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Acute and Chronic Wounds
Intraprofessionals from Novice to Expert
- 6th Edition - May 18, 2023
- Authors: Ruth Bryant, Denise Nix
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 1 1 9 0 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 7 6 3 6 - 3
Acute & Chronic Wounds, 6th Edition provides the latest diagnostic and treatment guidelines to help novice to expert clinicians provide evidence-based, high-quality care for pa… Read more
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Request a sales quoteAcute & Chronic Wounds, 6th Edition provides the latest diagnostic and treatment guidelines to help novice to expert clinicians provide evidence-based, high-quality care for patients with wounds. This textbook presents an interprofessional approach to maintaining skin integrity and managing the numerous types of skin damage, including topics that range from the physiology of wound healing, general principles of wound management, special patient populations, management of percutaneous tubes, and specific care instructions to program development. Written by respected wound experts Ruth Bryant and Denise Nix, this bestselling reference also provides excellent preparation for all wound certification exams.
- Comprehensive approach addresses the prevention and management of acute and chronic wounds, making it the preeminent resource for skin health and wound management across all disciplines involved in wound care, from novice to expert.
- Learning Objectives at the beginning of each chapter emphasize the most important content.
- Clinical Consult feature in each chapter provides a synthesis of the chapter content, illustrating how to assess, manage, and document a realistic clinical encounter using the ADPIE or SBAR framework.
- Checklists provide a concise list of actions necessary to achieve the best patient care outcomes or satisfy a particular objective.
- Practical tools and algorithms help in performing risk assessment, differential diagnosis, classification, treatment, and documentation.
- Coverage of practice development issues addresses outcomes and productivity in agencies and institutions, home care, acute care, long-term care, and long-term acute care settings.
- Self-assessment questions help you test your knowledge and prepare for certification exams.
- Helpful appendices provide answers to self-assessment questions, as well as various tools, policies and procedures, competencies, patient and family education guidance, and more.
Nurses specializing in wound care and nurses who frequently care for patients with wounds
- Cover
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Preface
- Acknowledgments
- Section 1: Foundations
- 1: Principles for Practice Development to Facilitate Outcomes and Productivity
- Educational Preparation of The Wound Specialist
- National Certification: Value and Routes
- Roles, Functions, and Responsibilities of a Wound Specialist
- Marketing, Justifying, and Securing the Wound Specialist Role: Benefits and Outcomes
- Summary
- Self-assessment Questions
- References
- 2: Billing, Reimbursement, and Setting Up an Outpatient Clinic
- Creating the Business Plan
- Clinic Management
- Clinic Operations
- Payment Systems in the United States
- Factors That Influence Provider Reimbursement
- Coding and Billing for Services and Supplies
- Summary
- Self-assessment Questions
- References
- 3: Postacute Care Settings
- Skilled Nursing Facility Postacute Setting
- Home Health Postacute Setting
- Summary
- Self-assessment Questions
- References
- Further Reading
- 4: Telehealth and Wound Management
- Background
- Definitions
- Types of Telehealth Services
- Telehealth Effectiveness Across Settings and Specialties
- Telehealth Effectiveness in Wound Management
- Telehealth Across Care Settings
- Practical Framework for Telehealth Implementation
- Evaluating Your Telehealth Program
- Summary
- Self-assessment Questions
- References
- 5: Patient Engagement and Noncompliance
- Significance
- Patient Engagement
- Patient Perceptions and the Health Belief Model
- Modifying Variables to a Sustainable Wound Management
- Summary
- Self-assessment Questions
- References
- Further Reading
- 6: Quality Tracking Across the Continuum
- Federal Policy Drives Wound Quality
- Summary
- Self-assessment Questions
- References
- Further Reading
- Section 2: Assessment
- 7: Anatomy and Physiology of Skin and Soft Tissue
- Skin Layers
- Skin Functions
- Factors Altering Skin Characteristics
- Summary
- Self-assessment Questions
- References
- 8: Wound-Healing Physiology and Factors That Affect the Repair Process
- Mechanism of Wound Healing
- Wound-Healing Process
- What Makes a Chronic Wound Chronic?
- Mediators of Wound Healing
- Extremes of Repair: Scarless Healing vs Excessive Scarring
- Factors Affecting the Repair Process
- Summary
- Self-assessment Questions
- References
- Further Reading
- 9: Skin Damage: Types and Treatment
- Assessment
- Mechanical Forces
- Moisture-Associated Skin Damage
- Vascular Damage
- Infectious Agents
- Allergic Factors
- Radiation
- Summary
- Self-assessment Questions
- References
- Further Reading
- 10: Skin and Wound Inspection and Assessment
- Significance
- Assessment
- Reassessment and Evaluation of Healing
- Summary
- Self-assessment Questions
- References
- Section 3: Pressure Ulcers/Injuries
- 11: Pressure Ulcers/Injuries
- Scope of the Problem
- Terminology
- Etiological Pathways
- Classification of Pressure Injuries
- Operationalizing A Pressure Injury Prevention Program (PIPP)
- PIPP Justification
- A Best-Practice Bundle for PIPP
- PIPP Infrastructure and Organizational Responsibilities
- Summary
- Self-assessment Questions
- References
- Further Reading
- 12: Pressure Redistribution Support Surfaces
- Interface Tissue Pressures: Past and Present
- Physical Concepts and Therapeutic Functions
- Components
- Categories and Features
- Support Surface Selection Criteria
- Summary
- Self-assessment Questions
- References
- Further Reading
- Section 4: Lower Extremity Wounds
- 13: Lower Extremity Assessment
- General Appearance of the Limb
- Functional Sensory Status
- Perfusion
- Diagnostic Testing
- Summary
- Self-assessment Questions
- References
- Further Reading
- 14: Arterial Ulcers
- Introduction
- Peripheral Vascular Disease
- Pathophysiology of Arterial Occlusive Disease and Ulceration
- Assessment of LEAD
- Noninvasive Testing in LEAD
- Invasive Testing for LEAD
- Treatment of LEAD
- Systemic Support for Ulcer Healing
- Patient Education
- Summary
- Self-assessment Questions
- References
- Further Reading
- 15: Venous Leg Ulcers
- Epidemiology
- Venous Structure and Function
- Pathophysiology of Chronic Venous Disease
- Pathophysiology of Venous Ulceration
- Assessment
- Diagnostic Evaluation
- Management
- Compression Therapy
- Compression Wraps
- Application Technique
- Compression Garments
- Local Wound Care
- Adjunctive
- Surgical Intervention
- Follow-Up and Lifelong Maintenance
- Summary
- Self-assessment Questions
- References
- 16: Lymphedema
- Epidemiology
- Pathophysiology
- Types of Lymphedema
- Stages of Lymphedema
- Lipedema
- Diagnostic Tests
- Assessment
- Prevention
- Management
- Complications
- Summary
- Self-assessment Questions
- References
- Further Reading
- 17: Neuropathic Wounds: The Diabetic Wound
- Epidemiology
- Pathogenesis
- Assessment
- Management
- Summary
- Self-assessment Questions
- References
- Further Reading
- 18: Foot and Nail Care
- Quality of Life
- Structure and Function
- Physical Assessment
- Prevention and Routine Management
- Management of Specific Conditions
- Summary
- Self-assessment Questions
- References
- Section 5: Wound Bed Preparation
- 19: Wound Infection and Bioburden: Detection and Management
- Microorganisms, Phenotype, and The Wound Microbiome
- Wound Infection Continuum
- Topical Management of Bioburden
- Summary
- Self-assessment Questions
- References
- Further Reading
- 20: Wound Debridement
- Methods of Debridement
- Selection of Debridement Method
- Summary
- Self-assessment Questions
- References
- Further Reading
- 21: Principles of Wound Healing and Topical Management
- Principles of Wound Management
- Types of Dressings
- Components of a Dressing Change
- Documentation of Medical Necessity
- Summary
- Self-assessment Questions
- References
- Section 6: Biophysical and Biologic Agents
- 22: Cellular- and/or Tissue-Based Products for Wounds
- Indications for Use
- Classification of Products
- Summary
- Self-assessment Questions
- References
- Further Reading
- 23: Molecular and Cellular Regulators
- Biologic Roles of Cytokines and Growth Factors
- Cytokines
- Growth Factors
- Major Families of Growth Factors
- Integrating Growth Factors Into Clinical Practice
- Summary
- Self-assessment Questions
- References
- 24: Negative Pressure Wound Therapy
- Mechanism of Action
- Indications and Uses
- Safety, Contraindications, and Precautions
- Clinical Application
- Summary
- Self-assessment Questions
- References
- Further Reading
- 25: Hyperbaric Oxygenation
- History
- Physiologic Effects
- Indications
- Contraindications
- Protocols and Clinical Application
- Topical Oxygen is not HBO2
- Summary
- Self-assessment Questions
- References
- Further Reading
- 26: Electrical Stimulation
- Effects of Electrical Stimulation
- Indications and Contraindications
- Types of Electrical Stimulation
- Payment Coverage
- Summary
- Self-assessment Questions
- References
- 27: Ultraviolet Light and Ultrasound
- Ultraviolet Light
- Ultrasound
- Summary
- Self-assessment Questions
- References
- Section 7: Cofactors to wound Healing
- 28: Wound Pain
- Pain Assessment
- Nonpharmacologic Pain Control
- Pharmacologic Interventions
- Summary
- Self-assessment Questions
- References
- 29: Nutritional Assessment and Support
- Malnutrition
- Screening and Assessment
- Nutrient Needs for Healing
- Nutritional Support
- Summary
- Self-assessment Questions
- References
- Further Reading
- 30: Medications and Phytotherapy: Impact on Wounds
- Introduction
- Medications Inhibiting Wound Healing
- Medications Facilitating Wound Healing
- Medications Causing Skin Damage and Wounds
- Off-Label Use of Traditional Medications
- Special Case of Topical Antimicrobials
- Plant and Herbaceous Animal Sources
- Clinical Practices Mitigating Drug Effects on Wound Healing
- Summary
- Self-assessment Questions
- References
- Further Reading
- 31: Perfusion, Oxygenation, and Incision Care
- Effect of Oxygen and Perfusion in Wound Healing
- Factors that Alter Perfusion and Oxygenation
- Interventions to Improve Perfusion and Oxygen
- Measuring the Response
- Incision Care
- Surgical Wound Assessment
- Topical Incision Care
- Summary
- Self-assessment Questions
- References
- Section 8: Special Populations
- 32: Uncommon Wounds and Manifestations of Intrinsic Disease
- Infectious Etiology
- Coronavirus Disease 2019 (COVID-19)
- Spider Bites
- Pyoderma Gangrenosum
- Vasculitis and Connective Tissue Disorders
- Calciphylaxis
- Martorell Hypertensive Ischemic Leg Ulcer
- Epidermolysis Bullosa
- Extravasation
- Immune Reactions
- Frostbite
- Marjolin’s Ulcer
- Blood Dyscrasias
- Summary
- Self-assessment Questions
- References
- Further Reading
- 33: Traumatic Wounds: Bullets, Blasts, and Vehicle Crashes
- Introduction
- Etiology of War Wounds
- Acute Management of Traumatic Wounds
- Subacute Management of Traumatic Wounds
- Summary
- Self-assessment Questions
- References
- 34: Burns
- Epidemiology
- Mechanisms of Injury
- Underlying Principles of Acute Burn Care
- Intermediate Phase of Burn Care
- Rehabilitation and Reconstruction Phase of Burn Care
- Summary
- Self-assessment Questions
- References
- Further Reading
- 35: Reconstructive Surgery for Wounds
- History of Surgery for Wounds
- Surgical Decision Making
- Selection of Wound Closure Method
- Nonoperative Conditions
- Urgent Operative Conditions
- Preoperative Management of Planned Surgeries
- Operative Management of Pressure Injuries
- Postoperative Management
- Summary
- Self-assessment Questions
- References
- Further Reading
- 36: Skin Care Needs of the Patient With Obesity
- Defining Obesity
- Altered Skin Function
- Unique Needs
- The Surgical Experience
- Nutritional Considerations
- Quality Improvement
- Summary
- Self-assessment Questions
- References
- 37: Unique Skin Care Needs of the Neonatal and Pediatric Patient
- Neonatal Terminology
- Neonatal Skin Characteristics
- Bathing and Moisturizing
- Skin Inspection and Risk Assessment
- Pediatric Conditions That Affect the Skin
- Support for Healing
- Summary
- Self-assessment Questions
- References
- Further Reading
- 38: Managing Wounds in Palliative Care and End of life
- Definition of Terms
- Palliative Wound Care
- Nonmalignancy-Related Wounds
- Malignancy-Related Wounds
- Objectives in the Care of the Malignant Cutaneous Wound
- Evaluation
- Summary
- Self-assessment Questions
- References
- 39: Draining Wounds and Fistulas
- Epidemiology and Etiology
- Terminology
- Manifestations
- Medical Management
- Nursing Management
- Summary
- Self-assessment Questions
- References
- Further Reading
- 40: Percutaneous Tube Management
- Gastrostomy and Jejunostomy Devices
- Placement Approaches
- Feeding Tube Features
- Low-Profile Gastrostomy Tube (Button)
- Nursing Management: Enteral Tubes
- Complications
- Peritubular Site Infection
- Buried Bumper Syndrome
- Tube Removal
- Patient Education
- Miscellaneous Drain Tubes
- Summary
- Self-assessment Questions
- References
- Appendix A: Tools to Support Skin and Wound Care
- Policy and Procedure: Prevention of Pressure Ulcers/Injuries
- Policy and Procedure: Wound Assessment, Documentation, and Quality Tracking
- Policy and Procedure: Wound Management
- Policy: Nail Care
- Policy: Antiembolism Stockings
- Interdepartmental Handoff
- Alginate/Hydrofiber Dressing Change Procedure
- Gel/Ointment/Paste/Enzyme Dressing Change Procedure
- Hydrocolloid Dressing Change Procedure
- Hydrogel-Saturated Gauze Dressing Change Procedure
- Wound and Skin Care Competencies
- Safe Skin Gap Analysis: Operating Room
- Safe Skin Gap Analysis: Respiratory Equipment
- Safe Skin Gap Analysis: Cervical Collar
- Safe Skin ICU Pledge
- Pressure Ulcer Prevention Patient and Family Education
- Pieper Zulkowski Pressure Ulcer/Injury Knowledge Assessment Tool (Revised 2020)
- Debridement Competency
- Pain Assessment Models and Scales
- ASEPSIS Scoring Tool for Evaluating Acute Wound Complications
- CDC Criteria for Surgical Site Infection (SSI)
- Southampton SSI Scoring System
- Satisfaction Survey
- Activity Log
- Appendix B: Self-Assessment Answers
- Chapter 1
- Index
- Color Plate
- No. of pages: 680
- Language: English
- Edition: 6
- Published: May 18, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780323711906
- eBook ISBN: 9780323776363
RB
Ruth Bryant
Affiliations and expertise
Partner, Bryant Rolstad Consultants, LLC
Program Director, webWOC Nursing Education Program
Minneapolis, MNDN
Denise Nix
Affiliations and expertise
President, Nix Consulting Inc.; WOC Nurse Specialist, Park Nicollet Methodist Hospital, Minneapolis MN