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Kathryn Whiston-Lemm, ACNP, CWON-AP

Nurse - APRN
About Wound Reference
WoundReference is the only decision support platform designed exclusively for wound care and hyperbaric oxygen clinicians. Our point-of-care tools enable clinicians to work more efficiently.

Coming soon...
  • 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
  • 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.
  • 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 - Guidelines and Quality Measures
    Venous leg ulcer overview: evidence-based clinical guidelines, quality measures and resources
  • 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 - 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 - Treatment
    Pressure Ulcers/Injuries - evidence-based, always current review on management with a concise algorithm/pathway for use at the point-of-care
  • 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
  • Pressure Ulcers/Injuries -Coordination of Care
    Coordination of care for prevention and management of pressure ulcers/injuries - problems and practical solutions
  • 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.
  • 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.
  • 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.
  • 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).
  • Arterial Ulcer - Introduction and Assessment
    Evidence-based review on arterial ulcer. Framework for assessment of patients with arterial ulcers. 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)
  • Arterial Ulcer - Surgical Treatment
    This topic covers surgical management of arterial ulcers (AUs) with focus on surgical indications and selection criteria.
  • Arterial Ulcer - Treatment
    Concise Algorithm for Assessment of Arterial 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
  • Patient education - Lymphedema (Spanish)
    ¿QUÉ es la linfedema?La linfedema es la acumulación de líquido en partes de su cuerpo, debido a un problema con su sistema linfático. Si el sistema linfático está dañado o bloqueado, se acumulará líquido y causará hinchazón (Figura 1). El sistema linfático es una red de diminutos vasos que actúa como una esponja que extrae líquido de los tejidos y lo dirige de vuelta a la circulación. Si la "esponja" no funciona correctamente, se acumula líquido "impuro", su
  • Applied Anatomy and Physiology in Wound Care
    INTRODUCTIONMusculoskeletal SystemFig. 1. Positions prone to pressure and bony structures involvedRelated topicsPressure Ulcers/Injuries - Overview
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