Our Approach to Care
Working closely with our clinical staff, Gaylord’s Wound Care Team will conduct a complete skin and wound assessment upon your admission to our inpatient program. We use a multidisciplinary treatment approach that focuses on existing skin or wound issues – especially non-healing and slow-to-heal wounds – as well as the prevention of new wounds. Your team will consist of a physician, nurses, physical therapists and dietitians who take an active role in wound management. An advanced practice registered nurse (APRN) who is certified in wound care will serve as the coordinator of your team. Your Wound Care Team will create an individualized treatment plan, evaluate your progress and modify your care, as needed, in collaboration with our clinical staff.
Wound Care Program Video
Colleen Alexander was hit by a freight truck and came to Gaylord for care and rehabilitation. About 40 percent of her body was covered by open wounds. She shares some of her story in this video.
Our multidisciplinary management process may include:
- Negative Pressure Wound Treatment (Wound-Vac)
- Chemical/conservative sharp debridement of necrotic tissue
- Surgical debridement - a consulting plastic surgeon is on call for surgical debridement.
- Hyperbaric oxygen therapy - hyperbaric oxygen therapy is coordinated through services at nearby acute care hospitals.
- Pulsatile lavage
- Pain management
- Nutritional counseling for oral/enteral and parenteral nutrition
- Psychology interventions for counseling and support of the patient and significant other
- Seating surface evaluation
- Utilization of specialized support surface
- Communication by telemedicine with the referring provider
Gaylord’s wound care patients often have multiple medical and/or surgical issues that result in difficult-to-close pressure ulcers, surgical wounds, as well as wounds that are the result of acute or chronic illnesses. Unless properly treated, such complex wounds can extend hospitalization and prolong the rehabilitation process. We use a multidisciplinary approach to treat a wide range of wounds including:
- Surgical wounds
- Wound dehiscence
- Diabetic/arterial/venous ulcers
- Pressure ulcers
- Burns – small area
- Pre- and post-flap/graft surgery
- Wounds as a result of necrotizing fasciitis
- Post trauma
The team also provides education to the patient and family to help prevent any future skin breakdown and it coordinates the Pressure Ulcer Prevention Program hospital wide.
For Inpatient Admissions: (203) 284-2810
Fax: (203) 284-2811