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Dr. Daniel Moore Medical Director Tammy Wolbert Program Director Vicky Hartsell Clinical Nurse Manager. Patients Faster healing rates Fewer infections and complications (including amputations) Fewer recurrences. Convenient, comprehensive care Physicians
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Dr. Daniel Moore Medical Director Tammy Wolbert Program Director Vicky Hartsell Clinical Nurse Manager
Patients Faster healing rates Fewer infections and complications (including amputations) Fewer recurrences. Convenient, comprehensive care Physicians Focus on underlying wound etiology Improved office efficiency Regular communication Increased Patient satisfaction Multi-disciplinary team approach Benefits of A Wound Center
Individual treatment plan is devisedand followed during weekly visits with the same wound team. Patient is referred to outpatient Wound Healing Center H&P & diagnostics determineunderlying woundetiology Adjustments in treatment plan if necessary Outliers reviewed by multi-disciplinary physician panel. Systematic Process Every 4 weeks
The Clinical Pathway The Clinical Pathway is a starting point, a procedural map that is highly flexible. It is designed to support, not supercede the physician's interpretation. 4
Advanced Wound Care Therapies Transcutaneous Oxygen Monitor(TcP02) Vacuum Assisted ClosureTM Therapy Hyperbaric Oxygen Chamber Integra 5 5 Doppler
Advanced Treatment Modalities Felted-Foam Offloading DH Walker Apligraf Regranex Gel Promogran 6
Decubitus (pressure) ulcers Venous stasis ulcers Diabetic/neuropathic ulcers Ischemic/arterial insufficiency ulcers Failed flaps/grafts Osteoradionecrosis Post-radiation soft tissue Necrotizing infections Crush injury Spider Bites (Brown Recluse) Our Wound Healing Center Heals
Hyperbaric Oxygen Therapy Hyperbaric Oxygen Therapy
Hyperbaric Oxygen Therapy HBO Therapy uses 100% oxygen breathed at increased atmospheric pressure • A patient is enclosed in a chamber • Atmospheric pressure is increased • Typically pressure is 2.0 – 2.5 Atmospheres Absolute (ATA) • 100% oxygen is breathed
Oxygen Transportation in the Blood • Hemoglobin molecules become 96-98% saturated • Plasma is usually a poor transporter of oxygen • Increased partial pressure of oxygen causes increased plasma transport of oxygen
Meet your Wound Center Physicians
Daniel Moore, MD Professor and Chairman Department of Physical Medicine & Rehabilitation The Brody School of Medicine
Clinton Faulk, MD Director of Pulmonary Rehabilitation Department of Physical Medicine & Rehabilitation The Brody School of Medicine
Raymund Millan, MD Director of Residency Program Department of Physical Medicine & Rehabilitation Spinal Cord Injury The Brody School of Medicine
Anthony Frank, MD Clinical Asst. Professor Department of Emergency Medicine The Brody School of Medicine
John Meredith, MD Clinical Asst. Professor/Director Emergency Preparedness Department of Emergency Medicine The Brody School of Medicine
Brett Waibel, MD Department of General Surgery Trauma & Surgical Critical Care The Brody School of Medicine
Jeffrey Pierce, MD Department of Physical Medicine & Rehabilitation The Brody School of Medicine
Laura Bergs, FNP Physical Medicine & Rehabilitation The Brody School of Medicine
William Rucker, MD Clinical Asst. Professor of Surgery Department of General Surgery The Brody School of Medicine
Michael Bard, MD Department of General Surgery Trauma & Surgical Critical Care The Brody School of Medicine
Mark Newell, MD Department of General Surgery Trauma & Surgical Critical Care The Brody School of Medicine