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.
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.
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.
When would you consider obtaining a wound culture and prescribing antibiotics? What is your empiric oral antibiotic of... Read More.
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.
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.
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.
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.
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.
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.
The array of wound care products can be quite astounding. Choosing the right product(s) for your patient can be difficult. With this in mind, our panelists, strongly emphasizing case-by-case management, share their experiences, success stories and caveats with certain wound care products. Read on for what five expert panelists had to say about treating neuropathic ulcers, when to use growth... Read More.
Many patients with non-healing ulcers are already in significant pain prior to surgery. Many of these patients will require escalating doses of pain medications following surgical debridement and grafting. Some will already have developed tolerances to pain medications. So, what do we prescribe to control their pain? More importantly, what can we prescribe and still maintain a level of comfort... Read More.
Even if a wound appears to be benign, one must obviously be vigilant against the possibility of malignancy. These expert panelists discuss identifying malignant wounds, taking biopsies and when one might consider an amputation.
Q: What clinical insights lead you to suspect that a lower extremity wound may have an underlying malignancy?
A: M. Joel Morse, DPM, suspects malignancy if a wound does... Read More.