How to assess, treat pain in wound care patients | Study shows decline in diabetic foot infection incidence in US | Plastic surgeon wins $100K award to develop wound-sealing gel
November 18, 2015
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Wound Care Update
How to assess, treat pain in wound care patients
Pain assessment should be a priority with wound care patients, and patients suffering from pain should be carefully managed, nursing lecturer Annemarie Brown writes. She discusses the categories of pain, how to assess pain, ways to minimize pain during dressing changes and other pharmacological and nonpharmacological ways to manage pain. Nursing Times (U.K.) (free registration) (11/16)
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Study shows decline in diabetic foot infection incidence in US
Researchers found a 52% drop in the incidence of diabetic foot infection per 100 diabetes discharges in the US from 1996 to 2010 and a decline in DFI discharges from 86,563 to 77,491 during the study period. The findings in the American Journal of Infection Control, based on information from the CDC's National Hospital Discharge Survey involving 1,059,552 DFI discharges, also revealed that lower-extremity amputation from DFI dropped from 33.2% in 1996 to 17.1% in 2010. Healio (free registration)/Infectious Disease News (11/9)
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Research, Technology & Innovation
Plastic surgeon wins $100K award to develop wound-sealing gel
Plastic surgeon E.J. Caterson won the latest $100,000 Stepping Strong Innovator Award to study a thermoplastic wound-sealing gel that floods a wound with antibiotics and cures into a clear seal when it reaches body temperature. The award was given by the Gillian Reny Stepping Strong Fund, founded by the family of a bystander at the Boston Marathon bombing whose leg was saved by doctors at Brigham and Women's Hospital. Other contenders for the award included transplant nephrologist Reza Abdi, who presented a way to use cadaver skin on severe burn victims, and bioengineers Ali Khademhosseini and Nasim Annabi, who proposed creating a sprayable skin to make an elastic seal. STAT (11/11)
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Commentary: New surgical procedures can save lower limbs
Improvements in polytetrafluoroethylene, or PTFE, bypasses, designed to open blocked arteries, can help salvage lower limbs in more than 70% of surviving patients for three years and 50% for five years, writes Frank Veith, a professor of surgery at New York University and the Cleveland Clinic. However, many patients may need a subsequent bypass revision or redo, he writes. Medscape (free registration) (11/16)
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Other News
Health Policy & Regulation
Government finalizes interim ACA rules
After five years of interim rules governing implementation of the Affordable Care Act, along with repeated modifications through guidance and clarification documents, HHS and the Labor and Treasury departments have finalized the regulations. The final rules cement existing policy related to coverage of adult children up to age 26, pre-existing conditions and other central tenets of the ACA. Health Affairs Blog (11/14)
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How to avoid ICD-10 coding pitfalls
ICD-10 demands precise descriptions of patients' injuries or diseases, and the seventh character, which denotes the type of encounter, can trip up billing operations, writes Janet Colwell. Tips for accurate ICD-10 coding and prompt reimbursement include limiting the use of unspecified codes, tailoring the practice's coding system, keeping open lines of communication between clinicians and coders and regularly running frequency reports. Physicians Practice magazine online (11/12)
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Silence is the bluntest of blunt instruments."
-- Erica Jong,
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