What Is Purulent Drainage: A Clinical Guide 2026
You're standing at the bedside with a dressing in your hand and a note still open. The wound has gone from “draining” to clearly infected, but the hard part isn't spotting that something's wrong. The hard part is describing it precisely enough that treatment makes sense, the culture is worth sending, and the claim doesn't […]
Denuded Wound Care: Assessment & Coding Guide
A nurse calls it a “red open area” on the sacrum, charts Stage 2 pressure injury, starts the usual dressing plan, and moves on. Two weeks later the payer rejects the claim, the MDS team is irritated, and the chart doesn't support what was billed. The skin breakdown was real. The staging was wrong. That […]
Wound Vac White Foam vs Black a Clinical Guide
A debrided diabetic foot ulcer with an exposed Achilles tendon will teach a new clinician this lesson fast. If you pack that wound with the wrong foam, the next dressing change becomes a fight. The tissue is angry, the patient remembers the pain, and your note won't explain why you made that choice in the […]
Seat Cushion for Pressure Sores: Clinician’s Guide
The patient already has a cushion. The family says it was expensive. Nursing says he's “off-loaded when seated.” Yet the coccygeal wound still looks angry, the periwound is macerated, and every visit starts with the same story: he sits most of the day, slides into posterior pelvic tilt, and no one has checked what happens […]
What Is a Skin Tear? a Clinician’s Practical Guide
You're doing a routine skin check before rounds, and the CNA says, “It's just a little skin tear on her forearm.” The flap is folded over, the bed linen is dotted with blood, and the last note says “abrasion.” That's how small wounds turn into bad charts, delayed healing, and payer questions. Skin tears are […]
Zetuvit Wound Dressing a Clinical Application Guide
By the time a patient tells you, “I changed that dressing twice before lunch,” the problem usually isn't adherence. It's dressing selection. The classic setup is a venous leg ulcer with enough drainage to soak through a basic absorbent layer, wick sideways into the wrap, and leave the periwound white, soft, and breaking down by […]
How Do You Use Silver Nitrate Sticks
You've probably had this visit already today. The wound is otherwise moving in the right direction, bioburden is controlled, offloading is reasonable, edema is being addressed, and then one stubborn rim of hypergranulation or rolled edge keeps the surface from closing. Someone reaches for a silver nitrate stick, applies it, and the tissue darkens. Clinically, […]
A Clinician’s Guide to the Off Loading Shoe
You debrided a plantar forefoot ulcer, built a sensible dressing plan, and the patient still comes back with the wound stalled because the off-loading choice failed in real life. That usually isn't about theory. It's about the wrong device for the wound location, a loose fit, too much dressing bulk, or a patient who only […]
Biofilm on Skin: Essential Management & Treatment
You debrided a Wagner 2 diabetic foot ulcer last week. The bed looked cleaner at the end of the visit, the drainage was manageable, and the family left thinking things had finally turned a corner. Then the patient comes back, and the wound looks familiar in the worst way. Thin yellow slough again. A slick […]
A Clinician’s Guide to All Types of Wounds
When you're dealing with different types of wounds, the first and most important question to ask is this: is it acute or is it chronic? This isn't just a matter of terminology; it's the fundamental starting point for all effective wound care. Acute wounds are the ones that heal as expected, moving neatly through the […]