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Advances in Skin & Wound Care

Diagnosing necrotizing fasciitis

Diagnosing necrotizing fasciitis Trent, Jennifer T Necrotizing fasciitis is an uncommon but life-threatening soft tissue infection characterized by rapidly spreading inflammation and necrosis of the skin, subcutaneous fat, and fascia.1 Rapid early intervention may prevent morbidity and mortality; however, left untreated, the mortality rate may reach over 70%. The earliest reference to this condition was […]

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Advances in Skin & Wound Care

ICD-9-CM Coding Changes Impact Wound Care Practices

ICD-9-CM Coding Changes Impact Wound Care Practices Schaum, Kathleen D Q: Does Medicare require ICD-9-CM codes for wound care services rendered at sites other than a hospital? A: The Health Insurance Portability Accountability Act (HIPAA) requires all paper and electronic claims to include appropriate ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification) codes. This […]

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Advances in Skin & Wound Care

What Caused a “Blood Blister” to Develop?

What Caused a “Blood Blister” to Develop? Leatherman, Merryl A 31-year-old man presents to the clinic complaining of a large, red “blood blister” that had appeared on his finger about 2 months earlier. The affected area had begun as a small knot under his skin and has grown into a tender, bleeding nodule. The nodule […]

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Advances in Skin & Wound Care

Use of a meshed bilayered cellular maxtrix to treat a venous ulcer

Use of a meshed bilayered cellular maxtrix to treat a venous ulcer Martin, Lucy K The treatment of venous ulcers is often complicated by the refractory nature of these chronic wounds and the considerable morbidity and significant financial cost associated with them. An estimated 500,000 to 1 million Americans have venous ulcers,1,2 with an annual […]

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Advances in Skin & Wound Care

Wound care after radiation therapy

Wound care after radiation therapy Mendelsohn, Felicia A ABSTRACT More than 50% of all cancer patients receive some form of radiotherapy for tumor control preoperatively, postoperatively, or as sole treatment. Radiation-induced wounds are a concern for patients and practitioners. Current research investigating alternative treatment strategies offers the hope of improved wound healing and enhanced quality […]

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Advances in Skin & Wound Care

Involuntary weight loss: Definition, diagnosis, and documentation

Involuntary weight loss: Definition, diagnosis, and documentation Kennedy, Karen Lou When the body is forced into a state of hypercatabolism or hypermetabolism, such as from a wound, burn, sepsis, major surgery, cancer, pulmonary disease, or a major trauma, the patient is at high risk for involuntary weight loss and proteincalorie malnutrition (Table 1). This has […]

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Advances in Skin & Wound Care

Wound Assessment: Tips and Techniques

Wound Assessment: Tips and Techniques Doughty, Dorothy B Accurate wound assessment is a critical component of effective wound management because it drives topical therapy and signals progress or problems in the healing process.1 Although accurate wound status assessment may sound simple, it is in fact complex. The following tips and techniques for ensuring accurate wound […]

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Advances in Skin & Wound Care

Prevalence, incidence, management, and predictors of venous ulcers in the long-term-care population using the MDS

Prevalence, incidence, management, and predictors of venous ulcers in the long-term-care population using the MDS Wipke-tevis, Deidre D ABSTRACT OBJECTIVE: To describe the prevalence, incidence, management, and predictors of venous ulcers in residents of certified long-term-care facilities using the Minimum Data Set. DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: 32,221 residents admitted to long-term-care facilities […]

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Advances in Skin & Wound Care

Eliminating the issue of skin color in assessment of the blanch response

Eliminating the issue of skin color in assessment of the blanch response MAtas, Anna OBJECTIVE: The high melanin concentration in dark skin prevents the observation of a blanch response to light finger pressure. The objective of this study was to determine the ability of visible and near-infrared spectroscopy (the technique used in pulse oximetry) to […]

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Advances in Skin & Wound Care

Cellulitis

Cellulitis CELLULITIS IS AN ACUTE, spreading infection of the dermis or subcutaneous layer of the skin. It may follow damage to the skin, such as a bite or wound. As the cellulitis spreads, fever, erythema, and lymphangitis may occur. Persons with comorbid conditions, such as diabetes, immunodeficiency, or impaired circulation, are at increased risk. If […]