ACUTE & CHRONIC WOUNDS

Author: Ruth Bryant, RN, MS, CWOCN, Denise Nix, MS, RN, CWOCN
Affiliation: Partner, Bryant Rolstad Consultants, LLC
Publisher: Elsevier Health Sciences
Publication Date: 2012
ISBN 10: 0323069436
ISBN 13: 9780323069434
Edition: 4th

Description:

Reflecting the latest technologic advances and therapies, the extensively revised new edition of Ruth Bryant and Denise Nix's Acute and Chronic Wounds: Current Management Concepts remains your #1 source for today's best information on wound care. Using a strong nursing process and multidisciplinary approach, this best-selling title is an all-inclusive resource for anyone involved in the care of acute surgical wounds and all types of chronic wounds.

Table of Contents

Front Matter

  • ABOUT
  • Notice
  • DEDICATION
  • Contributors
  • Reviewers
  • Preface

SECTION I Foundations

    Principles for Practice Development

    • EDUCATIONAL PREPARATION OF THE WOUND SPECIALIST
    • NATIONAL CERTIFICATION: VALUE AND ROUTES
    • ROLES, FUNCTIONS, AND RESPONSIBILITIES OF A WOUND SPECIALIST
    • PREVALENCE/INCIDENCE STUDIES
    • MARKETING, JUSTIFYING, AND SECURING THE WOUND SPECIALIST ROLE
    • SUMMARY
    • REFERENCES

    Billing, Reimbursement, and Setting Up a Clinic

    • CREATING THE BUSINESS PLAN
    • CLINIC MANAGEMENT
    • CLINIC STRUCTURE
    • CLINIC OPERATIONS
    • DESCRIPTION OF PAYMENT SYSTEMS
    • FACTORS THAT INFLUENCE PROVIDER REIMBURSEMENT
    • CODING AND BILLING FOR SERVICES AND SUPPLIES
    • SUMMARY
    • REFERENCES

    Anatomy and Physiology of Skin and Soft Tissue

    • SKIN LAYERS
    • SKIN FUNCTIONS
    • FACTORS ALTERING SKIN CHARACTERISTICS
    • SUMMARY
    • REFERENCES

    Wound-Healing Physiology

    • MECHANISM OF WOUND HEALING
    • WOUND-HEALING PROCESS
    • WHAT MAKES A CHRONIC WOUND CHRONIC?
    • MEDIATORS OF WOUND HEALING
    • EXTREMES OF REPAIR: SCARLESS HEALING VERSUS EXCESSIVE SCARRING
    • FACTORS AFFECTING THE REPAIR PROCESS
    • SUMMARY
    • REFERENCES

    Types of Skin Damage and Differential Diagnosis

    • ASSESSMENT
    • MECHANICAL FORCES
    • MOISTURE AND CHEMICAL FACTORS
    • VASCULAR DAMAGE
    • INFECTIOUS AGENTS
    • ALLERGIC FACTORS
    • RADIATION
    • SUMMARY
    • REFERENCES

    Skin and Wound Inspection and Assessment

    • SIGNIFICANCE
    • ASSESSMENT
    • REASSESSMENT AND EVALUATION OF HEALING
    • SUMMARY
    • REFERENCES

SECTION II Pressure Ulcers

    Pressure Ulcers: Impact, Etiology, and Classification

    • SCOPE OF THE PROBLEM
    • VULNERABLE PATIENT POPULATIONS
    • TERMINOLOGY
    • CAUSATIVE FACTORS
    • PATHOPHYSIOLOGIC CHANGES
    • CLASSIFICATION OF PRESSURE ULCERS
    • SUMMARY
    • REFERENCES

    Developing and Maintaining a Pressure Ulcer Prevention Program

    • PUPP JUSTIFICATION
    • COMPONENTS OF A PUPP
    • ESTABLISHING A BEST PRACTICE BUNDLE
    • CREATING INFRASTRUCTURE TO SUSTAIN THE PUPP
    • SUMMARY
    • REFERENCES

    Support Surfaces

    • INTERFACE TISSUE PRESSURES: PAST AND PRESENT
    • PHYSICAL CONCEPTS AND THERAPEUTIC FUNCTIONS
    • COMPONENTS
    • CATEGORIES AND FEATURES
    • SUPPORT SURFACE SELECTION CRITERIA
    • SUMMARY
    • REFERENCES

SECTION III Lower Extremity Wounds

    Lower Extremity Assessment

    • GENERAL APPEARANCE OF THE LIMB
    • FUNCTIONAL–SENSORY STATUS
    • PERFUSION
    • DIAGNOSTIC TESTING
    • SUMMARY
    • REFERENCES

    Arterial Ulcers

    • EPIDEMIOLOGY
    • ETIOLOGY
    • RISK FACTORS FOR LEAD
    • PATHOLOGY OF ARTERIAL ULCERATION
    • ASSESSMENT
    • NONINVASIVE TESTING FOR LEAD
    • INVASIVE TESTING FOR LEAD
    • MANAGEMENT OF THE PATIENT WITH ARTERIAL ULCERATION
    • PATIENT EDUCATION
    • SUMMARY
    • REFERENCES

    Venous Ulcers

    • EPIDEMIOLOGY
    • VENOUS STRUCTURE AND FUNCTION
    • CHRONIC VENOUS INSUFFICIENCY
    • ASSESSMENT
    • MANAGEMENT
    • COMPRESSION THERAPY
    • COMPRESSION WRAPS
    • COMPRESSION GARMENTS
    • INTERMITTENT PNEUMATIC COMPRESSION (IPC)
    • LOCAL WOUND CARE
    • SURGICAL INTERVENTIONS
    • FOLLOW-UP AND LIFELONG MAINTENANCE
    • REFERENCES

    Lymphedema

    • EPIDEMIOLOGY
    • PATHOPHYSIOLOGY
    • TYPES OF LYMPHEDEMA
    • STAGES OF LYMPHEDEMA
    • LIPEDEMA
    • DIAGNOSTIC TESTS
    • ASSESSMENT
    • PREVENTION
    • MANAGEMENT
    • COMPLICATIONS
    • SUMMARY
    • REFERENCES

    Neuropathic Wounds: The Diabetic Wound

    • EPIDEMIOLOGY
    • PATHOGENESIS
    • ASSESSMENT
    • MANAGEMENT
    • SUMMARY
    • REFERENCES

    Foot and Nail Care

    • QUALITY OF LIFE
    • STRUCTURE AND FUNCTION
    • PHYSICAL ASSESSMENT
    • PREVENTION AND ROUTINE MANAGEMENT
    • MANAGEMENT OF SPECIFIC CONDITIONS
    • REFERENCES

SECTION IV Wound Bed Preparation

    Wound Infection: Diagnosis and Management

    • CONTINUUM OF BACTERIAL BIOBURDEN
    • EVALUATION
    • SUMMARY
    • REFERENCES

    Wound Debridement

    • DEFINITION AND PURPOSE
    • METHODS OF DEBRIDEMENT
    • SELECTION OF DEBRIDEMENT METHOD
    • PROGRESSION AND MAINTENANCE OF DEBRIDEMENT
    • SUMMARY
    • REFERENCES

    Topical Management

    • PRINCIPLES OF WOUND MANAGEMENT
    • TYPES OF DRESSINGS
    • COMPONENTS OF A DRESSING CHANGE
    • DRESSING SELECTION
    • DOCUMENTATION AND REIMBURSEMENT
    • SUMMARY
    • REFERENCES

SECTION V Biophysical and Biologic Agents

    Skin Substitutes and Extracellular Matrix Scaffolds

    • CLASSIFICATION OF PRODUCTS
    • CELLULAR PRODUCTS
    • ACELLULAR PRODUCTS
    • SUMMARY
    • REFERENCES

    Molecular and Cellular Regulators

    • BIOLOGIC ROLES OF CYTOKINES AND GROWTH FACTORS
    • ADHESION MOLECULES AND ADHESION RECEPTORS IN INFLAMMATION
    • CYTOKINES
    • GROWTH FACTORS
    • MAJOR FAMILIES OF GROWTH FACTORS
    • INTEGRATING GROWTH FACTORS INTO CLINICAL PRACTICE
    • SUMMARY
    • REFERENCES

    Negative Pressure Wound Therapy

    • MECHANISM OF ACTION
    • INDICATIONS AND USES
    • CONTRAINDICATIONS AND PRECAUTIONS
    • CLINICAL APPLICATIONS
    • SUMMARY
    • REFERENCES

    Hyperbaric Oxygenation

    • HISTORY
    • PHYSIOLOGIC EFFECTS
    • INDICATIONS
    • CONTRAINDICATIONS
    • PROTOCOLS AND CLINICAL APPLICATION
    • TOPICAL OXYGEN IS NOT HBO
    • SUMMARY
    • REFERENCES

    Electrical Stimulation

    • EFFECTS OF ELECTRICAL STIMULATION
    • INDICATIONS AND CONTRAINDICATIONS
    • TYPES OF ELECTRICAL STIMULATION
    • PAYMENT COVERAGE
    • SUMMARY
    • REFERENCES

    Ultraviolet Light and Ultrasound

    • ULTRAVIOLET LIGHT
    • ULTRASOUND
    • SUMMARY
    • REFERENCES

SECTION VI Critical Cofactors

    Wound Pain: Impact and Assessment

    • PERCEPTIONS ABOUT PAIN
    • CONSEQUENCES OF WOUND PAIN
    • PAIN PHYSIOLOGY
    • CLASSIFICATIONS
    • ASSESSMENT
    • WOUND PAIN CARE MODELS
    • SUMMARY
    • REFERENCES

    Managing Wound Pain

    • NONPHARMACOLOGIC PAIN CONTROL
    • PHARMACOLOGIC INTERVENTIONS
    • SUMMARY
    • REFERENCES

    Nutritional Assessment and Support

    • MALNUTRITION
    • SCREENING AND ASSESSMENT
    • NUTRIENT NEEDS FOR HEALING
    • NUTRITIONAL SUPPORT
    • SUMMARY
    • REFERENCES

    Perfusion and Oxygenation

    • IMPACT OF OXYGEN AND PERFUSION IN WOUND HEALING
    • FACTORS THAT ALTER PERFUSION AND OXYGENATION
    • INTERVENTIONS TO IMPROVE PERFUSION AND OXYGEN
    • MEASURING THE RESPONSE
    • SUMMARY
    • REFERENCES

    Noncompliance, Nonadherence, or Barriers to a Sustainable Plan?

    • SIGNIFICANCE
    • BARRIERS TO A SUSTAINABLE WOUND MANAGEMENT PLAN
    • SUMMARY
    • REFERENCES

SECTION VII Acute and Traumatic Wounds

    Intrinsic Diseases and Uncommon Cutaneous Wounds

    • INFECTIOUS ETIOLOGY
    • SPIDER BITES
    • PYODERMA GANGRENOSUM
    • VASCULITIS AND CONNECTIVE TISSUE DISORDERS
    • EPIDERMOLYSIS BULLOSA
    • CALCIPHYLAXIS
    • EXTRAVASATION
    • IMMUNE REACTIONS
    • FROSTBITE
    • PRIMARY MALIGNANT AND MALIGNANT TRANSFORMATION WOUNDS (MARJOLIN ULCER)
    • BLOOD DYSCRASIAS
    • SUMMARY
    • REFERENCES

    Traumatic Wounds: Bullets, Blasts, and Vehicle Crashes

    • ETIOLOGY OF WAR WOUNDS
    • ACUTE MANAGEMENT OF TRAUMATIC WOUNDS
    • SUBACUTE MANAGEMENT OF TRAUMATIC WOUNDS
    • SUMMARY
    • REFERENCES

    Burns

    • EPIDEMIOLOGY
    • TYPES OF BURN INJURY
    • EVALUATION OF BURN INJURY
    • PATHOPHYSIOLOGY OF BURN INJURY ON THE BODY
    • PHASES OF BURN CARE
    • OUTPATIENT BURN MANAGEMENT
    • SUMMARY
    • REFERENCES

    Reconstructive Surgery

    • HISTORY OF SURGERY FOR WOUNDS
    • SURGICAL DECISION MAKING
    • SELECTION OF WOUND CLOSURE METHOD
    • NONOPERATIVE CONDITIONS
    • URGENT OPERATIVE CONDITIONS
    • PREOPERATIVE MANAGEMENT
    • OPERATIVE MANAGEMENT
    • POSTOPERATIVE MANAGEMENT
    • SUMMARY
    • REFERENCES

    Surgical Wounds and Incision Care

    • SURGICAL WOUND CLOSURE
    • SURGICAL WOUND ASSESSMENT
    • TOPICAL INCISION CARE
    • SUMMARY
    • REFERENCES

SECTION VIII Special Patient Populations

    Skin Care Needs of the Obese Patient

    • DEFINING OBESITY
    • ALTERED SKIN FUNCTION
    • UNIQUE NEEDS
    • Skin Fold Management
    • THE SURGICAL EXPERIENCE
    • NUTRITIONAL CONSIDERATIONS
    • QUALITY IMPROVEMENT
    • SUMMARY
    • REFERENCES

    Skin Care Needs of the Pediatric and Neonatal Patient

    • PART I: THE PEDIATRIC PATIENT
    • PART II: THE NEONATE

    Managing Wounds in Palliative Care

    • DEFINITION OF TERMS
    • PALLIATIVE WOUND CARE
    • NONMALIGNANCY-RELATED WOUNDS
    • MALIGNANCY-RELATED WOUNDS
    • OBJECTIVES IN THE CARE OF THE MALIGNANT CUTANEOUS WOUND
    • EVALUATION
    • SUMMARY
    • REFERENCES

    Management of Draining Wounds and Fistulas

    • EPIDEMIOLOGY AND ETIOLOGY
    • TERMINOLOGY
    • MANIFESTATIONS
    • MEDICAL MANAGEMENT
    • NURSING MANAGEMENT
    • SUMMARY
    • REFERENCES

    Percutaneous Tube Management

    • GASTROSTOMY AND JEJUNOSTOMY DEVICES
    • PLACEMENT APPROACHES
    • FEEDING TUBE FEATURES
    • LOW-PROFILE GASTROSTOMY DEVICE (BUTTON)
    • NURSING MANAGEMENT OF ENTERIC TUBES
    • COMPLICATIONS
    • TUBE REMOVAL
    • PATIENT EDUCATION
    • MISCELLANEOUS DRAIN TUBES
    • SUMMARY
    • REFERENCES

Color Plates

    Self-Assessment Exercises

    Documentation Tools

    Infrastructure Support Examples: Policies, Procedures, Protocols, and Decision-Making Tools

    GLOSSARY