Wound Healing Perspectives

Wound Healing Perspectives is how we tell the healthcare professionals near our centers about the latest techniques and solutions used to heal their patients. Our goal is to get involved early in the treatment process to speed each patient's healing.

Wound Healing Perspectives is published quarterly and each issue focuses on a specific type of wound. Past issues have discussed wounds of the lower extremities, venous leg ulcers, and radiation injuries.

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Osteoradionecrosis (Volume 7, No. 2, 2010) [PDF Format]
When it comes to wound care, one of the most common etiologies seen in National Healing's wound healing center centers in Osteoradionecrosis. Osteoradionecrosis is the end-stage of delayed radiation injury that most commonly occurs in the mandible when it's been previously irradiated. This issue of Wound Healing Perspectives focuses on the best-practice methods of treating and preventing osteoradionecrosis. Topics discussed include preventing osteoradionecrosis, hyperbaric oxygen as a method of treatment, the Marx Protocol for ORN therapy, treating osteoradionecrosis, and indications for hyperbaric oxygen therapy.

Wound Healing Perspectives Past Issues

Endovascular Procedures (Volume 7, No.1, 2010) [PDF Format]
In this issue of Wound Healing Perspectives, we address endovascular options in the management of non-healing arterial and venus ulcers. Topics include current trends, endovascular advances, surgical bypass for arterial ulcers, endovenous surgery, angiogenic gene therapy, the cost of amputation, and how to work with a wound healing center.

Diabetic Foot Ulcers (Volume 6, No. 4, 2009) [PDF Format]
This issue of Wound Healing Perspectives delves into Diabetic Foot Ulcers and addresses the following topics: Common factors of diabetic foot ulcers, total contact casting vs. using a walking boot, ulceration and amputation risk factors in diabetic patients, peripheral neuropathy verbal questionnaire, assessing and preventing lower-extremity neuropathic ulcers, vascular assement for diabetic foot ulcers, treating diabetic foot ulcers, and working with a wound healing center.

Peripheral Arterial Disease, Part II (Volume 6, No.3, 2009) [PDF Format]
This issue of Wound Healing Perspectives is the final part of a two-part series about PAD. Topics included are interventions such as bypass surgery and endovascular procedures, hyperbaric oxygen therapy, and medical treatments such as progenitor cells and prostaglandin E1 for critical limb ischemia, Cilostazol for intermittent claudication, and clopidogrel and aspirin to prevent blood clots.

Peripheral Arterial Disease, Part I (Volume 6, No.2, 2009) [PDF Format]
This issue focuses on the diagnosis and treatment of Peripheral Arterial Disease(PAD). Topics include an overview of PAD, collateral circulation, transcutaneous oxygen monitors in wound healing, intermittent claudication and rest pain, measuring blood flow, detecting and treating PAD in primary care, determining the right test for the right patient, cholesterol and PAD, mitigating PAD risk factors, and working with your local wound healing center.

Pressure Ulcers (Volume 6, No. 1, 2009) [PDF Format]
This issue focuses on Pressure Ulcers. Topics addressed are staging pressure ulcers, factors contributing to pressure ulcers, risk factors of pressure ulcers, preventing pressure ulcers, reducing pressure ulcers in hospitals, risk assessment, AHRQ positioning guidelines, offloading options, pressure ulcers on the heels, appearance of heel pressure ulcers, and how Wound Healing Centers help patients with pressure ulcers.

Lower Extremity Assessment (Volume 5, No. 4, Fall 2008) [PDF Format]
This issue focuses on the evaluation of lower-extremity ulceration. Topics addressed are diagnosing lower-extremity neuropathic ulcers, venous ulcers, and arterial ulcers, total contact cast vs. walking boot, hyperbaric oxygen therapy and lower extremity wounds, grading scale for the severity of edema, classifying chronic lower-extremity venous disease, compression alternatives for non-ambulatory patients, ABI interpretations, and categories of ischemic pain.

"Dr. Why is My Leg Swollen?" (Volume 5, No. 3, Summer 2008) [PDF Format]
This issue addresses the multiple etiologies of edema-venous, metabolic, cardiac, renal, mechanical, trauma, drugs, and lipedema. Topics in this issue cover causes of peripheral edema, guidelines for diagnosing and treating venous ulcers, risk factors for peripheral edema, peripheral edema and hemodynamic alterations, patient education, an overview of lymphedema, and treating proteinura.

Basics of HBO (Volume 5, No. 2, Spring 2008) [PDF Format]
This issue provides an overview on hyperbaric oxygen therapy (HBO) - breathing 100 percent oxygen while enclosed in a chamber pressurized between 1.5 - 3.0 times atmospheric pressure, which has been proven to help wounds, especially infected wounds, heal more quickly. Topics in this issue review HBO - from past to present, advantages of multiplace and monoplace HBO chambers, The UHMS - an overview, HBO's potential anti-cancer effects on breast cancer, approved indications, HBO: a useful adjunct in the treatment of frostbite, HBO therapy for acute traumatic ischemia and crush injury, Pneumothorax - contraindication for HBO, the benefits of hyperbaric oxygen in superficial dermal wounds, Relative risks of HBO, and frequently asked questions about HBO.

Advanced Therapies Part III (Volume 5, No 1 Winter 2008) [PDF Format]
This issue provides an overview on advanced therapies to treat chronic wounds and includes articles on growth factors, what makes a chronic wound, advanced therapy options, matrix metalloproteinases and their inhibitors, a combination anti-inflammatory matrix, odor side effect, skin substitutes, grafjacket, negative pressure wound therapy, a cost-benefit analysis of Apligraf, and how to work with a wound center.

Wound Healing Basics (Fall 2007) [PDF Format]
This issue provides insight into modern wound dressings. It reviews the history of wound dressings and the various categories of anti-infectives and wound dressings available, along with their properties.

Type II Diabetes and Wound Healing (Spring 2007) [PDF Format]
This issue provides an overview of the factors associated with the development of type 2 diabetes, including nutrition and diet, dietary modifications, the Glycemic Index, fiber and glucose control, and much more.

Malignant Wounds (Winter 2007) [PDF Format]
This issue addresses subjects around the topic of malignancy, including minimizing patient pain, fungating wounds, cutaneous metastic breast cancer, malignant melanoma, squamous cell cancer, Marjolin's Ulcers, and cutaneous T-Cell Lymphoma.

Infection and Chronic Wounds (Fall 2006) [PDF Format]
A comprehensive review of infection and chronic wounds, including MRSA infection, cellulitis pseudomonas infections, and antiseptics.

Vasculopathy versus Vasculitis (Summer 2006) [PDF Format]
A review of two disorders often misunderstood and misdiagnoses-vasculopathy and vasculitis-including symptoms, diagnosis, and treatment

Critical Limb Ischemia (Spring 2006) [PDF Format]
An overview of critical limb ischemia including treatment options, general patient advice, and new procedures in pain treatment. Diagnosing peripheral arterial disease and amputation prevention strategies are also reviewed.