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APWCA News

  • 03/16/2021 11:09 AM | Anonymous

    Submitted by Richard E. Schlanger, MD, PhD, FAPWCA, CWSP, FACS

    This is a 58-year-old gentleman who is a truck driver by trade. He reported to his local emergency room because of general malaise, joint pain and a swollen left shoulder. According to the admission record, there were no unusual findings including no injuries, cuts and bruises. Over the next 12 hours the patient declined fairly quickly becoming hypotensive, tachycardic and required pressor support. He was transported by air to a medical center and taken emergently to the OR because of skin changes and loss of pulse and sensation. At the time of surgery most of the distal vessels were thrombosed and the muscle look like it was “cooked".

    The most likely diagnosis is:

    A. Septic emboli
    B. Soft tissue necrosis
    C. Compartment syndrome
    D. Rattlesnake bite


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

  • 03/10/2021 11:12 AM | Anonymous

    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 supported inclusion of synthetic CTPs in the definition of “skin substitutes” but expressed significant concerns with the Agency’s proposed establishment of the code C1849 (“Skin substitute, synthetic, resorbable skin substitute per square centimeter) to define an entire class of non- branded products and its placement in the OPPS high cost payment package. The Alliance reviewed the impacts of this code as proposed and submitted a number of alternative recommendations.

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

  • 03/09/2021 1:22 PM | Anonymous

    Submitted by Nancy Collins, PhD, RDN, LD, NWCC, FAND

    Patients with wounds should consume a food high in vitamin C every day. Which food is best to meet this goal?

    A. Fresh orange
    B. Bowl of oatmeal
    C. Grilled skinless chicken breast
    D. Bran muffin

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


  • 03/02/2021 9:13 AM | Anonymous

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

    What type of preventional goals should be considered in patients at risk for pressure injury wounds?

    A. Risk management
    B. Nutritional management
    C. Medical devices
    D. Interventional methods
    E. Skin management
    F. All the above
    G. 1, 4, 5

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

  • 02/24/2021 2:00 PM | Anonymous

    Submitted by Frank Aviles Jr, PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA, MLD/CDT Instr

    70 year old patient presents to your clinic with left lower extremity swelling. Hx of prolonged standing, fall sustained 4 months prior, and limited mobility.

    Based on your assessment, which treatment intervention is recommended:

    A. Diuretics
    B. Compression
    C. Pumps
    D. Complete Decongestive Therapy
    E. Venous ablation


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


  • 02/24/2021 1:50 PM | Anonymous

    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 encouraged use of the “Cellular and/or Tissue Based Products for Wounds “(CTPs) terminology in policymaking, in place the currently used “skin substitutes.”

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


  • 02/24/2021 1:48 PM | Anonymous

    APWCA collaborated with the Alliance of Wound Care Stakeholders to submit a letter to the United States Pharmacopeia's (USP) advocating the need for a wound care subcategory in the USP Medicare Model Guidelines. Establishment of this subcategory would help to distinguish the chronic wound products from other subcategories - which in turn would better protect coverage of wound care products under Medicare Part D.

    https://www.woundcarestakeholders.org/images/Oct_13_2020_Alliance_of_Wound_Care_Stakeholders_Comments_Regarding_the_USP_DC_2021.pdf

  • 02/16/2021 11:50 AM | Anonymous

    Submitted by Frank Aviles Jr, PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA, MLD/CDT Instr

    70 year old patient presents to your clinic with left lower extremity swelling. Hx of prolonged standing, fall sustained 4 months prior, and limited mobility.

    Based on the presentation, what could be the cause of the swelling:

    A. Cardiac related condition
    B. Chronic venous insufficiency
    C. Primary lymphedema
    D. Secondary lymphedema
    E. Lipedema


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

  • 02/10/2021 1:40 PM | Anonymous

    Submitted by Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

    This patient presents with color changes to their toes after extended cold exposure. What is the most appropriate treatment?

    A. Femoral - popliteal artery bypass
    B. Forefoot amputation
    C. Sharp debridement
    D. Hyperbaric oxygen


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


  • 02/09/2021 1:06 PM | Anonymous

    Those who took the pressure injury survey on the 5th or 6th are asked to retake it due to an unforeseen error in demographics. If you would like to retake it you will have to do so with a DIFFERENT EMAIL address. Only one take is given per email.

    Retake the survey at: https://singuser2f928039.iad1.qualtrics.com/jfe/form/SV_6zYWTJlECYrlNxH

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