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Kathryn Whiston-Lemm, ACNP, CWCN, COCN-AP

About Wound Reference
Clinical and reimbursement decision support digital solutions

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  • Compression Therapy
    Compression therapy is considered the mainstay of venous leg ulcer (VLU) treatment and along with standard care has the potential to heal 50%-75% of VLU. This topic provides an overview on the use of compression therapy in the treatment of VLU with evidence-based recommendations
  • How to Select Adequate Compression Therapy Pressure Levels and Products
    Compression therapy is essential for patients with venous leg ulcer, lymphedema and other conditions. This topic provides algorithms that illustrate how audible handheld Doppler ultrasound/ waveform analysis or ankle-brachial index can be utilized to determine appropriate pressure levels and types of compression across different clinical scenarios.
  • Venous ulcers - Introduction and Assessment
    Concise Algorithm for Assessment of Venous Ulcer for use at point-of-care. Comprehensive topic including epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding. Free Abstract Summary
  • Venous Ulcers - Overview
    Venous leg ulcer overview: evidence-based clinical guidelines, quality measures and resources
  • Venous Ulcers - Treatment and Prevention
    Venous Leg Ulcers (VLU) are relatively common, affecting 1% of the population in the U.S. This topic discusses treatment and prevention of VLU. Evidence-based management of venous ulcer, including a section for clinicians on patient education. Concise Algorithm for Management of Venous ulcer for use of point-of-care.
  • Pressure Ulcers/Injuries - Introduction and Assessment
    Framework for assessment of patients with pressure ulcers/injuries. Includes concise abstract, clinical pathway/algorithm for use at the point-of-care, and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • Pressure Ulcers/Injuries - Classification/Staging
    This topic provides pictures and details on two of the most used classification systems for pressure ulcer/injury (PU/PI): the classification created by the National Pressure Ulcer Advisory Panel (NPUAP) and the system adopted by the Centers for Medicare and Medicaid Services (CMS)
  • Pressure Ulcers/Injuries - Treatment
    Pressure Ulcers/Injuries - evidence-based, always current review on management with a concise algorithm/pathway for use at the point-of-care
  • Pressure Ulcers/Injuries - Prevention
    Pressure ulcers/injuries (PUs/PIs) pose a large burden to affected individuals, caregivers and healthcare systems. As in any illness or injury, preventing PUs/PIs is better than treating them. This topic presents evidence-based interventions for prevention of PUs/PIs, with best practices and recommendations summarized in a concise table.
  • Pressure Ulcers/Injuries -Coordination of Care
    Coordination of care for prevention and management of pressure ulcers/injuries - problems and practical solutions
  • Patient Education - Venous Leg Ulcers
    Venous leg ulcer for patients and caregivers. This illustration-rich topic can be shared by email, or the attached trifold brochure can be printed and handed directly to patients.
  • Pressure Ulcers/Injuries - Is it Really a Stage 2?
    A practical framework for clinicians on how to differentiate Stage 2 pressure ulcers/injuries on the gluteal region from selected common conditions, namely incontinence-associated dermatitis (IAD) and friction-induced skin injury (FISI). Includes pictures and ICD-10 codes for these conditions
  • Lymphedema - Introduction and Assessment
    Evidence-based review on lymphedema. Framework for assessment of patients with lymphedema. Includes concise abstract and comprehensive resources on the condition (e.g. epidemiology, risk factors, etiology, pathophysiology, history, physical examination, diagnosis, differential diagnoses, documentation and ICD-10 coding)
  • Lymphedema - Treatment and Emerging Strategies for Prevention
    Evidence-based, always current review on lymphedema management with a concise algorithm/pathway for use at the point-of-care
  • Lymphedema - Surgical Management
    For well-selected patients with chronic lymphedema, surgical management offers a chance for reduction of limb volume, decreased episodes of infection and improved quality of life. This topic provides updates on recent surgical advancements, along with specific indications and guidance on preoperative evaluation.
  • Patient education - Lymphedema
    Topic on lymphedema and its complications for patients and caregivers. The topic can be shared with patients and caregivers by email or print.
  • Case: New Technique to Seal Negative Pressure Wound Therapy on Exposed Dermis
    Negative pressure wound therapy (NPWT) has the potential to expedite healing and may be applied in many clinical situations, but achieving and maintaining a reliable, occlusive seal is requisite to realize benefit and mitigate cost, regardless of NPWT type. This topic illustrates a new method to achieve effective seal of an open abdomen NPWT dressing on a highly exudative deepithelialized periwound lacking any dry tissue to apply adhesive drape.
  • Surgical Ostomy for Fecal Diversion
    Stomas or ostomies are surgically created openings connecting a hollow organ to the skin. This topic provides an overview on the several types of stomas, with a focus on colostomies and ileostomies. It includes descriptions of most common surgical techniques, indications, contraindications, pre and postoperative care, and stomal complications (e.g. ischemia, necrosis, retraction, stenosis, prolapse, varices, hernia).

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