Wound Care Q&A

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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.
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Edema is a major impediment to proper and timely wound healing. Accordingly, our expert panelists discuss how to work up and manage lower extremity wounds with edema, and share their insights on effective compression bandages. Q: What is the basic assessment and workup that you do with patients with leg edema? A: Kazu Suzuki, DPM, CWS, says clinicians often cannot pinpoint a single cause for... Read More.
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When it comes to patients with wounds, medications and supplements may help abate the pain and spur healing. These expert panelists discuss key considerations with the use of supplements and pharmaceuticals for wound pain and neuropathic wounds. Q: What medications or supplements do you use for wound pain? A: For Kazu Suzuki, DPM, CWS, appropriate wound debridement and applying a moist wound... Read More.
Kazu Suzuki, DPM, CWS
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   There are a variety of advanced treatment options that can help expedite wound healing. Accordingly, these expert panelists offer insights on the use of negative pressure wound therapy (NPWT) and growth factors, and the emergence of stem cell therapy. Q: Do you have any pearls in prescribing NPWT?    A: Lawrence Lavery, DPM, cites NPWT as one of his standard... Read More.
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   Hyperbaric oxygen therapy (HBOT) can be a valuable adjunctive treatment for patients with various types of wounds. These expert panelists discuss their indications for HBOT, their treatment protocol and barriers to the use of HBOT.    Q: Do you use HBOT for your wound patients and what are the indications?    A: As Caroline E. Fife, MD, explains,... Read More.
Kazu Suzuki, DPM, CWS
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   Whether it is dealing with recalcitrant wounds, choosing appropriate empiric antibiotics for infected wounds or weighing the benefits of palliative care, our expert panelists offer their perspectives on a wide range of wound care issues.     Q: When would you consider obtaining a wound culture and prescribing antibiotics? What is your empiric oral antibiotic of... Read More.
Kazu Suzuki, DPM, CWS
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   What steps can one take to treat a wound that has not responded after a certain period of treatment? Our expert panelists discuss guidelines for assessing the efficacy of standard therapy, keys to addressing nutrition deficiencies and considerations for modifying the treatment regimen.    Q: What is the timeline to modify the wound treatment when the wound is not... Read More.
Kazu Suzuki, DPM, CWS
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   Offloading a wound is a critical component of facilitating optimal outcomes with healing. Accordingly, these expert panelists discuss the use of total contact casting (TCC) to offload diabetic neuropathic wounds as well as the impact of instant total contact casting (iTCC) and other offloading methods.    Q: As far as offloading devices go for diabetic/... Read More.
Clinical Editor: Kazu Suzuki, DPM, CWS
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   Heel pressure ulcers can be particularly challenging for podiatric physicians, given the risk of complications, offloading challenges and the compromised vascular status of high-risk patients. Accordingly, our expert panelists share their perspectives in providing wound care for these patients.    Q: How do you dispense offloading devices for pressure ulcers of... Read More.
Clinical Editor: Kazu Suzuki, DPM
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   Having effective and thorough documentation methods can enhance outcomes, improve efficiency and help reduce hurdles to timely reimbursement. These panelists draw on their experience to discuss exactly what one needs to document in charts and how to use technology to make documentation easier. Q: What are the recommended methods for the wound care documentation? A: In addition... Read More.
Kazu Suzuki, DPM
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   Establishing a wound care clinic can be a rewarding part of practice. These panelists draw on their wound care experience to discuss the essential clinical tools you need and also emphasize the importance of developing strong referral sources to help facilitate optimal outcomes for patients. Q: What are the basic and bare minimum treatment modalities and tools you use daily in... Read More.
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Many leading researchers and wound care practitioners have shown that one of the most important elements in treating wounds is performing regular debridement of tissue (such as eschar) which interferes with wound healing. Timothy Shea, DPM, says the standard approach is to initially debride eschar (and other non-viable tissue) until you get down to good viable tissue and do subsequent debridement... Read More.