Dear Colleagues,
If your practice involves treating and healing of wounds you may want to
consider attending or cosponsoring our seminars on wound healing. Extensive
information can be found at our website www.woundcareresources.com on
seminar content, dates and locations, etc., so I will not repeat it here. I
also will not bombard you with repeated messages! I realize that your time
is valuable. I have however included some "teaser information" from our
website regarding "WOUND HEALING MYTHS". I hope you find them interesting or
at least entertaining !
If I can be of any assistance whatsoever, please feel free to contact me.
Sincerely,
Jeffrey A. Feedar, PT, CWS, Director
Wound Care Associates
(A Division of Wound Care Resources, Inc.)
180 Cherry Street
Williams Bay, WI 53191-9704
Phone: 1-262-245-6812
Fax: 1-262-245-6912
Email: [log in to unmask]
Web site: www.woundcareresources.com
WOUND HEALING MYTHS
By Jeffrey A. Feedar, PT, CWS, Director
Wound Care Associates
(A Division of Wound Care Resources, Inc.)
1. Irrigating a wound is always appropriate. (MYTH!)
2. Wounds need to be irrigated at dressing changes. (MYTH!)
3. Necrotic tissue is natures natural dressing. (MYTH!)
4. Heel ulcers with dry eschar need not be debrided. (MYTH!)
5. It is ok to make a wound bleed. (MYTH!)
6. The best way to prevent an infection in an open wound is to use an
antimicrobial topical agent. (MYTH!)
7. Exogenous enzymes should be used to open wounds even when dominated by
fibroblasts. (MYTH!)
8. The staging system used to describe pressure ulcers is accurate,
objective and should still be used. (MYTH!)
9. People should be kept off their pressure ulcers. (MYTH!)
10. The dead space in a wound always needs to be taken up by a dressing.
(MYTH!)
11. Pressure to the floor of an ulcer helps it to granulate. (MYTH!)
12. Routine swab cultures should be taken at initial evaluation. (MYTH!)
13. At the first sign of an infection antibiotics should be taken. (MYTH!)
14. All pressure relieving devices work. (MYTH!)
15. Effective wound healing protocols can be written. (MYTH!)
16. Specialty beds are required when a person has multiple ulcers. (MYTH!)
17. Whirlpools help heal granulating ulcers. (MYTH!)
18. Whirlpools are appropriate for treating a person with venous
insufficiency. (MYTH!)
19. Necrosing wounds should be left to autolytically debride or auto
amputate. (MYTH!)
20. Reimbursement guidelines for wound treatments are appropriate. (MYTH!)
21. Grafting / flapping over small healthy granulating wounds is cost
effective and appropriate. (MYTH!)
22. Reimbursement guidelines are non-discriminatory against the person
suffering from a pressure ulcer. (MYTH!)
23. We can't afford appropriate pressure relieving devices in our facility.
(MYTH!)
24. Doctor's don't listen to my suggestions regarding wound care. (MYTH!)
25. Wound care is difficult. (MYTH!)
26. Patients are non-compliant. (MYTH!)
27. Behavioral changes are easy to make. (MYTH!)
28. Food and nutritional intake have little to do with wound healing.
(MYTH!)
29. Callouses on diabetic feet are only caused by abnormal weight bearing.
(MYTH!)
30. Diabetics should never go barefoot. (MYTH!)
31. Studying diseases and developing medicines to combat diseases is the
best way to gain health. (MYTH!)
32. Clinicians don't care about patients, that's why patients get pressure
sores. (MYTH!)
33. When lymph nodes swell, it's because the person is getting sick. (MYTH!)
34. The best way to treat a granulating wound with electrical stimulation is
to put the conductive dressing/material directly into the wound bed. (MYTH!)
35. It is always appropriate to conduct ultrasound directly through
hydrogels into the wound bed. (MYTH!)
If you have a favorite MYTH that you would like to see dispelled,
write/fax/or Email to:
Jeffrey A. Feedar, PT, CWS, Director
Wound Care Associates
(A Division of Wound Care Resources, Inc.)
180 Cherry Street, Williams Bay, WI, 53191-9704
Fax: 1-262-245-6912
Email: [log in to unmask]
Convey to us in one clear sentence the wound healing MYTH and a short
description why you believe it to be a MYTH. Long attachments or articles
for review should be faxed or mailed. The best MYTH debunked each month will
win the submitter a free book, Pressure Sores published in Topics in
Geriatric Rehabilitation, June 1994, Aspen Publishers, Inc. (see: Wound
Healing Books for sale at www.woundcareresources.com ). The best MYTH
debunked each year will win free attendance at one of our seminars, CURRENT
CONCEPTS IN WOUND HEALING T or ADVANCED WOUND HEALING T. (See course
description for agenda and cities and dates.) Attend these seminars to
debunk MYTHS: and practice the art of wound healing in an objective manner
based on physiology not MYTH.
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