At LDS Hospital, our staff is dedicated to caring for people with wounds that have resisted healing.
Treatable chronic wounds include:
- Diabetic skin sores
- Pressure sores
- Vessel disease wounds
- Surgery wound breakdown
- Spinal injury wounds
- Chemical wounds
The Wound Treatment Program: A Multi-disciplinary Approach
We use a multi-disciplinary approach to wound care by bringing together a team of specially trained doctors and nurses experienced in all aspects of wound management. We know how to look for compounding factors such as malnutrition, metabolic disorders and structural abnormalities that can retard normal healing and predispose the patient for recurrence. An aggressive approach to therapy can aid in early intervention, improved healing rates, reduced amputations and reduced disability; and provide community outreach, follow-up and multi-disciplinary case management.
We work daily with nursing homes, home health care agencies, physical therapists and families to train them in the art of dealing with such problems. Our comprehensive approach to patient care allows us to look at all facets of the patient's life with a strong dose of compassion and empathy. We also work in conjunction with the family physician to explain the patient's situation to family members and help them sort out their feelings.
Our goal is to give patients access to state-of-the-art techniques to evaluate non-healing wounds and facilitate their healing. We fulfill that objective by providing a comprehensive evaluation to determine all of the factors that affect wound healing, such as:
- Diseases that impair wound healing (diabetes, chronic steroids, infection)
- Inadequate oxygen delivery to the affected area
- Impaired blood flow
- Pressure on the area of the wound
- Poor or inadequate nutrition
- What has been done surgically and topically to promote healing
Before beginning treatment, our wound care medicine doctors, nurses and technicians will evaluate your wound and review your medical history and general health. You may have blood tests. You may also have special tests to provide us with information about the flow of blood and oxygen to your wound. Once your test results are completed and interpreted, the wound care team will develop a treatment program based on your needs. Healing of your wound will be evaluated at each follow-up visit and progress of your wound will be shared with your primary care physician. Consults may be arranged with other medical specialties including podiatry, plastic surgery, infectious disease, diabetes education, hyperbaric oxygen therapy, orthopedic surgery, physical therapy, internal medicine, and surgical specialties, such as vascular, reconstructive and orthopedic surgery.
Your healing program will involve regular visits to our clinic to receive treatment, follow progress, and make any changes that may be required. You and/or your caregiver will also be educated in home wound care, dressing (bandage) changes, how to identify indicators of possible infection and ways to protect your wound from further injury.
Treatment options include:
- Invasive and noninvasive vascular studies
- Lifestyle risk assessment
- Tissue oxygen mapping
- Wound biopsy and cultures
- Nutritional and metabolic analysis
- Autolytic, chemical or surgical debridement
- Specialty wound dressings
- Vascular flow augmentation
- Hyperbaric oxygen therapy
- Growth factor therapy
- Skin grafting
- Custom footwear
- Preventative strategies
Other services that may be required:
- Radiology: to evaluate soft tissue and bone integrity.
- Nutritional support: to provide dietary evaluations, recommendations and education.
- Diabetes education: to reinforce diabetes management, which is essential for wound healing in diabetics.
- Infectious disease: to recommend appropriate antibiotics for infected wounds.
- Vascular studies and transcutaneous oxygen monitoring: to evaluate blood flow and oxygen delivery to the wound.
- Physical therapy: to provide assistive devices and orthotics to maximize function and minimize pressure.
- Social work: to assist patients in working through emotional, financial and insurance issues and to help coordinate home care services and equipment.
- Rehabilitation medicine: to help patients who may need assistance with the transition back to independence after the wound has healed.
- Pain services: often problem wounds are painful and Pain Services provides experts in the management of acute and chronic pain.
- Hyperbaric oxygen therapy: to evaluate individuals whose wounds may heal faster with increased oxygen.
- Other physician services: to provide specialty care as needed, such as internal medicine physicians, physiatrists, podiatrists, and surgeons who specialize in vascular, reconstructive/plastic and orthopedic surgery.
You're part of the team
You are a vital part of your treatment program. Much of the success of your wound healing depends on your participation. As an active member of your wound management team, you will need to keep your appointments, follow directions carefully and watch your progress closely between visits. Any time you have questions about your treatment or progress, remember our wound care staff is available to you. Your regular doctor remains important in your treatment. When you contact the wound care medicine at LDS Hospital for an appointment, you take the first important step in your wound care. We only treat wounds, so you'll continue to consult with your regular doctor for all routine medical care. We'll keep in touch with your doctor to discuss your treatment program and your healing progress unless instructed otherwise.