, no replies |
5 1/2 years ago I had Necrotizing Faciitis on my
abdomen. I am diabetic. I have never fully healed. I have three ulcers on my
lower addomen. Any advice? Risha
|
Risha
Are your blood sugars managed? Have you had Hyperbaric Oxygen Therapy?
How is your nutritional status? These are some reasons wounds do not heal.
MPuglia BS, RN, CWON---
You didn’t state your gender, age and whether you are insulin dependent.
In any case, you need to check your blood sugar and keep it within the
accepted range that your doctor advised you. Usually it’s between 90 and
120. If you are having trouble regulating your blood sugar, that would have
a significant impact in retarding your healing process. Also do not wear
tight clothing around your waist. When you are wearing pants, you should
wear suspenders rather than a belt to keep them up.
Tom Sharon, RN, MPH |
|
I have a open wound that I have had off and on
for 5 years. I've 5 surgeries, all included grafting but none have never
worked. I'm 63 yrs. old. I've had numerous surgeries and high blood
pressure, diabetes,low thyroid,high cholesterol, all are kept controlled my
medicines. I am 63 yrs old,black woman and I have medicare and medicad. If
you can't help, please send me some literature on Wound Care and names of
places that have a wound care program. I should mention the last 3 grafts
were done by a plastic surgeon and I'm feeling that he does not know
anything else to do. Dolores |
It sounds like you have had a lot
of different experiences with trying to manage this wound. It might be worth
exploring clinics that approach wound care from a multi-disciplinary
perspective. A wound like yous, complicated by other health problems, have
to have very optimal conditions in order to effectively heal, and then stay
healed. A clinic with a physical therapist, a nutritionist, and medicine
profession can look at the wound from every angle to help you create the
best healing environment possible. Many times, going to a professional
without only one set of tools or expertise can limit their ability to come
up with sound rational treatments. This is just a thought; I hope it helps.
S. Christman |
|
From Australia...
A specialists has advised me to get a ZipZoc
stocking for my legs. I have been to several chemists but they don't have
them. I am a pensioner and have a medical card if that helps. I live in
Shorham Victoria. Can I purchase these through yourselves please.
Thanking you Pamela Lee. |
Independence Australia should have
this product
www.independenceaustralia.com
Julie Miller, Podiatrist
----
Hi
For Australia ZipZoc is made by Smith and Nephew who can be Contacted in
Victoria; suggest contacting them and ask for the Wound Care Specialist for
your particular area...
Tel: 61 3 8540 6777 61 3 8540 6777
Jill - Research Fellow
---
Dear Pamela:
The zipzoc is the same as a pressure stocking? Not sure. But, If this is
correct.......a physical therapist can ascertain which pressure stocking is
needed. Either a physician can order stockings (more likely)...and then the
druggist/ or company who specialize in pressure stockings will go by the
physical therapist's suggestions and fit you for the correct stockings.
These stockings must be hand washed...taken off at night, and then BEFORE
getting out of the bed in the morning, put back on. Helps a lot to have
someone get them from the drying rack and hand them to you.
Best wishes,
Frances J. Jessup, RN, BSN
|
Please note that this email
summary page was compiled from emails submitted to the Wound Care Information
Network. It is simply a forum for people to discuss wound care
cases, treatments, products, etc. Email replies included in this forum are not
evaluated for accuracy or correctness. Please verify all information presented
with your own sources of information, such as; doctors, nurses, manufacturers,
published literature, etc. We do not know who the authors of the email replies
are and their stated credentials have not been verified or validated. Read the
disclaimer below.
Disclaimer - Acceptance and
publication by this email and/or web page of an advertisement, news story, or
letter does not imply endorsement or approval by the owner of this website of
the company, product, content or ideas expressed in this email. Any medical
condition should be evaluated and treated by the appropriate healthcare
provider. This email is for informational purposes only and is not a substitute
for competent human intervention. The owner of this email list and web site does
not check for accuracy or legitimacy of ideas expressed by the individuals who
post messages.
Automated removal Instructions
shown below.
|