Wound Care

DIABETIC WOUND CARE

WHAT IS A DIABETIC ULCER?

  • An open sore or wound that usually occurs on the bottom of the foot in 15% of all diabetic patients
  • Of those who develop an ulceration, 6% will be hospitalized due to infection or complications
  • Diabetes is the leading cause of non-traumatic lower extremity amputations in the United States
  • Research has shown that the development of a foot ulcer is preventable

RISK FACTORS TO DEVELOPING A FOOT OR LEG ULCER:

  • Diabetes
  • Neuropathy (lack of feeling in the feet)
  • Vascular Disease
  • Poor shoe wear or walking bare foot
  • Smoking
  • Obesity
  • Trauma
  • Foot deformity

TREATMENT OF DIABETIC FOOT AND LEG ULCERS:

  • Seek medical treatment immediately
  • Take pressure off of the area
  • Manage blood glucose
  • Keep ulcer clean, dry , and bandaged
  • Do not walk barefoot
  • See your podiatric doctor weekly for debridements and appropriate wound care
  • Antibiotics if wound becomes infected
  • You may need vascular studies or be referred to a Vascular Doctor if your blood flow is poor

HOW CAN AN ULCER BE PREVENTED?

  • Stop drinking and/or smoking
  • Keep good control of blood sugar
  • Wear appropriate shoes and socks
  • Never walk barefoot
  • Perform daily foot checks
  • Have a foot check by your podiatrist or medical doctor at least every 6 months

HYPERBARIC OXYGEN THERAPY

  • Hyperbaric Oxygen Therapy is one of several modalities available for wound care.  Dr. Richards may refer patients to the Chambersburg Hospital Wound Care Center for Hyberbaric treatment if medically indicated.
  • Hyperbaric Oxygen involves placing the patient in a specially-designed chamber that administers a 100 percent oxygen-rich environment under slight pressure.
  • Oxygen reaches the wound through the bloodstream, resulting in improved healing, greater blood vessel formation, and reduced likelihood of infection.
  • This treatment provides a non-invasive procedure for patients with difficult wounds, crush injuries, acute burns, or diabetes-related ulcers.

Above information obtained from Chambersburg Hospital Wound Care Center
Link: http://www.summithealth.org/services/wound-care#summittab2

APLIGRAF

  • Apligraf, a bilayered skin substitute that has brought relief to thousands of patients suffering from venous leg ulcers and other types of hard-to-heal wounds.
  • Apligraf is used on healthy diabetic or venous stasis ulcerations.  It is a safe, non-surgical alternative to fast and pain free wound healing.
  • Apligraf is utilized by Dr. Karli Richards at the Chambersburg Hospital Wound Care Center.

Link:  http://www.apligraf.com/

WOUND VAC THERAPY

  • Vacuum-Controlled Assisted Closure (VAC) Therapy is a system that uses controlled negative pressure (vacuum) to help promote wound healing.
  • Clinical studies demonstrate that the VAC Therapy System also removes infectious materials and other fluids from the wound.
  • The VAC Therapy System employs a computer-controlled therapy unit to maintain a constant negative pressure on the wound site.
  • The wound VAC is utilized by Dr. Karli Richards at the Chambersburg Hospital Wound Care Center.

Link:  http://www.kci1.com/82.asp