Wound Care

Wound Vac Care

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.

 

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Urostomy Care

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

 

 

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Wound Dehiscence

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.

 

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Wound Care El Reno

Yukon Wound Care & Rehabilitation

Local Wound Care

wound care el reno

Yukon Wound Care Rehab

Yukon Wound Care and Rehabilitation is located in Yukon Oklahoma. However, we have many patients that travel from surrounding cities to see us for various reasons. First, our location is simple to find and close to interstate I-40 and the Kilpatrick Turnpike for easy quick access. It’s usually no more than a 20 to 30 minute drive or less. We have patients that come from El Reno, Tuttle, Union City and other rural areas that say the drive is short and worth the trip. Second, our wound care is specifically tailored for each individual need and wound type. We provide personal one-on-one care with quick healing times. Our clinic is a small family owned practice allowing us more time with our patients to remove dressings, manage drainage and evaluate each wound at every visit. All wounds are bandaged and secured with evidence-based products without expensive cost. In most cases, we can work with your insurance company and have them pay for the cost of supplies. Our clinic also makes accommodations for regular referring physicians and previous patients with same day service and walk-in availability.

One case study that our clinic healed quickly was a female from Tuttle, Oklahoma with a large abdominal wound from a surgical procedure. The wound size and depth measured 7.0 x 4.0 x 5.0 cm. Initially we used a wound vac to manage drainage and reduce depth, then switched to an easier closure dressing. Her wound healed in less than a month. Her and her family were so grateful. They wrote raving reviews for us and refer friends and family as much as possible.

Treatment opportunities:

  • Whirlpool
  • Negative pressure therapy (wound vac)
  • Compression therapy
  • Infection Control
  • Patient and family education
  • Ankle Brachial Index
  • Debridement
  • Dressings

Diagnosis treated:

  • Venous insufficiency ulcers
  • Ulcers
  • Burns
  • Surgical wounds
  • Osteomyelitis
  • Pressure ulcers
  • Trauma wounds
  • Wounds from circulation problems
  • Diabetic ulcers
  • Colostomy care
  • Ileostomy care
  • Fistula care
  • Hidradenitis suppurativa
  • Radiation burns and tissue damage
  • Infection
  • Spider bites

 

We can treat up you without a referral from your physician and you can contact us at 405 265-2255.

 

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Lymphedema

Lymphedma is diagnosis of a specific type of swelling.  The swelling is usually in one extremity, such as one arm or one leg and sometimes the stomach region. Fluid builds up in the soft tissue causing vulnerability to the skin (integumentary system), which can lead to an infection (Scheiman, 2020). Causes of lymphedema include: trauma to the lymphatic system or surgery, cancer, lymphatic system overload from a blockage or excessive weight.

Signs of lymphedema might include: consistent swelling that does not decrease after elevation, + Stemmer’s sign, swelling in toes and foot, orange peel look to the skin, hard and thick epidermis layer, lymph drainage dripping through skin, large and small pink bump clusters, excessive chronic swelling causing elephantiasis and hemosiderin skin staining (Scheiman, 2020). Lymphedema treatment includes manual lymphatic decompression therapy, wraps, intermittent pneumatic compression and other types of compression.

References

Lymphedema. (2019, January 22). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/lymphedema.html

Scheiman, N. E. (2020, June 16). Edema Bootcamp [PDF]. www.summit-education.com

 

 

 

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Lipedema

Lipedema is chronic health issue causing the fatty tissue mainly in the arms and legs to increasein size and swell (Lipedema Foundation). However, it does occur in other parts of the body, such as lower belly also known as apron or pannus. Lidedema can be very painful due toexcessive swelling and possible bruising. Unfortunately, lipedema has minimal publicawareness and is  misdiagnosed frequently.Lipedema occurs mainly in women, but can affect men as well. This condition affects bothextremities beginning at the upper hip down to ankles, never affecting the feet (Scheiman, 2020).

Treatment for lipedema consist of: resolve or improve edema, pain and disproportion, preventdisease progression. Decongestion of the fatty tissue is done with wraps, manual lymphaticdrainage and/or pneumatic compression. Liposuction can be very helpful to reduce fatty tissue,but has other health concerns. In addition, weight management that includes caloric reduction aswell as quantity of food is a lifestyle change that should begin immediately.Our clinic is trained in lipedema and can help with pain, manual decompression therapy andcompression wraps.

 

References

Lipedema Foundation. (n.d.). What is Lipedema. https://lipedema.org

Scheiman, N. E. (2020, June 16). Edema Bootcamp [PDF]. www.summit-education.com

 

 

 

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Hiradenitis Suppurativa

Hidradenitis Suppurativa (HS) is a long lasting and sometimes life time skin disease that causes relentless painful draining abscesses (Medlineplus, 2019).  The abscesses can erupt anywhere on the body, but usually they erupt in the most sensitive areas of the body, such as armpits, breast and genitals. In most cases, the boils start out small and gradually get bigger and begin to drain foul puss drainage that take months to heal (Grant, 2019). Hiradenitis Suppurative is not contagious. However, it can be exacerbated by heat, stress, obesity, imbalance in hormones and  heavy sweating, but these do not cause the initial onset of HS (Grant, 2019).

HS has been around since the 1830’s and there is very little, if any, information in medical books. Most physicians don’t know anything about HS until they get out of medical school and are practicing for years. Public awareness is inadequate because most people just do not want to talk about their HS, probably because they’re too embarrassed and / or frustrated with the health care they’ve received . In addition, there is no standardized care to treat HS either.

Sometimes antibiotics help if an infection is present and sometimes surgery is needed to. There is hope though for HS patients. New medical research is reviling that Hidradenitis Suppurativa is an autoimmune disease and can be treated successfully with a life style change in food and activity (Grant, 2019). I encourage all patients and family members who suffer with HS to read The Hidden Plague by Tara Grant. This book is great at explaining HS and how an autoimmune diet protocol can put your Hiradenitis Suppurative in remission. Our staff at Yukon Wound Care & Rehab in Oklahoma has been very successful over the years healing patients with HS. However, we can only help that particular lesion or wound, but you can put your HS into remission by taking full control of food that triggers an inflammatory response that cause that HS. Please call us with questions or to schedule appointments. 405-265-2255.

References

Grant, T. (2019, January). The Hidden Plague.

Hidradenitis Suppurativa | Acne Inversa | MedlinePlus. (n.d.). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/hidradenitissuppurativa.html#

 

 

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Sunburns

Sunshine is abundant in Oklahoma right now! And so are sunburns! CDC recommends, choosing a broad-spectrum sunscreen with an SPF of 15 or higher. Wear protective clothing such as light weight long sleeves, wide brimmed hats and sunglasses and stay in the shade. It is important to re-apply as directed on bottle. Blistering can occur causing damage to underlying tissue. Yukon Wound Care & Rehab is trained to help remove dead tissue and soothe surrounding areas. Make us your first choice in care! We have immediate openings available!

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COVID-19

At Yukon Wound Care and Rehabilitation, safety is our top priority. We our continually following the CDC and WHO recommendations as new information becomes available. Daily procedures to keep everyone protected are as follows.

All staff members are wearing mask for dual protection to protect patients and staff. When our patients arrive, they are to remain in their vehicles. They are to call our office and we will begin asking them a list of questions to insure they have not been knowingly in contact with COVID-19 and that they are feeling well. We will then open the door, take the patients temperature to ensure they are not running a fever and then ask the patient to wash their hands for 20 seconds with soap and water. All family members and visitors are restricted from coming to the clinic at this time. This is to limit the number of patients in our clinic at once and to decrease the number of people we all encounter. We can assist patients with walking or wheelchairs as needed. We maintain 6 feet spacing from all patients when possible. Our tables, equipment, and other surfaces are cleaned with sanitizer after each use. If a patient feels ill, we ask that they notify our clinic and discuss an alternative treatment for the day. We are now offering Virtual Visits/Telehealth for qualifying patients. Yukon Wound Care and Rehabilitation is in this together with all our patrons and providers. Thank you for your time and patience through this process!

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What you can expect coming to Yukon Wound Care Rehab

wound care oklahomaThe thought of getting set-up with a new provider sometimes seems daunting, but at Yukon Wound Care and Rehabilitation we try very hard to make it as easy as possible for our patients.  Some of the first things you see when you come here is that there is parking directly in front of the building with handicap parking on each end.  We have two ways a patient can come to the front door.  One way is to walk up and step up to the front entrance, or if they are not able to step up or need an ADA accessible entrance, there is a low incline sidewalk that can bring patients to the same door.

All of our doors inside the clinic are ADA approved.  The bathroom is conveniently located near the patient waiting room, and is also ADA accessible with all necessary grab bars.  Our staff are very friendly and are near the door to greet you and assist you with whatever you may need.

Once you’ve been greeted, our office staff will normally have about 5 papers for you to read through and fill out.  If you require assistance filling out your paperwork, our staff can come sit with you and assist you in this. Our Gym area is very open and can accommodate several patients.  You will normally always be paired with either the PT, the PTA, or our wonderful PT techs.  Our PT and PTA are always available for you to talk with even if you are not paired with them specifically.  We are a team, and everyone here works together with each other.  We pride ourselves on keeping an orderly schedule without too many delays that would prevent you from getting in within the first 10 mins or so of your appointment.  That is normally true for our walk-in patients as well.  We try very hard to get you in and out so you can go on about your day.  Every now and then though, we do experience hiccups that need more assistance than others.  So please be patient with us when this happens.

Your appointment, whether its wound care, physical therapy, or women’s health are normally no longer than 30-45 minutes depending on what kind of appointment you’re scheduled for.   In some instances if we’re seeing you for multiple reasons, then the time would naturally be longer to accommodate the extra cases.  Once you’re finished with your appointment, you will walk back to the waiting room where you will be checked out, pay any co-pays due, and schedule for your next visit.

I hope this article answered some of your questions on what to expect when coming to Yukon Wound Care and Rehabilitation for the first time.  If you’d like to call and schedule your first appointment, please do so at 405-265-2255.  We look forward to serving you!

What you can expect coming to Yukon Wound Care Rehab2020-03-04T20:40:46+00:00