Wound Care

Burns

A burn is damage to tissue by heat, chemical, electricity, sunrays or radiation. The Most common Burn occurs from hot liquid such as soup, coffee and boiling water, but other liquids are flammable liquids and gases. Burns are describe by tissue depth and surface area covered.

Burns are measured in degrees 1, 2, 3 and 4th by depth:

1.     First degree burn is superficial epidermis damage, such as sunburn with or without blisters.

2.     Second degree burn affects epidermis and second tissue layer called the dermis layer.

3.     Third degree burn are much deeper damaging epidermis, dermis, hair follicles and sweat glands.

4.     Fourth degree burn extends into the fatty layers, fifth involves muscle and sixth involves bone.

Severe burns are extremely dangerous because of systemic complications from a huge full body inflammatory reaction. This inflammatory response can cause an overreaction injuring major organs such as heart, lungs, kidneys, blood vessels and others.

In most cases burns are treated with clean dry daily dressing using topical antibiotics to prevent infection and ease burn pain. However, in many burn cases daily debridement in an out-patient clinic  is needed to remove damaged tissue to allow healing to occur. Severe cases may require acute hospitalization in special burn center.

Our clinic is well trained in burn care and debridement and will provide you care with professional attention and compassion.

References

Burns. (2018, January 2). Retrieved from

https://www.nigms.nih.gov/Education/Pages/Factsheet_Burns.aspx

 

Burns 2019-02-07T15:17:07+00:00

Non-Healing Wound

Non-healing wound is a delay in the natural healing process from either an outside or inside source. Inside sources could be and infection, bleeding, drainage, clots, fatty necrosis, unexpected debris, tracks, and underlying health issues such as diabetes and  poor circulation. Outside sources could be pressure, friction, moisture, trauma, burn, radiation and insects (roaches or maggots).  All of these sources make each patient and circumstance unique and different and should be treated with individual care.

As a wound practitioner my responsibility is to find the delay or non- healing source quickly for every patient. Early detection will reduce pain, suffering and return patients to their lifestyle.

Our wound care clinic is unique because our staff is physical therapist and assistances that specialize in wound care and debridement. We have successful wound healing because of our outstanding experience, skill and consistent staff. Our small staff of professionals allows us to have better consistency and patient compliance. Most wound care facilities operate with large changing staff that causes inconsistent care and delayed healing.

Sherri Boos, DPT, PT

Yukon Wound Care & Rehab

Non-Healing Wound 2019-01-15T16:56:35+00:00

Trauma Wounds

Trauma wound definition is an injury to the body resulting in open skin and / or other tissue. Trauma wound or injury is a universal phrase referring to damage produced by an accident, such as motor vehicle accident, fall, animal bite etc. (MedlinePlus, 2018). In America lots of people injure themselves yearly and those injuries vary from minor to deadly injuries. Trauma wounds happen at work, home, school, indoor, outdoor and basically anywhere at any time performing the most basic activities.

These injuries can be minor or very serious requiring specialized care to manage and heal them. If wounds are not properly cleaned and/or cared for they can become life-threatening. Our out-patient clinic can treat and manage all types and stages of trauma wounds and injuries.  Most trauma wounds or injuries should not be sutured or closed due to high rate of infection. These wounds should be cleaned and left opened and referred to wound care for follow up care. In some situations wound vacs are used to assist with closure and healing. Other common types of trauma or injury:

  • Animal bites
  • Bull or buffalo gored
  • Deep or hard bruising
  • Burns
  • Open dislocations
  • Electrical injuries

References

Wounds and Injuries – treatment: MedlinePlus Medical Encyclopedia. (2018, August 14). Retrieved from https://medlineplus.gov/woundsandinjuries.htm

For more information about trauma wound care, contact Yukon Wound Care & Rehabilitation at 405-265-2255.

Trauma Wounds 2018-10-09T20:06:36+00:00

Dehisced Surgical Wounds

Dehisced surgical wound is a separation of staples, sutures or glue from infection, blood clot, serous drainage and swelling. Dehisced surgical wounds can be caused by a bug or microorganism on the skin prior to surgery, in the body or organ, airborne, providers hands or surgical instruments (MedlinePlus, 2016). Patients that are more at risk for dehisced wounds: diabetics, immune suppressed, overweight, smokers, corticosteroid users and patients that have undergone surgery lasting more than 2 hours (MedlinePlus, 2016). Dehisced surgical wounds can be very serious and even life threating.

There are three stages of wound infection: superficial, deep and organ (Medline, 2016). Typically oral antibiotics are given for superficial wounds, but sometimes IV antibiotics are needed because of allergies. Sometimes a surgical procedure called incision and drainage or exploratory surgery is needed to clean and drain the wound (MedlinePlus, 2016). After the incision and drainage procedure the wound is left opened so it will heal from the inside out. During the healing time wound care will be needed and either you, family member or a health care provider will do daily wound dressings. Wound care usually consist of removing the packing, cleaning the wound and repacking followed by outer dressing. Sometimes serial debridement is needed to clean the wound for better healing. Occasionally a wound vac is used to speed up the healing process. The healing time is different for every patient so it could take days to months to completely heal. Yukon Wound Care and Rehab work closely with your physician to best meet your needs and speed up healing recovery.

 

Reference

Surgical wound infection – treatment: MedlinePlus Medical Encyclopedia. (2016, August 22). Retrieved from https://medlineplus.gov/ency/article/007645.htm

 

Dehisced Surgical Wounds 2019-01-15T16:59:52+00:00

Spider Bites

Springtime in Oklahoma!

Time for Spring Cleaning and Yard Work!

Spiders hide in dark quiet areas of our home and lawns. If you are bitten by a spider medical attention could be necessary!

Contact us immediately if bite area becomes red, swollen, spreads or begins to blacken! We can help monitor, treat, and contact your Physician for possible antibiotics! 405-265-2255 (Pictures is a Brown Recluse) #woundcare #YWCR #springtime #spiders

Spider Bites 2019-01-22T19:42:29+00:00

Professional Foot Care

foot care yukon oklahomaOur staff provides professional foot care for calluses and nails. Professional foot care includes: assessment of tissue and nail color, circulation, edema, pain and odor that can prevent serious complications. We also assess foot wear and recommend modifications.

During treatment staff use debridement tools to remove calluses, trim nails and file smooth edges. Treatment is typically gentle and pain free and completed in one visit.

Patients that need professional foot care are patients at risk of infection, neuropathy, poor circulation, chronic swelling, chronic pain, obesity and poor mobility.

The cost is $40.00 per treatment.

In some situations insurance may cover this expense, but our office manager is experienced and will call for eligibility.

 

 

Professional Foot Care 2019-01-22T19:42:29+00:00

Pressure Ulcers

Pressure ulcers, also known as bed sores and decubitus ulcers, are the result of external prolonged pressure causing damage to soft tissue such as skin, fat, muscle and fascia (Godman & Fuller, 2015). Most pressure ulcers begin over bony prominent areas and can occur anywhere bone protrudes. Pressure ulcers occur for several reasons including: external pressure, friction, shearing, tissue softening from moisture, tissue weakening from dehydration, under nourishment and poor circulation (Goodman & Fuller, 2015). Additional patient related influences that can cause pressure ulcers are reduced sensation, poor mobility, incontinence, malnutrition and confusion. Unfortunately, acute care hospital admissions is the most common factor in causing pressure ulcers, because of acute illness and immobility during the hospital stay.

Pressure ulcers are identified and documented in stages I, II, III, IV and unstageable: Stage I is non-blanchable with intact skin, Stage II is non-intact skin with tissue damage to epidermis and/or dermis but superficial, Stage III is non-intact skin with tissue damage to epidermis, dermis, fat and muscle, but not past fascia. Stage IV is non-intact skin with tissue damage to epidermis, dermis, fat, muscle, fascia, bone and / or tendon. Unstageable is non-intact skin with tissue damage that is covered with eschar or necrotic tissue of 50% or more, viewing wound unstageable (Goodman & Fuller, 2015). In addition, pressure ulcers once they are staged should never be backstaged. As the wound heals documentation should be written as healing stage I, II or III and so on (Goodman & Fuller, 2015).

Preventing pressure ulcers from ever happening is difficult and challenging for the patient and caregivers, but is the best line of defense. Prevention guidelines include: patients at risk should undergo a full skin evaluation daily with close attention to bony areas, keep patients skin clean after soiling with gentle washing using gentle soaps and washing to avoid drying or shearing skin, avoid skin drying with adequate moisturizer, avoid skin friction and / or shearing using correct positioning, transferring, turning and use moisturizers, skin barriers and padding, preserve patients activity function and mobility, monitor nutrition to avoid drop in albumin levels and dehydration, reposition all patients at risk every 2 hours or more and use pillows and wedges assist in maintaining positioning and avoid pressure on knees, ankles and heels, use equipment such as trapeze bar, lifts, sliding boards, or sheets to avoid dragging movement, use pressure- redistributing mattresses on all high risk patients, patients who are wheelchair bound are at high risk and should be taught to relieve pressure every 15 to 30 minutes and use pressure- redistributing chair devices such ae Roho cushion (do not use doughnut-type devices) (Goodman & Fuller, 2015).

References

Goodman, C. C., & Fuller, K. S. (2015). Pathology: Implications for the physical therapist.

 

Pressure Ulcers 2018-03-20T16:36:55+00:00

Sepsis Awareness Month

Sepsis is a dangerous illness overpowering your immune reaction to infection (Sepsis Fact Sheet – National Institute of General Medical Sciences, 2017). Your body reacts to the infection using your immune system to produce chemicals to fight off infection. This causes an extensive amount of inflammation throughout the body. As a result of this response secondary complications can happen and tissue damage including internal organs can die. Over 15 million individuals acquire sepsis yearly in the United States and 250,000 die annually (Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast, 2017).

Early identification, quick care and avoiding infection is vital. Anyone can get sepsis and most all infection can cause sepsis (Sepsis Fact Sheet – National Institute of General Medical Sciences, 2017).

Signs and symptoms of sepsis include:

* Delirium and / or incomprehension

* Difficulty breathing

* Fast heart rate

* Fever, chills

* All over body pain and aches

* Moist and sweaty skin

(Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast, 2017.)

Patients and family should be proactive to avoid infections, know the signs of sepsis and act fast if sepsis is suspected (Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast, 2017).

 

References

Get Ahead of Sepsis – Know the Risks. Spot the Signs. Act Fast. | Features | CDC. (n.d.). Retrieved from https://www.cdc.gov/features/get-ahead-sepsis/index.html

Sepsis Fact Sheet – National Institute of General Medical Sciences. (n.d.). Retrieved from https://www.nigms.nih.gov/Education/Pages/factsheet_sepsis.aspx

Sepsis Awareness Month 2017-09-28T20:41:50+00:00

Oklahoma Wound Care Services

Oklahoma Wound Care Services

Yukon Wound Care and Rehabilitation opened in 2014 to serve Yukon and Oklahoma rural residents with excellent affordable wound care services.  We currently serve Yukon, Mustang, El Reno, Piedmont, Chickasha and many other rural areas in Oklahoma. Our patients receive up to date compassionate wound care so they don’t have to travel to the metro area for care. Many patients cannot or don’t want to travel to the Oklahoma City, Midwest City or Norman for wound care.

Several of our patients have shared stories of not being able to wear shoes for 5 years due large draining wounds causing restricted walking and difficult adult daily activities. Furthermore, we have patients that come to us for successful healing after years of failed wound care at other facilities.

Our facility strives to reduce pain, restore function and heal wounds as quick as possible and affordable.  We are committed to serve not only Yukon, but all metro and surrounding Oklahoma Cities with the latest wound care assessment, skills and products.

In addition to wound care services we also specialize in women’s health, orthopedic, cardio conditioning, vestibular rehab, and pre-habilitation. Our mission is to provide all patients with the results they want and the care they deserve.

Oklahoma Wound Care Services 2019-01-22T19:42:33+00:00

Most common types of non-healing wounds

Diabetic ulcer

Wounds that occur as the result of poor circulation, diet and blood sugars.

Pressure sores

Wounds caused by constant pressure resulting in loss of blood supply to a particular area.

Dehisced surgical wound

Wounds that open at surgical site as a result of infection or weakened suture site.

Pilonidal cyst

Cyst removed surgically that surgeon is unable to close due to infection or other reasons.

Venous Insufficiency wounds

Usually lower extremity wound that opens due to weak valves in veins allowing blood to pool thus creating opening.

Sherri Boos, PT, DPT

Yukon Wound Care and Rehabilitation

1808 Commons Circle, Suite B
Yukon, Oklahoma 73099

Phone: 405-265-2255
Fax: 405-265-2215


Most common types of non-healing wounds 2017-03-09T20:23:58+00:00