Chronic Wound Care: The Essentials e-book

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1 Chronic Wound Care: The Essentials e-book A Clinical Source Book for Healthcare Professionals Edited by Diane L. Krasner, PhD, RN, FAAN Lia van Rijswijk, DNP, RN, CWCN Official e-book of Why Wound Care?

2 Chronic Wound Care: The Essentials A Clinical Source Book for Healthcare Professionals President: Bill Norton Executive Vice President: Peter Norris Vice President/Group Publisher: Jeremy Bowden Special Projects Editor: Andrea Modica Creative Director: Vic Geanopulos Associate Director, Production: Andrea Steiger Production/Circulation Director: Kathy Murphy Copyright 2018 HMP 70 E. Swedesford Rd., Suite 100 Malvern, PA ISBN All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner. In the event you print off, copy, or store pages from the Site (only as permitted by the License and Use section of these TOUs), you must ensure that any copyright, trademark, or other intellectual property right notices contained in the original content are reproduced.

3 DEDICATION New to Wound Care? Seasoned Expert? Somewhere in-between? May this clinical source book help guide you & may you embrace the Call to Wound Prevention and Care! III

4 ACKNOWLEDGMENTS To our wound care specialist colleagues: Thank you for being role models and mentors to all of us, especially those who wish to follow in your footsteps. To the CWCE contributors: Thank you for sharing your expertise and for your commitment to wound prevention and care. To our students and all healthcare professionals considering careers in wound care: Thank you for inspiring us. To our colleagues in industry: Thank you for giving us outstanding products & resources to help us care for patients, families & communities. To our publisher, Healthcare Made Practical (HMP): Thank you for your ongoing support of the Why Wound Care? initiative. To our husbands, families, and friends: Thank you for enabling us to answer the Call to Prevention and Wound Care! IV

5 FOREWORD Healthcare Made Practical (HMP) is excited to announce that this 2018 e-book edition of Chronic Wound Care: The Essentials (CWC:E) will serve as the official e-book of our Why Wound Care? (WWC) initiative. WWC is a campaign to encourage healthcare students, recent graduates, and faculty to consider the career opportunities for wound care specialists. Wound care is generally not as clearly defined or well-established as other healthcare specialties such as cardiology, oncology, neurology, etc. and all too often, curricala in schools of medicine, nursing, and physical therapy have limited room for wound prevention and care education, causing healthcare practitioners to fall into the field. To help address this disconnect, HMP launched the WWC initiative, which includes free educational resources for faculty and students. HMP has attracted a world-class advisory board of nurse and physician wound care experts to develop the educational content on the WWC website that faculty in nursing, medical, and other healthcare schools can incorporate into their curricula or assign for independent study. As a reader of this e-book, you have access to PDFs of all 25 chapters of CWC:E. By visiting the website, registered users can also view videos, download PowerPoint presentations focused on key wound care topics, and have complimentary access to multiple wound care resources. There is a pressing need for healthcare professionals to understand optimal wound prevention and chronic wound management strategies. The epidemics of diabetes and obesity, along with the demographics of our aging population, place millions of Americans at high risk for developing chronic wounds. We at HMP are committed to combating the personal and societal costs of chronic wounds and welcome the next generation of wound healers! Jeremy Bowden VP and Group Publisher, HMP Wound Care Division Peter Norris EVP, HMP XIII

6 PREFACE As we lose ourselves in the service of others, we discover our own lives and our own happiness. ~Dieter F. Uchtdorf We are delighted to bring you this e-book version of Chronic Wound Care: The Essentials. As the official e-book of the Why Wound Care? (WWC) initiative, this reference will now be available free of charge to all students, recent graduates, and faculty members across all healthcare disciplines who register on the WWC website ( We are grateful to the corporate sponsors and our publisher, Healthcare Made Practical (HMP) for generously supporting the WWC campaign and providing complimentary resources to registered users. The goal of WWC is to attract healthcare professionals across all disciplines to the wound care specialty, in order to meet the growing need for wound care specialists. The chapters in this e-book, written by thought leaders in wound care, can help you jump-start or advance your wound care career. Additional resources on the WWC website include basic & advanced PowerPoint presentations on key wound care topics; information about wound care careers, educational programs, and certification; videos, and more. We hope that you find this e-book to be an inspiration, and we wish you every success in answering the Call to Wound Prevention and Care! If you find it in your heart to care for somebody else, you will have succeeded. ~Maya Angelou Diane L. Krasner, PhD, RN, FAAN Lia van Rijswijk, DNP, RN, CWCN Co-Chairs, Why Wound Care? XIV

BIOGRAPHY Diane L. Krasner, PhD, RN, FAAN, is a board-certified wound specialist with more than 35 years of experience in wound, ostomy & incontinence care across the continuum of care.

7 BIOGRAPHY Diane L. Krasner, PhD, RN, FAAN, is a board-certified wound specialist with more than 35 years of experience in wound, ostomy & incontinence care across the continuum of care. She is a Fellow of the American Academy of Nursing and a Master of the American Professional Wound Care Association. Dr. Krasner is a Wound & Skin Care Consultant and Expert Witness. Since 2015, Dr. Krasner has been the co-chair with Dr. Lia van Rijswijk of Why Wound Care? A Campaign for a Rewarding Nursing Career in Wound Care ( Diane L. Krasner, PhD, RN, FAAN Dr. Krasner graduated from Johns Hopkins University with a BA (Honors) in Ancient Near Eastern Studies and an MA in Egyptology. She went on to receive her BSN (Honors), MS, and PhD from the University of Maryland School of Nursing and a MS (Honors) in Adult and Continuing Education from Johns Hopkins School of Continuing Studies. Dr. Krasner was a Johnson & Johnson Medical Post-Doctoral Fellow at the Center for Nursing Research at Johns Hopkins University School of Nursing. Dr. Krasner is the editor of Chronic Wound Care: The Essentials (2014, HMP Communications, Malvern, PA, Previously, Dr. Krasner was the lead co-editor of five editions of Chronic Wound Care: A Clinical Source Book for Healthcare Professionals ( , HMP Communications, Malvern, PA). Dr. Krasner has served on numerous editorial boards and is currently on the editorial boards of Ostomy Wound Management, WOUNDS, and WoundSource. Since 1992, Dr. Krasner has served on the Board of Directors and as an Officer of several national wound care organizations. Dr. Krasner s research interests include wound pain, palliative wound care, safe NPWT, and legal issues related to wound care. She has numerous publications in wound care literature and has lectured nationally and internationally on wound & skin care. XV

BIOGRAPHY Lia van Rijswijk, DNP, RN, CWCN After graduating from the School of Nursing at the University of Rotterdam Medical Center, Lia van Rijswijk, DNP, RN, CWCN, obtained her Wound Ostomy and

8 BIOGRAPHY Lia van Rijswijk, DNP, RN, CWCN After graduating from the School of Nursing at the University of Rotterdam Medical Center, Lia van Rijswijk, DNP, RN, CWCN, obtained her Wound Ostomy and Continence Certification and has been involved in a wide variety of clinical, educational, and research aspects of wound, ostomy, and incontinence care ever since. A Certified Wound Care Nurse (CWCN) with more than 30 years experience, Dr. van Rijswijk has been a nurse consultant and served as the clinical editor of the journal Ostomy Wound Management for more than 20 years. She has been the co-chair of Why Wound Care? A Campaign for a Rewarding Nursing Career in Wound Care ( since Dr. van Rijswijk obtained her BSN and MSN in Public Health Nursing, and her Nursing Education Certification from LaSalle University in Philadelphia, PA, and her Doctorate in Nursing Practice from West Chester University in West Chester, PA. She has taught in the Schools of Nursing at LaSalle and Holy Family University in Philadelphia, and at the W. Cary Edwards School of Nursing at Thomas Edison State University in Trenton, NJ, where she also obtained her certification as an online educator. The author of more than 10 textbook chapters and 60 publications in peer-reviewed and indexed journals, Dr. van Rijswijk has shared her experience and expertise with audiences at local, regional, national, and international wound care meetings. Her research interests continue to evolve around evidence-based practice specifically, uncovering variables that affect outcomes of healthcare education and patient care as well as the implementation of evidence-based practices and strategies to facilitate optimal education and patient outcomes. XVI

Jump Start Your Career as a Wound Care Nurse. Diane L. Krasner PhD RN FAAN

Jump Start Your Career as a Wound Care Nurse Diane L. Krasner PhD RN FAAN Good News: There are opportunities for all levels of nurses as Wound Specialists! 3 OBJECTIVES Identify the growing need for specialized