Many of us have sustained a wound – while playing sports, working on a DYI project, or as a result of an accidental fall. Fortunately, most wounds are not serious and we fully recover. However, some wounds – surgical wounds, wounds caused by blunt trauma, lacerations, abrasions, or contusions, can penetrate the inner layers of the skin or become inflamed or infected and life-threatening.
The Premier Point Approach
Our team of wound-care trained clinicians understand the needs of patients with acute, chronic and painful wounds. We are CHAP accredited, and trained to perform wound care service for various types of wounds including pressure ulcers; venous stasis ulcers; surgical wounds; and skin graft and radiation wounds.
The Premier Point nursing team, in coordination with the patient’s physician, work to determine the cause of the wound and current status including:
- Redness or discoloration around the wound
- The temperature of the skin around the wound
- Visible drainage, color, and odor
- Presence of a fever
Based upon the clinician’s assessment and the patient’s pain level, we establish an appropriate plan of care that could include wound vac cleansing and repacking, compression therapy, or topical antibiotics. We also take comprehensive measurements to monitor the healing progress; assess the body’s overall health, nutrition, and hydration needs; and educate the patient and/or caregiver on proper wound maintenance.
If you or a loved one are suffering from one of the wounds described below, or need additional help in your home to properly care for a wound, contact us today or download a patient referral form. Our certified WOC nurses will ensure the proper medical supplies are on hand for your specific type of wound, coordinate any referrals for other specialists including dieticians and vascular specialists, if needed, and ensure you receive the very best care in the comfort of your home, without multiple visits to your physician’s office.
A pressure ulcer is an area of skin that breaks down due to constant pressing against the skin. Pressure on the skin reduces blood flow to the area; without enough blood, the skin can die, and an ulcer may form.
Pressure ulcer formation is a complex process that sometimes cannot be halted even with excellent multidisciplinary care. The skin is the largest organ in the body, and its integrity is dependent upon the function of all other organ systems for nutrition, circulation, and immune function. The progression of an aggressive disease can sometimes overwhelm the skin of a high risk patient, even when preventative actions are taken.
Venous Stasis Ulcer
The exact cause of venous ulcers is not certain, but they are thought to occur when venous valves (usually of the leg) that exist to prevent backflow of blood do not function properly, causing the pressure in veins to increase. Primary risk factors include older age, obesity, previous leg injuries, blood clots, and infection/inflammation of a blood vessel, and they account for 80 percent of lower extremity ulcerations. Venous ulcers are often recurrent, and open ulcers can persist from weeks to many years.
Surgical wounds are made in a sterile environment where many variables can be controlled such as bacteria, size, location and the nature of the wound itself. Although surgical wounds are closely monitored, infections can occur due to dirty or poorly maintained wound dressings, close proximity to areas of contamination (such as near the mouth or groin), debris or foreign objects, and generally poor health or decreased immune function.
Surgical wounds are classified into one of four types to better predict the risk of infections and wound healing outcomes:
Class I wounds are clean wounds that show no signs of inflammation and do not involve the respiratory, gastrointestinal or genitourinary tracts.
Class II wounds are clean wounds with a higher risk of infection such as those involving the gastrointestinal, respiratory or genitourinary tracts, or are opened to remove pins or wires.
Class III wounds are contaminated wounds created when an outside object comes in contact with the wound such as a bullet, knife blade or other pointy object.
Class IV wounds are dirty-infected due to a foreign object (such as a bullet or other debris) lodged in the wound
Skin grafting is most often used in the treatment of severe burns. First or second-degree burns usually heal with little or no scarring. With third-degree burns, however, the skin is destroyed and there may be damage to underlying tissues. A skin graft is used to permanently replace damaged or missing skin or to provide a temporary wound covering. This covering is necessary because the skin protects the body from fluid loss, aids in temperature regulation, and helps prevent disease-causing bacteria or viruses from entering the body. Skin that is damaged extensively by burns or non-healing wounds can compromise the health and well-being of the patient.