A female in her fifties with a 1 year history of a non-healing medial right calf wound. According to patient, the wound was precipitated by an insect bite which resulted in a failed surgical closure. Patient has a significant history of HTN, osteoarthritis, fem-pop. bypass and right femoral angioplasty. Patient ambulates with a walker and brace support and has significant financial limitations due to inability to work.
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The prevalence of lower extremity venous disease in our population is greater than that of peripheral arterial occlusive disease, although the latter receives more attention. An estimated 35 percent of the adult population has lower extremity venous abnormalities and one-fifth of these individuals will acquire one or more venous ulcers in their lifetime.
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"There is always ongoing education and information when it comes to the latest and greatest in advanced wound care. As a Healogics employee, I have access to this information. We never stop learning and this in return provides us the opportunity to grow and be experts in our field."
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Comprehensive wound management requires a provider driven, multi-disciplinary based program that directs critical resources required for evaluation and treatment to patients suffering from wound healing failure.
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Radiation induced hemorrhagic cystitis (HC) can occur as early as 3 months after radiation
or may not become evident for many years. Significant Grade 3-4 HC occurs in 3 – 8% of post pelvic radiation patients despite advances in administration technique and delivery. Historically, severe hemorrhagic cystitis was associated with a 44% mortality rate despite aggressive urinary diversion and cystectomy. Radiation causes chronic fibrosis, endarteritis and progressive tissue hypoxia of the bladder submucosa and muscular tissue with eventual scarring, mucosal sloughing and symptomatic hemorrhagic cystitis. Radiated tissue is rendered hypoxic, hypocellular, and hypovascular to the point that the tissue is no longer able to heal spontaneously resulting in recurrent symptomatic hematuria.
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"During my tenure with Healogics I have had the opportunity to take on new roles with more complex challenges and greater accountability"
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To advance insights and perspectives on how to better manage the care of patients with chronic wounds and to stimulate potential solutions for improving outcomes and reducing
costs for this vulnerable, majority 65+ population, Healogics analyzed 2014 Centers for Medicare & Medicaid Services (CMS) Part A and B standard analytic files for care utilization and cost trends. This white paper synthesizes information and insights gleaned from the analysis, keeping in mind potential areas of opportunity to improve care and outcomes.
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"The greatest reward for me is witnessing the literal transformation of a patient who enters our center hopeless, afraid, and helpless to one who is restored to a better quality of life."
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Healogics researchers partnered with Dr. Alexandra Nowakowski, a leading patient advocate and medical researcher at Florida State University’s College of Medicine, to investigate provider perceptions of wound care. Healogics providers were recruited to participate in an anonymous nine-question survey focused on their experiences and perceptions of wound care and wounded patients. The questions focused on patient attributes that influence positive or negative wound outcomes, patient impacts on providers’ care plan and providers’ perspective of patient-centered wound care.
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"Seeing patients happy because they either didn’t have have a leg or toe cut off that another physician had told them they would have to, or that they were healed from a wound that they have been treated by another provider for months or years without healing."
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