Wound Care

Did you know?! New rules for lymphedema patients. Insurance now covers upper and lower extremity compression garments.

Coverage includes 3 daytime garments per body part every 6 months. The coverage also includes 2 nighttime garments per body part every 6 months.

Our clinic can help anyone with lymphedema get fitted and order garments. We partner with the best companies that provide excellent patient customer service and garment quality.

Please contact our office at (405) 265-2255 or fax (405) 265-2215. 

Debridement is a procedure to remove unwanted tissue. Unwanted tissue can be necrotic (dead), proud flesh and / or fatty tissue. There are several types of debridement procedures and they include:

Nonsurgical debridement – using medication and or soft dressings to debride unwanted tissue.

Sharps debridement – using forceps, scissors and / or scalpel to remove unwanted tissue.

Autolytic debridement – dressing that provides non – breathable closure over the wound allowing temperature and moisture to remove unwanted tissue.

Surgical debridement – sedated or non-sedated sharp debridement either superficial or deep tissue.

Debridement type is up to your wound care provider, physician and you. Wound debridement is necessary for wound progression and healing. Each provider is different in the type of debridement used in the healing process. Our team has a consistent approach to choosing debridement type that includes:

• Pain tolerance
• Size of the area needing debridement
• How easy or difficult the unwanted tissue is to remove

Tissue debridement is necessary for all wound progression and healing.

Call our office for an immediate appointment at 405-265-2255. Fax: 265-2215

Yukon Wound Care and Rehabilitation

1602 Health Center Pkwy Bldg 1100. Yukon, OK, 73099-7752

References Research recommendations – The prevention and management of pressure ulcers in primary and secondary care – NCBI bookshelf. (2014). National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK333125

Calciphlaxis is an uncommon diagnosis that causes painful skin lesions anywhere on the body. These types of lesions and / or wounds are usually the result of end stage renal disease. Patients with moderate to severe renal disease can suffer with random calcium deposits in blood vessels limiting blood flow, resulting in painful skin lesions. The open wounds or lesions look similar to bed sores. Although very rare, lesions can occur in other body parts, such as eyes, lungs, brain, muscle and intestines.

Two types of this condition exist:

Uremic – is the more common of the two and happens to people in end stage or severe renal failure (kidney disease).

Non-uremic – is the least common and happens to people in early stages of renal disease with kidney trauma to one or both kidneys.

In most cases the wounds are located on the abdomen or thighs and these patients have a higher mortality rate. However, wounds can appear on lower and upper limbs and sometimes cause limb amputation.

Additional risk factors:

• Kidney disease
• Obesity
• Autoimmune conditions
• Liver disease
• Warfarin medication
• Corticosteroids

Diagnosing Calciphlaxis can be difficult due to lack of research, but tests might include:

• Biopsy of wound edges
• Lab test for kidney function, liver function, calcium, phosphorus, thyroid, vitamin D, immune markers and blood coagulation indicators
• Imaging

Treatment for Calciphlaxis wounds includes wound cleaning, debridement and dressing changes as needed to keep the wounds healthy for healing. Other treatment might include medication to treat bone and blood mineral complication to allow for healing and proper nutrition. Patients with calciphylaxis wounds usually do not have a good survival rate of more that 1 year  due to the severe kidney disease and wounds that possibly will develop into sepsis.

Patients, family and physicians can reach our office for appointments at 405-265 2255 and fax   405 265 2215. Our address is 1601 Health Center Parkway Yukon, Oklahoma Bldg 1100. Yukon Wound care and Rehabilitation have easy access off I-40 and located in Stonegate Business  edition behind Target and Joe Cooper Ford.

Because of our easy access we treat patients from all   over the Oklahoma City and surrounding areas. We are privately owned allowing walk-ins and same day appointments for most all wounds and or urgent needs. We accept all major insurance and cash pay.

References

Calciphylaxis: Causes, symptoms and treatment. (2022, January 31). Retrieved from https://my.clevelandclinic.org/health/diseases/22359-calciphylaxis

Scars can form as a result of many different injuries to the connective tissue of the body. After the damage occurs, new tissue composed of a protein called collagen, forms to fill any gaps caused by the injury. Depending on the location, shape, or size of the scar tissue, there can be lingering symptoms such as pain, tenderness, itchiness, contractures, tightness and more. In order to treat and prevent these symptoms, proper management and wound care is crucial. We treat a wide variety of scars including: burn scars, trauma scars, surgical scars, scalds, hypertrophic scars and keloid scars. Soft tissue treatments and proper wound care help with pain, pigmentation, pliability, pruritus (itchiness), surface area, and thickness of scar tissue.

Some scar tissue may need manual physical therapy to achieve normal range of motion and flexibility around the area of the scar. Scar tissue, injuries, surgical sites, as well as spots that are going to scar in the future can be proactively treated through wound care. Every patient, injury, and healing process are different depending on the situation. However, every patient should try to achieve 100% healing as early as possible.

If you have any questions regarding scars or any other injuries feel free to give us a call.

Call our office for an immediate appointment at 405-265-2255.

Fax: 265-2215

Yukon Wound Care and Rehabilitation

1602 Health Center Pkwy Bldg 1100. Yukon, OK, 73099-7752

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578190

1. Does it hurt? In 90 to 95% of patient’s it does not hurt. However, in some cases like a deep road rash or burn it can’t be painful in the first and second treatment.
2. What is whirlpool used for? Gentle debridement and cleaning in and around the wound. Also, whirlpool can be used to assist in range of motion in elbows, wrist, fingers, toes, ankle and knees.
3. What is the temperature needed in the whirlpool? The temperature is usually 85 to 92 F.
4. What kind of wounds need whirlpool? Burns, dirty wounds, road rash and painful wounds.
5. How often is it needed? As often as needed or until wound is clean or range of motion is achieved.
6. How long does it take? 10 to 20 minutes to achieve goal.
7. What is in the water? Tap water.
8. What cleans or moves the water? Electric agitation or jet submerged into water.

      Our outpatient clinic can be reach at 405 265-2255 and fax is 405 2652215.

Wound vac is a negative pressure suction using a sponge and occlusive draping to cover a wound to achieve accelerated healing. Wound vacs should only be placed on healthy red granulation tissue. Wound vac care and treatment in most cases is a simple procedure, but some cases require advanced skills and training to achieve desired results. Many wounds needing accelerating healing may need bridges, Y connectors, dressing separation and possible peri wound protection among other things. Healing wounds with a wound vac requires seeing your wound care team 2 to 3 times week for wound assessment, debridement and dressing changes.

Yukon Wound Care and Rehabilitations team of providers have over 25 years of experience in wound care and wound vac treatment. Our experience gives us advanced skills allowing us to think outside the box of traditional wound care and wound vac treatment. Beth verbalized, “This team gives a unique approach to wound care and vac treatment, not a cookie cutter approach applying the same steps and technique gained in initial training without regard for each person’s unique differences. They look and treat each person’s healing process, disease and body different.”

Our wound care patients get scheduling priority over other patients because wounds are very serious and get dangerous quickly. Scheduling is usually same day or the next day in most cases.

Call Joyce at 405-265-2255 for appointment scheduling.

Urostomy is a surgical procedure bypassing the bladder, making a stoma on the outside of the stomach to allow urine to flow. This procedure is performed to treat urinary diseases or other complications. In many cases the urostomy is temporary to allow healing, but some circumstances need to remain permanent. Urostomy treatment and care can be frustrating, painful and difficult for patients because urine constantly flows while changing the wafer / bag making it almost impossible to keep the skin clean and get a bag changed.

Urine on the skin can cause severe skin irritation and / or excoriation that becomes painful and too moist for the wafer to seal creating a viscous cycle for patients and provider. Our clinic provider is experienced in all stoma types including urostomies. Most patients are educated and healed in 2 to 3 visits. All of our wound care patients have priority getting scheduled because we know how painful and emotionally draining these types of wounds can be. Call our office at 405-265-2255 for and immediate appointment.

References

Ostomy. (n.d.). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/ostomy.html

Wound dehiscence is an opening of incision edges and can be ether full or partial. It can become a very serious issue if not treated. Contact your medical doctor, surgeon or wound care specialist for help in the healing. Your medical doctor and / or surgeon may refer you to a wound care specialist to help with the management and healing. There are many reasons why dehiscence occurs and it is usually no fault of your surgeons or you.

General reasons include:

• Infection at or around incision site
• Weight / pressure at or around incision
• Taut sutures
• New injury at or around incision site
• Fragile skin and / or muscle near or at incision
• Improper suturing
• High or long-term use of corticosteroids

Population at risk include:

• Obesity or being over weight
• Elderly
• Poor nutrition and eating habits
• Diabetes Mellitus type I and II
• Smoking
• Cancer in or around site
• Previous scars or radiation in or around site
• Lifting or exercising to early after surgery
• Increased pressure at or around suture site from fluid collection, tissue inflammation, excessive coughing or vomiting
• Anyone taking high or long-term corticosteroids
• Other medical conditions that could compromise healing

Signs and symptoms include:

• Bleeding in or around site
• Pain
• Swelling in or around site
• Redness in or around site
• Temperature
• Ruptured sutures
• Open incision site

Your medical doctor, surgeon or wound care specialist will need to diagnose the wound and may include:

• Infection using fluid samples from the wound
• Blood test
• X-ray
• Ultrasound
• CT scan

Possible treatment might include:

• Oral antibiotics
• Wound care dressing changes
• Referral for wound care specialist
• Wound vac
• Return to surgery

Dehiscence prevention might include:

• Antibiotics before or after surgery
• Light pressure around incision
• Keep incision clean and dry

References

Duffek, C. (2019, September). Wound Dehiscence. http://web.b.ebscohost.com/rrc/delivery?vid=14&sid=6d25b6f2-e306-4d9e-a56f-0bb1337653e6%40sessionmgr101.