Wound Care: A Collaborative Practice Manual for Health Professionals / Edition 4

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Overview

Designed for health care professionals in multiple disciplines and clinical settings, this comprehensive, evidence-based wound care text provides basic and advanced information on wound healing and therapies and emphasizes clinical decision-making. The text integrates the latest scientific findings with principles of good wound care and provides a complete set of current, evidence-based practices.
This edition features a full color design with color images, a new chapter on burn management, and a new chapter on hyperbaric oxygen therapy. Technological advances covered include ultrasound for wound debridement, laser treatments, and a single-patient-use disposable device for delivering pulsed radio frequency.

Product Details

ISBN-13:	9781608317158
Publisher:	LWW
Publication date:	10/22/2011
Edition description:	Fourth
Pages:	832
Product dimensions:	8.60(w) x 11.10(h) x 1.60(d)

About the Author

Sussman, Carrie, PT; Bates-Jensen, Barbara M., PhD, RN, CWOCN

From the B&N Reads Blog

Page 1 of

Editorial Reviews

Reviewer: Josie Martin Bowman, RN, MSN, PhD (East Carolina University )
Description: This is the fourth edition of a manual on wound care that takes an evidence-based and multidisciplinary approach to clinical decision making. The previous edition was published in 2007.
Purpose: Effective treatment of wounds has always been important, but there is a need for even more effective management in today's healthcare environment. The book covers various types of wounds and the treatment modalities used to manage them.
Audience: It is intended for healthcare practitioners and nursing students. Its overview of wounds, including assessment and treatment, is critical to nursing management. The authors and contributors offer their expertise in various aspects of wound management.
Features: The book's four sections include an introduction to wound care diagnosis and discussions of management by wound etiology, wound characteristics, and wound healing with biophysical agents. The section on wound healing using biophysical agent technologies includes electrical stimulation, negative pressure wound therapy, and hyperbaric oxygen. The book includes online access to a site where students can find case studies.
Assessment: This is an excellent book on wound management. It presents the most advanced principles of assessment, treatment, and state-of-the-art, evidence-based practice. I highly recommend it as a resource not only for students, but also for wound care practitioners.

Doody's Review Service

Reviewer: Josie Martin Bowman, RN, MSN, DSN(East Carolina University )
Description: This is the fourth edition of a manual on wound care that takes an evidence-based and multidisciplinary approach to clinical decision making. The previous edition was published in 2007.
Purpose: Effective treatment of wounds has always been important, but there is a need for even more effective management in today's healthcare environment. The book covers various types of wounds and the treatment modalities used to manage them.
Audience: It is intended for healthcare practitioners and nursing students. Its overview of wounds, including assessment and treatment, is critical to nursing management. The authors and contributors offer their expertise in various aspects of wound management.
Features: The book's four sections include an introduction to wound care diagnosis and discussions of management by wound etiology, wound characteristics, and wound healing with biophysical agents. The section on wound healing using biophysical agent technologies includes electrical stimulation, negative pressure wound therapy, and hyperbaric oxygen. The book includes online access to a site where students can find case studies.
Assessment: This is an excellent book on wound management. It presents the most advanced principles of assessment, treatment, and state-of-the-art, evidence-based practice. I highly recommend it as a resource not only for students, but also for wound care practitioners.

This is a comprehensive guide to wound management. The purpose is to provide basic and advanced information on wound healing and wound care therapies, to promote collaborative wound management between nurses and physical therapists, and to promote an understanding of wound management. The interdisciplinary team of experts did an outstanding job of meeting their objectives. This book is designed to be a resource for healthcare professionals involved in wound management. The collaboration of 15 wound experts from a variety of disciplines resulted in a useful reference for any professional involved in wound care. Research as well as practical advice is integrated throughout. Superb color plates show the healing stages in a variety of types of wounds. Assessment tools enable practitioners to record and monitor wounds over time. The subsequent chapters guide practitioners in managing wounds and physiologic variables, such as edema, that impact wound healing. I highly recommend this book as a resource in every clinical setting involved in wound care. The index and clear headings facilitate easy access to information. It would also work well as a text in a course on wound management for health professionals.

Sally Northam

Customer Reviews

	Color Plates	xiii
	Contributors	xv
	Foreword	xvii
	Preface	xix
	Acknowledgments	xxi
	Introduction	xxiii
Part I	Introduction to Wound Diagnosis	1
Chapter 1	The Diagnostic Process	3
	Chapter Objectives	3
Step I	Assessment Process	3
	Case Study: Malnutrition and Wound Management in End-Stage Illness	8
	Case Study: Cognitively Impaired Patient with Leg Ulcers	9
Step II	Diagnosis	11
Step III	Prognosis and Goals	13
	The Functional Outcome Report	17
	Conclusion	20
	Review Questions	20
Appendix 1-A	Patient History Form	21
Appendix 1-B	Focused Assessment for Wounds	22
Appendix 1-C	Form HCFA-700	23
Appendix 1-D	HCFA-700 Form with FOR Template To Guide Documentation in Italics	24
Appendix 1-E	Sample Case Report Using HCFA-700	25
Chapter 2	Wound Healing Physiology and Chronic Wound Healing	26
	Chapter Objectives	26
	Wound Healing Models	26
	Wound Healing Physiology	27
	Inflammatory Phase	28
	Inflammatory Phase of Wound Healing in Chronic Wounds	35
	Epithelialization Phase	36
	Epithelialization Phase of Wound Healing in Chronic Wounds	36
	Proliferative Phase	37
	Proliferative Phase of Wound Healing in Chronic Wounds	39
	Remodeling Phase	40
	Remodeling Phase of Wound Healing in Chronic Wounds	41
	Fetal Wound Healing	41
	Factors Affecting Wound Healing	42
	Conclusion	47
	Review Questions	47
Chapter 3	Nutritional Assessment and Treatment	52
	Chapter Objectives	52
	Introduction	52
	Nutritional Screening	52
	Nutritional Assessment	54
	The Role of Nutrients in Wound Healing	62
	Nutrition Based on Wound Etiology	68
	Nutritional Support	69
	Documentation in Medical Record	69
Case Study 1	CVA with Hemiplegia, Stage IV Pressure Ulcer, Dysphagia	70
Case Study 2	Dementia, Sigmoid Diverticulitis, Temporary Colostomy, Dysphagia, Stage III PU or Coccyx, Wound Infection	72
	Case Studies	73
	Conclusion	76
Appendix 3-A	Nutrition Intervention To Prevent Wounds	77
Appendix 3-B	Food Guide Pyramid: A Guide to Daily Food Choices	78
Appendix 3-C	How To Use the Daily Food Guide	79
Appendix 3-D	How Many Servings Do You Need Each Day?	80
Appendix 3-E	Modified Food Pyramid for 70+ Adults	81
Appendix 3-F	Medical Nutrition Therapy Quarterly/MDS Progress Note	82
Appendix 3-G	Monthly Medical Nutrition Therapy Tube Feeding Progress Note	84
Chapter 4	Assessment of the Skin and Wound	85
	Chapter Objectives	85
	The Assessment Process	86
	Assessment of Wound Status	92
	Case Study: Dangers of Differing Clinical Procedure and Facility Policy	92
	Assessment of the Periwound and Wound Tissues	103
	Wound Healing Phase Diagnosis and Prognosis	104
	Referral Criteria	116
	Conclusion	118
	Review Questions	118
Chapter 5	Wound Measurements	120
	Chapter Objectives	120
	Introduction	120
	Location	120
	Baseline Measurement	121
	Measurement Forms	121
	Wound Size Measurement Accuracy and Reliability	122
	Wound Size Measurements	124
	Wound Photography	136
	Photographic Wound Assessment Tool	138
	Referral Criteria	138
	Referral Sources	139
	Self-Care Teaching Guidelines	139
	Conclusion	140
	Review Questions	140
Chapter 6	Tools To Measure Wound Healing	142
	Chapter Objectives	142
	Introduction	142
	Criteria for Evaluating Wound Healing Tools	142
	Wound Characteristics	145
	Tools To Monitor Wound Healing	149
	Clinical Utility of Wound Healing Tools	166
	Review Questions	166
Appendix 6-A	Long Form SWHT and Procedures for Using the SWHT	168
Appendix 6-B	Pressure Ulcer Scale for Healing and Instructions for Use	170
Appendix 6-C	Pressure Sore Status Tool and Instructions for Use	173
Chapter 7	Vascular Evaluation	177
	Chapter Objectives	177
	Introduction	177
	History and Physical Examination	177
	Vascular Testing--Introduction	178
	Continuous Wave Doppler and the Ankle Brachial Index	179
	Segmental and Digital Plethysmography	184
	Arterial and Venous Duplex	186
	Transcutaneous Oxygen Measurements	187
	Skin Perfusion Pressures and the Laser Doppler	187
	Magnetic Resonance Angiography	187
	Computed Tomography Angiography	190
	Invasive Studies and Contrast Angiography	190
	New Technologies	190
	Conclusion	190
	Referral Criteria	191
	Self-Care Teaching Guidelines	191
	Review Questions	192
Part II	Management by Wound Characteristics	195
Chapter 8	Management of Necrotic Tissue	197
	Chapter Objectives	197
	Significance of Necrotic Tissue	197
	Outcome Measures	207
	Referral Criteria	207
	Self-Care Teaching Guidelines	209
	Review Questions	209
Appendix 8-A	Debridement Choices for Chronic Wounds	211
Chapter 9	Management of Exudate and Infection	216
	Chapter Objectives	216
	Significance of Exudate	216
	Significance of Infection	218
	Management of Exudate and Infection	223
	Outcome Measures	231
	Referral Criteria	232
	Self-Care Teaching Guidelines	232
	Review Questions	232
Chapter 10	Management of Edema	235
	Chapter Objectives	235
	Introduction	235
	Overview of the Problem	235
	Tests and Measurement	236
	Modes of Intervention and Procedures for Intervention	236
	Procedures for Management of Edema	242
	Referral Criteria	253
	Self-Care Teaching Guidelines	253
Case Study 1	A Case for Elastic Bandages	254
Case Study 2	Combination Therapy with Sequential Pump and Class 1 Stockings	255
	Review Questions	255
Chapter 11	Management of the Wound Environment with Dressings and Topical Agents	257
	Chapter Objectives	257
	Introduction to Moist Wound Healing: The Basis for Modern Wound Management	257
	Inert Wound Dressings	258
	Ideal Dressing	258
	Modern Wound Dressings	259
	Dressing Choice	267
	Secondary Dressings	267
	Use of Antiseptics in Wounds	269
	Antiseptics and Acute Wounds	270
	Antibiotics	270
	Wound Cleansing	270
	Review Questions	270
Chapter 12	Management of the Wound Environment with Advanced Therapies	272
	Chapter Objectives	272
	Introduction	272
	Growth Factors	273
	Growth Factor Case Study	275
	Living Skin Equivalents	275
	Graftskin Case Study	277
	Artificial Skin	277
	Prolonged Silver Release Dressings	280
	Vacuum-Assisted Closure	282
	Arglaes Case Study	283
	Warm-Up Wound Therapy System	286
	VAC Case Study	288
	Warm-Up Therapy Case Study	291
	Review Questions	292
Chapter 13	Management of Scar	295
	Chapter Objectives	295
	Introduction	295
	Formation of Scar Tissue	295
	Tests and Measurements	297
	Interventions for the Treatment of Scar	298
	Case Study	305
	Discussion	305
	Review Questions	305
	Resources	305
Part III	Management by Wound Etiology	307
Chapter 14	Acute Surgical Wound Management	310
	Chapter Objectives	310
	Acute Surgical Wound Definition	310
	Factors Affecting Healing in Acute Wounds	310
	Assessment of the Acute Surgical Wound	315
	Management of the Acute Surgical Wound	316
	Secondary and Tertiary Intention Wound Healing	317
	Outcome Measures	317
	Case Study: Lack of Inflammatory Response Postoperatively	318
	Conclusion	319
	Referral Criteria	319
	Self-Care Teaching Guidelines	319
	Case Study: Incisional Wound Healing	320
	Review Questions	320
Chapter 15	Pressure Ulcers: Pathophysiology and Prevention	325
	Chapter Objectives	325
	Pressure Ulcer Definition	325
	Pressure Ulcer Significance	325
	Pressure Ulcer Pathophysiology	326
	Clinical Presentation of Pressure Ulcers	327
	Presure Ulcer Staging	330
	Pressure Ulcer Prediction: Risk Factor Assessment	331
	Risk Stratification and Risk Adjustment	341
	Pressure Ulcer Prevention: Early Interventions	341
	Outcome Measures	355
	Referral Criteria	355
	Self-Care Teaching Guidelines	355
	Review Questions	355
	Resources	358
Chapter 16	Management of Pressure by Therapeutic Positioning	361
	Chapter Objectives	361
	Introduction	361
	The Diagnostic Process Applied to Therapeutic Positioning	362
	Functional Diagnostic Process	364
	Rationale for Intervention in the Sitting Position	365
	Rationale for Intervention in the Recumbent Position	380
	Case Study: Therapeutic Positioning for Pressure Ulcer Healing	385
	Review Questions	388
	Resources	388
Chapter 17	Diagnosis and Management of Vascular Ulcers	390
	Chapter Objectives	390
	Introduction	390
	Vascular Anatomy of the Lower Extremities	390
	Occlusive Peripheral Vascular Disease--Signs and Symptoms	391
	Diabetes and Foot Ulceration	394
	Venous Stasis Ulcers	397
	Review Questions	401
Chapter 18	Management of the Neuropathic Foot	403
	Chapter Objectives	403
	Introduction	403
	Pathogenesis	404
	Medical History	405
	Systems Review and Examination	406
	Further Visual and Physical Assessments	414
	Interventions	422
	Case Study: Charcot Arthropathy	423
	Surgical Management	434
	Documentation	438
	Care of the Skin and Nails of the Neuropathic Foot	439
	Conclusion	445
	Self-Care Teaching Guidelines	445
	Review Questions	449
	Resources	449
	Care of the Skin and Nail of the Neuropathic Foot Resources	450
Chapter 19	Management of the Skin and Nails	453
	Chapter Objectives	453
	Significance of Foot Problems	453
	Tinea Pedis	453
	Heel Pain Plantar Fasciitis	456
	Onychomycosis	458
	Miscellaneous Conditions	461
	Self-Care Teaching Guidelines	463
	Review Questions	463
Chapter 20	Management of Malignant Wounds and Fistulas	465
	Chapter Objectives	465
	Significance of Malignant Cutaneous Wounds	465
	Pathophysiology of Malignant Cutaneous Wounds	465
	Malignant Cutaneous Wound Assessment	466
	Malignant Cutaneous Wound Management	467
	Malignant Cutaneous Wound Outcome Measures	471
	Patient and Caregiver Education Related to Malignant Cutaneous Wounds	471
	Significance of Fistulas	472
	Pathophysiology of Fistula Development	472
	Fistula Assessment	473

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Overview

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About the Author

Table of Contents

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Customer Reviews