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Acute and Chronic Wounds : Current Management Concepts

ISBN: 9780323030748 | 0323030742
Edition: 3rd
Format: Hardcover
Publisher: Mosby
Pub. Date: 4/1/2006

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SummaryTable of Contents
Using a multidisciplinary approach, this all-inclusive resource provides clinicians with a strong knowledge base for understanding the complete spectrum of wound care, including the structure of the skin, its functions, types of skin damage, physiology of wound healing, and general principles of wound management. Seven new chapters cover Principles of Practice Development; Skin Care Needs of the Obese Patient; Foot and Nail Care; Facilitating Adaptation; Support Surfaces; Devices and Technology in Wound Care; and Reimbursement and Billing. Rece... MORE
Principles for Practice Development
1(22)
Ruth A. Bryant
Denise P. Nix
Qua... MORE
1(2)
Roles, Functions, and Responsibilities of a Wound Care Specialist
3(14)
Benefits and Outcomes
17(6)
The Multidisciplinary Team Approach to Wound Management
23(16)
Finn Gottrup
Denise P. Nix
Ruth A. Bryant
Magnitude of the Wound Problem
23(1)
Terminology
24(1)
Building a Case for a Multidisciplinary Team Approach
25(2)
Wound Management Models
27(4)
Establishing a Multidisciplinary Wound Management Program
31(8)
Anatomy and Physiology of Skin and Soft Tissue
39(17)
Annette B. Wysocki
Skin Layers
39(5)
Skin Functions
44(4)
Factors Altering Skin Characteristics
48(8)
Wound-Healing Physiology
56(26)
Dorothy B. Doughty
Bonnie Sparks-DeFriese
Physiology of Wound Healing
56(1)
Definitions and Classifications
57(1)
Wound-Healing Process
58(8)
Characteristics of Full-Thickness Wounds Healing by Secondary Intention
66(3)
What Makes a Chronic Wound Chronic?
69(2)
Mediators of Wound Healing
71(1)
Interplay of Mediators
72(1)
Extremes of Repair: Scarless Healing versus Excessive Scarring
73(2)
Factors Affecting the Repair Process
75(7)
Molecular Regulation of Wound Healing
82(18)
Gregory Schultz
Biologic Roles of Cytokines and Growth Factors in Wound Healing
82(3)
General Properties of Growth Factors and Their Receptors
85(2)
Major Families of Growth Factors
87(6)
Distinguishing Cytokines from Growth Factors
93(1)
Potential Limitations of Growth Factor Technology
94(2)
Wound Bed Preparation
96(4)
Skin Pathology and Types of Damage
100(30)
Ruth A. Bryant
Richard A.F. Clark
Assessment
100(1)
Mechanical Damage
100(7)
Chemical Factors
107(3)
Vascular Damage
110(1)
Infectious Factors
110(5)
Arthropod
115(2)
Allergic Factors
117(1)
Inflammatory Conditions Leading to Atypical Ulcerations
118(2)
Intrinsic Skin Diseases Associated with Ulceration
120(10)
Patient Assessment and Evaluation of Healing
130(19)
Denise P. Nix
Significance
130(1)
Monitoring, Observation, and Inspection
131(1)
Assessment
131(13)
Frequency of Wound Assessment
144(1)
Evaluation of Healing and Documentation Tools
144(5)
Nutritional Assessment and Support
149(12)
Nancy A. Stotts
Malnutrition
149(4)
Nutritional Assessment
153(5)
Nutritional Support
158(3)
Wound Infection: Diagnosis and Management
161(15)
Nancy A. Stotts
Infection as a Significant Problem
161(1)
Bioburden as a Concept
162(1)
Microbial States of a Wound (Infection Continuum)
162(1)
Factors That Effect the Microbial State of a Chronic Wound
163(2)
Acute Wound Infection
165(1)
Diagnosis of Infection
166(4)
Treatment of Wound Infection
170(3)
Psychological Support and Education
173(3)
Wound Debridement
176(17)
Janet M. Ramundo
Methods of Debridement
177(11)
Selection of Debridement Method
188(1)
Assessment of the Debridement Process
189(4)
Acute Surgical and Traumatic Wounds
193(12)
JoAnne D. Whitney
Factors in the Repair of the Acute Wound
193(4)
Interventions that Support Acute Wound Healing
197(2)
Assessment of Healing in the Acute Wound
199(1)
Incisional Care
200(2)
Patient Education
202(3)
Mechanical Forces: Pressure, Shear, and Friction
205(30)
Barbara Pieper
Economic Effects
206(1)
Scope of the Problem
206(1)
Terminology
207(2)
Causative Factors
209(1)
Intensity of Pressure
209(1)
Duration of Pressure
210(1)
Tissue Tolerance
211(3)
Pathophysiologic Changes
214(3)
Pressure Ulcer Prevention Program
217(11)
Management of Pressure Ulcers
228(1)
Pressure Ulcer Healing
229(1)
Quality of Life and Psychosocial Needs
229(1)
Quality Improvement
229(1)
Legal Concerns
230(5)
Support Surfaces
235(14)
Denise P. Nix
Support Surface Features
236(1)
Categories of Support Surfaces
237(7)
Product Selection
244(2)
Safety
246(1)
Renting versus Owning
246(1)
Evaluation of Effectiveness
247(2)
Skin Care Needs of the Obese Patient
249(9)
Susan Gallagher Camden
Defining Obesity
249(1)
Changing Demographics
250(1)
Stereotypes About Obesity
250(1)
Common Skin Complications in the Obese Population
250(3)
The Surgical Experience
253(2)
Quality Improvement
255(3)
Lower-Extremity Ulcers of Vascular Etiology
258(49)
Dorothy B. Doughty
Rhonda Holbrook
Terminology
259(1)
Assessment of the Lower Extremity
259(6)
Diagnostic Tests for the Lower Extremity
265(3)
Arterial Ulcers
268(9)
Venous Ulcers
277(21)
Lymphedema
298(9)
Neuropathic Wounds: The Diabetic Wound
307(30)
Vickie R. Driver
Mary Anne Landowski
J.L. Madsen
Epidemiology
307(1)
Economic Burden
308(1)
Pathogenesis
308(4)
Assessment
312(13)
Management
325(7)
Education
332(5)
Foot and Nail Care
337(24)
Tara L. Beuscher
Quality of Life
337(1)
Structure and Function
338(1)
Pathology
339(5)
Assessment
344(4)
Interventions
348(13)
Massive Tissue Loss: Burns
361(30)
Jill Evans
Epidemiology
361(1)
Pathophysiology
362(1)
Types of Burn Injury
362(3)
Inhalation Injury
365(1)
Phases of Healing and the Burn Process
366(1)
Evaluation of the Burn Injury
367(2)
Initial Interventions
369(1)
Emergent Phase
370(4)
Acute/Wound Care Phase
374(6)
Infectious Complications
380(2)
Psychological Consequences of Burn Injury
382(1)
Discharge Planning
383(1)
Rehabilitation Phase
384(2)
Outpatient Burn Management
386(5)
Principles of Wound Management
391(36)
Bonnie Sue Rolstad
Liza G. Ovington
Principles of Wound Management
392(2)
Objectives to Achieve a Physiologic Wound Environment
394(1)
Wound Care Dressing Performance Parameters
395(2)
Wound Care Dressing Categories
397(18)
Selecting the Wound Care Dressing
415(4)
Wound Care Procedures
419(2)
Standardization and Decision Making Tools
421(1)
Evaluating Outcomes
422(5)
Devices and Technology in Wound Care
427(34)
Rita A. Frantz
Craig L. Broussard
Susan Mendez-Eastman
Renee Cordrey
Hyperbaric Oxygenation
427(7)
Negative-Pressure Wound Therapy
434(7)
Electrical Stimulation
441(8)
Ultraviolet Light
449(2)
Ultrasound
451(10)
The Role of Surgery in Wound Healing
461(10)
Joyce M. Black
Steven B. Black
History of Surgery for Wounds
461(1)
Debridement
461(1)
Surgical Decision Making
461(4)
Nonoperative Conditions
465(1)
Urgent Operative Conditions
465(1)
Preoperative Management
466(1)
Operative Management
467(2)
Postoperative Management
469(2)
Oncology-Related Skin Damage
471(19)
Margaret T. Goldberg
Margaret McGinn-Byer
Extravasation
471(6)
Fungating Wounds
477(4)
Irradiation Tissue Damage
481(5)
Primary Malignant and Malignant Transformation Wounds
486(4)
Management of Drain Sites and Fistulas
490(27)
Ruth A. Bryant
Bonnie Sue Rolstad
Epidemiology and Etiology
490(1)
Terminology
491(2)
Manifestations
493(1)
Medical Management
493(4)
Nursing Management
497(20)
Management of Gastrointestinal Feeding Tubes
517(22)
Ruth A. Bryant
Gastrostomy and Jejunostomy Devices
517(1)
Placement Approaches
518(10)
Feeding Tube Features
528(1)
Low-Profile Gastrostomy Device (Button)
529(1)
Nursing Management of Enteric Tubes
530(3)
Complications
533(2)
Tube Removal
535(1)
Patient Education
535(4)
Managing Wound Pain
539(27)
Diane L. Krasner
Dag Shapshak
Harriet W. Hopf
Definition of Pain
540(1)
Perceptions About Pain
541(1)
Consequences of Wound Pain
542(2)
Pain Physiology
544(1)
Assessment of Pain
545(5)
Nonpharmacologic Pain Control
550(3)
Pharmacologic Interventions
553(6)
Wound Pain Models
559(7)
Facilitating Adaptation
566(13)
Denise P. Nix
Ben Peirce
Significance
566(1)
Barriers to Adaptation
567(3)
Patient Learning
570(9)
Billing, Coding, and Reimbursement
579(67)
Ruth A. Bryant
Ben Peirce
Kathleen D. Schaum
Historical Perspective
579(1)
Medicare
580(1)
Medicaid
581(1)
History of Medicare Payment Systems
581(3)
Coding Systems
584(4)
Billing for Wound Care Products and Equipment
588(1)
Billing for Wound Care Services
588(1)
Coordination of Care and Coverage Across Care Settings
589(4)
Appendixes
A. Self-Assessment Answers
593(9)
B. Policies, Procedures, and Decision Making Tools
602(8)
C. Documentation Tools
610(25)
D. Patient Education
635(6)
E. Coding and Reimbursement
641(5)
Glossary646

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