APWCA News

Submitted by Charles A. Andersen, MD, FACS, MAPWCA

A 62 year old diabetic male presents to the hospital wound care clinic with pain in his right foot and wounds on his toes. The patient states that he has been having pain in his calf with ambulation for the past 2 years. His pain initially occurred after ambulating two blocks and was relieved by rest. Over the past 6 months his walking distance has gradually decreased, now the patient states he can only walk a few feet and has pain at night relieved by hanging his foot over the side of the bed. He now has wounds involving his toes.

Part 1: Many patients especially patients with diabetes have very significant PAD have no symptoms.

A. True
B. False

Part 2: Because the patient has diabetes he probably has small vessel disease and should be taken to the OR for a BK Amputation

A. True
B. False

Check your answer at apwca.org/trivia-tuesdays.

Your APWCA collaborated with the Alliance of Wound Care Stakeholders to submit comments to the Centers for Medicare and Medicaid Services (CMS) in support of the National Coverage Decision (NCD)for Autologous Blood-Derived Products for Chronic Non-Healing Wounds.

Submitted by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA

Which type of debridement methods can be used in biofilm management?

A. BEAMS
B. Conservative sharp debridement
C. Autolysis
D. All the above

Check your answer at apwca.org/trivia-tuesdays.

Submitted by Cheryl Carver, LPN, WCC, CWCA, FACCWS, DAPWCA

A chronic wound can be defined as:

A. A wound with slow progression that is interrupted by only intrinsic factors.
B. A wound that has a slow progression through the healing phases, delayed or stalled healing due to intrinsic and extrinsic factors that impact on the individual and their wound.
C. Chronic non-healing wounds are wounds that have failed to progress through a timely sequential of repairment.

Check your answer at apwca.org/trivia-tuesdays.

Submitted by Christopher L. Barrett, DPM, CWS, FAPWCA

Patient is a 90-year-old female with a non-contributory PMH who initially presented to the outpatient wound department with a trauma-induced right anterior leg wound in January of 2017. Non-invasive arterial testing demonstrated and right ABI of 1.07, a TBI of .48 and mild dampening of the pulse volume tracings. The wound required six months of compression and local care, including cellular and/or tissue-based products (CTP) to heal. The patient returned two months after initial discharge complaining that the wound appeared healed but was still painful and somewhat pruritic. Venous reflux study was negative and she was referred to her PCP for follow-up. The patient again returned to the outpatient wound department in August of 2020 after suffering mild trauma to the same location as the previously healed wound. After four months of care the wound appeared healed only to have the patient return one month later in January of 2021 stating the wound had gradually reappeared.

A. Compression therapy
B. Repeat non-invasive arterial studies
C. Wound biopsy
D. Debridement and CTP application(s)

Check your answer at apwca.org/trivia-tuesdays.

APWCA collaborated with the Alliance of Wound Care Stakeholders to submit comment to CMS’ Proposed CY2021 Hospital Outpatient Prospective Payment System. In these comments, we requested that Hyperbaric Oxygen Therapy be added to the list of services that require direct supervision.

https://www.woundcarestakeholders.org/images/October_2020_Alliance_Comments_to_HOPPS_Final.pdf