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Archive for the ‘Woundcare’ Category

Tuesday, August 3, 2010 @ 02:08 PM Ballywho News

As we age, life has a tendency to present us with obstacles. For about eighteen million Americans, one of these obstacles comes in the form of diabetes. Diabetes itself comes in several varieties. The common thread of course is high blood sugar levels due to our bodies’ not producing or not properly absorbing insulin. Your physician will look at your case individually and prescribe a specific diet along with other treatments to help you control the condition and live a happy life.

You will have to be extra careful with some basic parts of everyday life after being diagnosed. One important area to be aware of is wounds and wound care. When glucose levels are normal and we get cuts or scratches, it generally is not a big deal. We clean them, put on a bandage and go on with our day. Wounds need extra attention if you have diabetes. It is estimated that 60% of non-traumatic lower body amputations are performed on people with diabetes. Within the diabetic community, foot lesions are the leading cause of hospitalization. As you can see, it is critical that patients with diabetes care for their wounds properly. Much of this trouble can be avoided if patients understand a few things about their bodies and wound care.

Reasons diabetic patients have a harder time with wounds

The fact is, diabetics have a harder time when it comes to wounds. The affects of the condition on the body cause these hardships.

  • Diabetes reduces circulation, which is a large factor in our body’s healing process. With less/slower circulation comes slower healing and more opportunity for infection.
  • By its nature, diabetes increases the amount of glucose in the blood. As bacteria enters a cut, naturally through direct or even airborne contact, the increased glucose it encounters in the wound allows it to breed faster and raises the risk of infection.
  • One of the effects of diabetes is called neuropathy. Neuropathy is nerve damage that reduces feeling in extremities, most often the feet. When patients cannot feel their feet, they are less likely to notice wounds, allowing more time for infection to set in. Also keep in mind that diabetes has a tendency to cause dry skin, which cracks easily and becomes a wound.

Tips to avoid infected wounds

As with most medical conditions, prevention is key. Being prepared will always reduce the risk of a wound developing in the first place.

  • Look you body over on a daily basis. Pay special attention to hands, legs and feet to make sure that you do not have a wound that you might not know about.
  • Clean your skin well while bathing. Skin that is free of bacteria and small debris is less likely to add infection when a wound starts.
  • Use lotion on dry skin. This will moisten your skin, making it far less likely to crack and lead to a wound.
  • Listen to your doctors. While this sounds simple enough, follow their instructions about ways to keep your glucose levels under control. Lower glucose levels reduce the spread of infection when a wound does occur, which it will.

Proper wound care

If a wound does develop, it needs to be taken care of accordingly. Proper care will facilitate the healing process.

  • Clean the wound thoroughly using antibiotic liquid and clean gauze.
  • After the wound is clean, apply an antibacterial lotion to help keep the wound uncontaminated.
  • Bandage with clean gauze, but be sure to not put too much pressure on the area, as this will make the healing process slower.
  • Repeat this process daily. It will keep the wound cleaner and ensure that you spot any potential infection that may occur.
  • Seek medical attention if the skin around the wound becomes noticeably warm, red or the wound omits a foul odor or drainage.

With a little attention and preparation, life with diabetes can still be normal. If you have questions about diabetes, please contact us at Columbia Hospital. Visit us online or call Consult-a-Nurse® at 1-888-256-7694.

Monday, August 2, 2010 @ 02:08 PM Ballywho News

If you have diabetes, you probably know that it’s caused by too much sugar in your bloodstream. What you may not be aware of is that nearly 24 million adults and children in the U.S. have diabetes.

Type 1 diabetes, the less common form of the disease, occurs when your body does not produce the insulin needed to break down glucose in your blood for the cells. It usually is discovered in children and young adults, who must receive insulin shots.

On the other hand, Type 2 diabetes develops when the body needs more insulin than normal to break down the sugar in the blood. This form of diabetes is managed by various means, including medication and lifestyle changes.

Diabetic complications

People with diabetes are at higher risk of heart attack, stroke and high blood pressure than the average person. In addition, diabetes can damage blood vessels and nerves, which can affect circulation in a diabetic’s legs and feet and cause either numbness or a complete lack of feeling.

If a diabetic loses sensation in his legs or feet, he may not notice wounds that form on his legs or feet. Left unattended, these wounds can grow and become infected.

Continued lack of treatment may lead to severe pain, loss of function, and eventually, amputation of the legs or feet. The Amputee Coalition of America reports that over half of all amputations in the U.S. are due to diabetes or related complications. Most diabetic amputations were to the lower limbs.

In 2004, the most current year data was available, approximately 71,000 non-traumatic lower-limb amputations were performed in people with diabetes, according to the American Diabetes Association.

Treating diabetic wounds

Paying close attention to their limbs can help diabetics minimize these complications, especially amputations. If discovered early, diabetic wounds can be treated successfully. Here are some of the treatment options:

  • Hyperbaric oxygen therapy: The patient is placed in a hyperbaric oxygen chamber. Wounds are bathed in 100% oxygen, which speeds growth of new tissue and blood vessels.
  • Nutrition therapy: Some diabetics do not get proper nutrition, and have vitamin and mineral deficiencies, which can slow healing.
  • Compression therapy: This treatment option is appropriate when the patient has ulceration and swelling in the extremities.

UHMC can help

In the Wound Healing Center at UHMC, specially trained physicians, nurses and support staff treat patients with wounds caused by diabetes or related conditions. Our team will work with you to ensure the best possible results.

To learn more about the UHMC wound care program, call Alix Needham, our Wound Care Coordinator, at (954) 724-6474. If you would like a physician referral, contact Consult-A-Nurse® at 1-866-442-2362, or visit University Hospital and Medical Center online.

Thursday, July 29, 2010 @ 01:07 PM Ballywho News

External wounds can happen to people of all ages. Often, a wound results from a cut, a fall, or an illness. Sometimes, however, there may not be an obvious reason why someone develops a wound.

A wound is a tear in the skin. Depending on how the person received it, a wound can cause significant blood loss, infection, and loss of use of a limb or organ. Treating an external wound quickly can help speed up the healing process and help prevent complications.

According to the Association for the Advancement of Wound Care, the elderly, people in wheelchairs, anyone with mental or sensory impairment, and those with delicate skin run a higher risk of acquiring external wounds.

Types of external wounds

You are probably familiar with the following bodily wounds:

  • Abrasion: This wound is caused by friction, like sliding into home plate during a baseball game.
  • Bruise: These are most often caused when a part of the body is bumped or struck. Blood pools underneath the skin, giving it a blue, black or even greenish appearance.
  • Cut: Normally straight edged, this kind of wound comes in all sizes. A cut with jagged edges is called a laceration.
  • Puncture: This type of wound is caused by a sharp object like a nail, a thorn or a knife. It pierces the skin and creates a hole in the body.

Caring for external wounds

Use common sense when treating wounds. If a wound is minor, clean it, wrap it and put an antibiotic ointment on it to help prevent infection. You should seek medical help if a cut or puncture wound won’t stop bleeding despite applying pressure, if muscle or bone is visible, or if the wound was made by a rusty or unclean object.

If you go to the hospital, you will be asked questions about how you acquired the wound, any health conditions you have, including allergies, and any drugs you are taking.

After pain medication is administered to numb the area, the wound will be examined and cleaned to prevent infection. If the wound is on your hands or feet, the physician will ask you to move them, to see if your fingers or toes flex and respond normally. If not, there may be a lack of circulation or other damage.

The physician could order an x-ray if there is the possibility of a broken bone or some kind of object in the wound. Otherwise, if the wound is deep enough, it will be closed with stitches, and an antiseptic dressing or bandage applied.

The Wound Healing Center at UHMC can treat these types of injuries and many more, including animal and insect bites and diabetic ulcers. If you have questions, contact our Wound Care Coordinator at (954) 724-6454; call Consult-A-Nurse® at 1-866-442-2362, or visit University Hospital and Medical Center online.