Wound Care Q&A

Clinical Editor: Kazu Suzuki, DPM, CWS
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Providing salient examples and insights from their experience, the expert panelists discuss proper documentation, coding for E&M services and appropriate use of modifiers. Q: What is the key to proper coding and documentation in wound care practices? A: As Harry Goldsmith, DPM, emphasizes, proper documentation allows the wound care specialist and others treating the patient to evaluate the... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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These expert panelists debate the use of antimicrobial dressings versus regular wound dressings, the efficacy of antiseptics and whether sterile gloves are useful in reducing the risk of infection. Q: Do you use any antiseptic, such as alcohol, hydrogen peroxide, Dakin’s solution or povidone-iodine solution for wounds? A: Although he notes that the above listed antiseptics are toxic to wounds... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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Given the delicate nature of the wound environment, one must be vigilant in reducing the incidence of perioperative infection. Accordingly, these expert panelists discuss skin preparation before surgery, the use of prophylactic antibiotics, hand hygiene protocol and wound irrigation techniques. Q: What do you use for skin preparation prior to foot and ankle surgery? A: Desmond Bell, DPM, CWS,... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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Fungal infections can exacerbate the already compromised environment of lower extremity wounds. These expert panelists discuss treating fungal infections in wound care patients, offering insights on oral treatments, topical therapies, and the potential of lasers. Q: Do you treat fungal skin and nail disease in lower extremity wound patients? A: For Brent Haverstock, DPM, the decision to treat... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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Any open wound is a portal of entry for bacteria and there is a possibility of wound infection, oftentimes with gram-positive bacteria, such as Staphylococcus or Strep species. It is very important to diagnose and treat these conditions swiftly in order to achieve optimal outcomes. Accordingly, our expert panelists explore how to diagnose and treat wound infections, offering a variety of insights... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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When considering which methods of wound debridement will be effective in their patients, clinicians have a wide range of choices at their disposal. These expert panelists discuss their preferences for sharp debridement, ultrasound debridement, non-surgical debridement and the use of maggots. Q: What are your favorite sharp debridement tools of your choice and why? A: Kazu Suzuki, DPM, CWS,... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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Wound debridement is the foundation for successful and swift wound healing. Appropriate and timely wound debridement facilitates infection control by removing the biofilm over wound surfaces. Our expert panelists discuss best practices in wound debridement by reviewing the clinical evidence for wound debridement, patient education and insights on the vascular workup of patients with wounds. Q:... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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When treating patients with peripheral arterial disease (PAD), it is vital to ensure proper referrals to trusted vascular specialists. These expert panelists discuss what information to include in referrals and how to manage wounds until patients can see vascular specialists. Q: Once you diagnose PAD, what is your referral method to other medical doctors and vascular specialists? A: Early... Read More.
Kazu Suzuki, DPM, CWS
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With increasing numbers of elderly patients and patients with diabetes, clinicians will encounter more and more patients with wounds and ischemic legs. In the United States, an estimated 8 million patients, or approximately 12 percent of the adult population, have peripheral arterial disease (PAD).1 Accordingly, our expert panelists discuss pertinent diagnostic tips, appropriate referrals and how... Read More.
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Skin grafts and skin substitutes can play key roles in facilitating lower extremity wound healing. Accordingly, these authors share their thoughts on the preparation and application of these modalities, and provide keys to effective post-op care. Q: Do you have any preference to “living cell” skin substitutes, other skin substitutes and graft replacements? A: Kazu Suzuki, DPM, CWS, uses various... Read More.
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Skin substitutes, which are also called bioengineered alternative tissues (BAT), are becoming more commonly used to help facilitate wound closure. Accordingly, our expert panelists discuss indications for these modalities and the timing of their use. They also weigh the benefits of skin substitutes versus skin grafts. Q: What is an appropriate wound condition for applying a skin substitute? A:... Read More.
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Lower extremity compression can be very effective for reducing edema. These expert panelists discuss the use of compression hose and how compression pumps can be an alternative for patients who cannot wear the hosiery. They also discuss appropriate consults to lymphedema and vascular therapists. Q: Do you prescribe compression hose for patients with edema? A: Kazu Suzuki, DPM, CWS, frequently... Read More.