Pressure ulcer prevention and the bottom line.
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Biomedical subjects
Publications and source records attributed to G J Motta.
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Healthcare is a business. As healthcare professionals and clinicians, we must accept this fact. Regulatory issues and reimbursement mechanisms have an enormous impact on the quality of care, the introduction of new technology, utilization of products and services, patient access to care, and the actual outcomes of care delivered. An understanding of these issues is necessary for the wound care clinician who must be adequately reimbursed for his/her services. This Chronic Wound Care Preview gives an overview of Medicare and Medicaid, and reimbursement essentials necessary in the acute care, subacute care, skilled nursing facility and home health care setting. Basic reimbursement tenets, along with wound care documentation guidelines, are discussed. The message is clear: the single, most critical factor to favorable coverage decisions is complete, accurate, and descriptive documentation. It is the clinician's responsibility to educate third-party payers on the cost benefits, safety and efficacy, and positive outcomes of the many treatment and management approaches for wound care.
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Sorbsan Topical Wound Dressing maintains a physiologically moist microenvironment that promotes healing and the formation of granulation tissue. In addition, Sorbsan is extremely absorbent, making it particularly useful for rapid and effective removal of exudate. Since Sorbsan can be rinsed away with saline irrigation, removal of the dressing does not interfere with healing granulation tissue, a factor that makes dressing changes virtually painless. Sorbsan also provides a physical barrier against inadvertent contamination of the wound. No adverse reactions to the dressing have been reported in any of the studies published to date. Sorbsan is also cost-effective because the frequency of dressing change is significantly reduced. These qualities add up to an ideal, easy to use dressing for moderate to heavily exudating wounds.
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Ostomy surgery is performed in patients of all ages from the infant to the elderly, bed-ridden patient. The total patient, not just the ostomy, should be the focus of the nursing care plan. Each age group of patient has its own special characteristics, although there are commonalities. The unique needs of infants, young children, adolescents, and geriatric patients are presented.
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