Dermatologist explains wound care for patients with epidermolysis bullosa | Wound care staff spot patient's serious heart problems | Doctors turn to hyperbaric oxygen to heal stubborn osteomyelitis
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September 17, 2014
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Wound Care Update
Dermatologist explains wound care for patients with epidermolysis bullosa
Wounds in patients with epidermolysis bullosa can be difficult to heal and might require a regimen of tetracycline in addition to alternating topical antimicrobials to avoid resistance, says Elena Pope, who chairs the dermatology section in the Division of Pediatric Medicine at Toronto's Hospital for Sick Children. Fluid in blisters should be released, but the roof of the blister should be kept intact, Pope says. Dressings should be nonstick and chosen based on the degree of exudate and critical colonization, Pope says. Modern Medicine/Dermatology Times (9/10)
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Wound care staff spot patient's serious heart problems
A man being treated for a diabetic foot ulcer at Mercy Wound Care Center in Sioux City, Iowa, had a vascular blockage in his lower thigh and five blockages in his heart. A wound care nurse practitioner treating the 67-year-old determined he had vascular problems after noticing weaker pulses in the patient's left foot and diminished hair growth on his left leg. A vascular surgeon restored the blood supply to the man's leg, and he received multiple debridements, antibiotics, skin grafts and hyperbaric oxygen therapy to heal the wound before undergoing quintuple bypass surgery. Sioux City Journal (Iowa) (9/11)
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Doctors turn to hyperbaric oxygen to heal stubborn osteomyelitis
Doctors at Oregon's Bay Area Hospital used hyperbaric oxygen therapy to treat a serious bone infection in a man who is paralyzed and was wounded when a screw head poked through his wheelchair’s padding and into his hip. Surgery, negative pressure therapy and intravenous antibiotics failed to heal the wound for months. The hospital began offering hyperbaric oxygen therapy May 1, and the 52-year-old was one of the first patients to receive it. The World (Coos Bay-North Bend, Ore.) (9/16)
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Research, Technology & Innovation
Foot-mapping device may help prevent diabetic amputation
Scientists at London South Bank University have developed a device to identify early diabetes complications in the feet that can lead to amputation. The Peripheral Sensory Neuropathy Test, which resembles a set of bathroom scales, scans the surface of the foot to detect skin damage and neuropathy. Diabetes.co.uk (U.K.) (9/11)
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Statins could help prevent diabetes-related nerve damage that leads to amputation
Diabetes patients who took statins had lower odds of developing diabetes-related nerve damage compared with nonusers, according to a study of data involving more than 60,000 patients in Denmark. Statin use was also associated with reduced risk of gangrene, researchers reported in The Lancet Diabetes & Endocrinology. HealthDay News (9/10)
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Health Policy & Regulation
Ind. launches nursing-home-quality initiative
The Indiana Department of Health and the University of Indianapolis Center for Aging & Community are collaborating on a quality-assurance and -improvement program for nursing homes. Up to seven regional collaborative groups will comprise representatives from health care facilities, provider associations, consumer advocacy groups and community organizations and will assess needs, design quality-improvement plans and offer education and resources to area nursing homes. The Rushville Republican (Ind.) (9/16)
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SmartQuote
Look for a way to lift someone up. If that's all you do, it's enough."
-- Elizabeth Lesser,
American entrepreneur
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