{"id":205,"date":"2016-09-01T17:53:02","date_gmt":"2016-09-01T17:53:02","guid":{"rendered":"http:\/\/hygeiahhc.com\/?page_id=205"},"modified":"2020-08-06T18:18:20","modified_gmt":"2020-08-06T18:18:20","slug":"wound-care","status":"publish","type":"page","link":"https:\/\/whcva.com\/?page_id=205","title":{"rendered":"Wound Care"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Title&#8221; module_id=&#8221;careers&#8221; _builder_version=&#8221;4.5.1&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#2A5589&#8243; background_color_gradient_end=&#8221;rgba(42,85,137,0.61)&#8221; background_color_gradient_type=&#8221;radial&#8221; background_color_gradient_direction_radial=&#8221;top left&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_enable_image=&#8221;off&#8221; background_position=&#8221;top_center&#8221; custom_padding=&#8221;22px||0px||false|false&#8221; bottom_divider_style=&#8221;asymmetric4&#8243; bottom_divider_color=&#8221;#ffffff&#8221; bottom_divider_height=&#8221;66px&#8221; bottom_divider_flip=&#8221;horizontal&#8221; bottom_divider_arrangement=&#8221;above_content&#8221; global_module=&#8221;621&#8243; collapsed=&#8221;off&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.4.9&#8243; custom_padding=&#8221;27px|||||&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.4.9&#8243;][et_pb_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.5.1&#8243; title_font=&#8221;Merienda One|700|||||||&#8221; title_text_color=&#8221;#ffffff&#8221; title_font_size=&#8221;32px&#8221; title_letter_spacing=&#8221;2px&#8221; title_text_shadow_style=&#8221;preset3&#8243;][\/et_pb_post_title][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.4.9&#8243;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Main Content&#8221; _builder_version=&#8221;4.5.1&#8243; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221;][et_pb_row column_structure=&#8221;3_4,1_4&#8243; _builder_version=&#8221;4.5.1&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#ffffff&#8221; background_color_gradient_end=&#8221;rgba(255,255,255,0.12)&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.5.1&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text disabled_on=&#8221;off|off|off&#8221; admin_label=&#8221;Content&#8221; _builder_version=&#8221;4.5.1&#8243; text_font_size=&#8221;16px&#8221; header_2_font=&#8221;Merienda One||||||||&#8221; header_2_text_color=&#8221;rgba(0,0,0,0.88)&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;]<\/p>\n<h2>Closed Lavage, Electrical Stimulation<\/h2>\n<p>&nbsp;<\/p>\n<p>Acute wounds normally undergo a complex healing process, which ultimately leads to a completely healed wound<br \/>[1]. The process of acute wound healing is typically divided into a series of overlapping phases, which include: haemostasis, inflammation, proliferation, wound contraction and remodeling<br \/>[2]. Normal wound healing in the skin should result in the restoration of skin continuity and function.<\/p>\n<p>Nevertheless, there are a number of responses which can occur following a cutaneous injury; normal repair in the adult human skin should typically produce a fine line permanent scar, however, abnormal healing can result in excessive healing where there is an increased deposition of connective tissue leading to the formation of hypertrophic and keloid scars or either can deficient healing where there is insufficient deposition of connective tissue and therefore, new tissue formation is incomplete and can result in the formation of chronic wounds.<\/p>\n<h4>\u00a0<\/h4>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_blurb icon_placement=&#8221;left&#8221; content_max_width=&#8221;67%&#8221; _builder_version=&#8221;4.5.3&#8243; _module_preset=&#8221;default&#8221; header_line_height=&#8221;2em&#8221; background_color=&#8221;#e0e0db&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#e0e0db&#8221; background_color_gradient_end=&#8221;rgba(12,0,0,0.28)&#8221; custom_margin=&#8221;-35px||||false|false&#8221; custom_padding=&#8221;26px||20px|0px|false|false&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;off|55px|5px|5px|55px&#8221; border_color_all=&#8221;rgba(12,113,195,0.53)&#8221; box_shadow_style=&#8221;preset6&#8243; box_shadow_blur=&#8221;5px&#8221;]<\/p>\n<h4>At WHC Home Health, LLC our treatment program is led by Certified Lymphedema Therapists who have completed 135 hours of \u201chands on\u201d specialized training and education.<\/h4>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_search disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;4.5.1&#8243;][\/et_pb_search][et_pb_menu menu_id=&#8221;3&#8243; active_link_color=&#8221;#0c71c3&#8243; disabled_on=&#8221;on|on|off&#8221; admin_label=&#8221;Specialty Certified Programs &#8221; _builder_version=&#8221;4.5.1&#8243; menu_text_color=&#8221;rgba(0,0,0,0.95)&#8221; background_color=&#8221;rgba(12,113,195,0.08)&#8221; custom_padding=&#8221;10px|10px|10px|10px|true|true&#8221; custom_css_before=&#8221;content:&#8217;Specialty Certified Programs&#8217;; vertical-align:top; line-height:2.2em; font-weight:700; text-decoration:underline;;&#8221; custom_css_main_element=&#8221;a:hover:color:gold;&#8221; border_radii=&#8221;off|5px|5px|55px|5px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;rgba(12,113,195,0.57)&#8221; box_shadow_style=&#8221;preset3&#8243; global_module=&#8221;541&#8243;][\/et_pb_menu][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<p>Electrical stimulation (ES), in the form of alternating current (AC), direct current (DC) and pulsed current (PC), has been shown to have beneficial effects on cutaneous wound healing in chronic wounds. When ES is applied to a chronic wound, this produces beneficial effects throughout the three phases of wound healing: inflammation, proliferation and remodeling phases.<\/p>\n<ul>\n<li>Inflammatory phase: ES increases blood flow, tissue oxygenation and stimulates fibroblasts whilst reducing oedema and providing an increased antibacterial effect.<\/li>\n<li>Proliferative phase: ES increases membrane transport, collagen matrix organization, wound contraction and the stimulation of DNA and protein synthesis.<\/li>\n<li>Remodeling phase: ES increases epidermal cell proliferation, and migration as well as stimulation of fibroblasts thus enabling enhanced wound closure.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<p>Electrical stimulation (ES), in the form of biofeedback ES, direct current (DC) and pulsed current (PC), has been shown to have beneficial effects on cutaneous wound healing in acute wounds. When ES is applied to an acute wound, this produces beneficial effects throughout the three phases of wound healing: inflammation, proliferation and remodelling phases.<\/p>\n<ul>\n<li>Inflammatory phase: ES increases blood flow, skin temperature and vasodilation.<\/li>\n<li>Proliferative phase: ES increases keratinocyte proliferation and wound contraction.<\/li>\n<li>Remodeling phase: ES advances the remodelling face and increases re-epithelialisation enabling enhanced wound healing.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;]<\/p>\n<p>The current of injury is thought to be significant in initiating repair. Undamaged human skin has an endogenous electrical potential and a transcutaneous current potential of 20\u201350 mV.<\/p>\n<p>This is generated by the movement of sodium ions through Na+\/K+ ATPase pumps in the epidermis. The current of injury is generated through epithelial disruption. Following an injury to the skin, a flow of current through the wound pathway generates a lateral electrical field and this is termed the \u201ccurrent of injury\u201d or \u201cskin battery\u201d effect.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_image src=&#8221;https:\/\/whcva.com\/wp-content\/uploads\/2016\/09\/healthcare-02-00445-g002-1024.png&#8221; title_text=&#8221;healthcare-02-00445-g002-1024&#8243; align=&#8221;center&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;90%&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/whcva.com\/wp-content\/uploads\/2016\/09\/healthcare-02-00445-g003-1024.png&#8221; title_text=&#8221;healthcare-02-00445-g003-1024&#8243; align=&#8221;center&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;90%&#8221;][\/et_pb_image][et_pb_image src=&#8221;https:\/\/whcva.com\/wp-content\/uploads\/2016\/09\/healthcare-02-00445-g004-1024.png&#8221; title_text=&#8221;healthcare-02-00445-g004-1024&#8243; align=&#8221;center&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.5.1&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#95aac4&#8243; background_color_gradient_end=&#8221;rgba(149,170,196,0)&#8221;][et_pb_row _builder_version=&#8221;4.5.1&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.5.1&#8243; background_enable_color=&#8221;off&#8221; custom_padding=&#8221;0px|0px|0px|0px|true|true&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Therapeutic Effects&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#95aac4&#8243; background_color=&#8221;#2a5589&#8243; background_layout=&#8221;dark&#8221; custom_padding=&#8221;25px|25px|25px|25px|true|true&#8221; header_text_shadow_style=&#8221;preset3&#8243;]<\/p>\n<ul>\n<li>Evidence based wound treatment for difficult to heal or chronic wounds<\/li>\n<li>Offered to patients in the own home or assisted living facility<\/li>\n<li>Time tested, heavily researched intervention<\/li>\n<li>Painless treatment<\/li>\n<li>Supplement to existing topical agents and dressings<\/li>\n<li>Typical wound healing rate of 38-45% per week noted<\/li>\n<li>No adverse effects<\/li>\n<li>Research indicates statistically significant wound healing versus controls with pressure ulcers, venous stasis ulcers and infected wounds<\/li>\n<li>Enhances \u201cSkin Battery Effect\u201d essential to wound healing<\/li>\n<\/ul>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221;][et_pb_text _builder_version=&#8221;4.5.1&#8243; header_3_font=&#8221;Merienda One||||||||&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; max_width=&#8221;85%&#8221; module_alignment=&#8221;center&#8221;]<\/p>\n<p>*Images\u00a0and some content were taken from this article:\u00a0http:\/\/mdpi.com\/2227-9032\/2\/4\/445\/htm<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Closed Lavage, Electrical Stimulation &nbsp; Acute wounds normally undergo a complex healing process, which ultimately leads to a completely healed wound[1]. The process of acute wound healing is typically divided into a series of overlapping phases, which include: haemostasis, inflammation, proliferation, wound contraction and remodeling[2]. Normal wound healing in the skin should result in the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":11,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<h3>CLOSED LAVAGE, ELECTRICAL STIMULATION<\/h3><p>Acute wounds normally undergo a complex healing process, which ultimately leads to a completely healed wound [1]. The process of acute wound healing is typically divided into a series of overlapping phases, which include: haemostasis, inflammation, proliferation, wound contraction and remodeling [2]. Normal would healing in the skin should result in the restoration of skin continuity and function. Nevertheless, there are a number of responses which can occur following a cutaneous injury; normal repair in the adult human skin should typically produce a fine line permanent scar, however, abnormal healing can result in excessive healing where there is an increased deposition of connective tissue leading to the formation of hypertrophic and keloid scars or either can deficient healing where there is insufficient deposition of connective tissue and therefore, new tissue formation is incomplete and can result in the formation of chronic wounds.<br \/><img class=\"alignright wp-image-206 size-medium\" src=\"http:\/\/hygeiahhc.com\/wp-content\/uploads\/2016\/09\/healthcare-02-00445-g002-1024-300x275.png\" alt=\"healthcare-02-00445-g002-1024\" width=\"300\" height=\"275\" \/><\/p><p>Electrical stimulation (ES), in the form of alternating current (AC), direct current (DC) and pulsed current (PC), has been shown to have beneficial effects on cutaneous wound healing in chronic wounds. When ES is applied to a chronic wound, this produces beneficial effects throughout the three phases of wound healing: inflammation, proliferation and remodelling phases. Inflammatory phase: ES increases blood flow, tissue oxygenation and stimulates fibroblasts whilst reducing oedema and providing an increased antibacterial effect. Proliferative phase: ES increases membrane transport, collagen matrix organization, wound contraction and the stimulation of DNA and protein synthesis. Remodelling phase: ES increases epidermal cell proliferation, and migration as well as stimulation of fibroblasts thus enabling enhanced wound closure.<br \/><img class=\"alignright wp-image-207 size-medium\" src=\"http:\/\/hygeiahhc.com\/wp-content\/uploads\/2016\/09\/healthcare-02-00445-g003-1024-300x269.png\" alt=\"healthcare-02-00445-g003-1024\" width=\"300\" height=\"269\" \/><\/p><p>Electrical stimulation (ES), in the form of biofeedback ES, direct current (DC) and pulsed current (PC), has been shown to have beneficial effects on cutaneous wound healing in acute wounds. When ES is applied to an acute wound, this produces beneficial effects throughout the three phases of wound healing: inflammation, proliferation and remodelling phases. Inflammatory phase: ES increases blood flow, skin temperature and vasodilation. Proliferative phase: ES increases keratinocyte proliferation and wound contraction. Remodeling phase: ES advances the remodelling face and increases re-epithelialisation enabling enhanced wound healing.<br \/><img class=\"alignright wp-image-208 size-medium\" src=\"http:\/\/hygeiahhc.com\/wp-content\/uploads\/2016\/09\/healthcare-02-00445-g004-1024-300x100.png\" alt=\"healthcare-02-00445-g004-1024\" width=\"300\" height=\"100\" \/><\/p><p>The current of injury is thought to be significant in initiating repair. Undamaged human skin has an endogenous electrical potential and a transcutaneous current potential of 20\u201350 mV. This is generated by the movement of sodium ions through Na+\/K+ ATPase pumps in the epidermis. The current of injury is generated through epithelial disruption. Following an injury to the skin, a flow of current through the wound pathway generates a lateral electrical field and this is termed the \u201ccurrent of injury\u201d or \u201cskin battery\u201d effect.<\/p><h4>Therapeutic Effects<\/h4><ul><li>Evidence based wound treatment for difficult to heal or chronic wounds<\/li><li>Offered to patients in the own home or assisted living facility<\/li><li>Time tested, heavily researched intervention<\/li><li>Painless treatment<\/li><li>Supplement to existing topical agents and dressings<\/li><li>Typical wound healing rate of 38-45% per week noted<\/li><li>No adverse effects<\/li><li>Research indicates statistically significant wound healing versus controls with pressure ulcers, venous stasis ulcers and infected wounds<\/li><li>Enhances \"Skin Battery Effect\" essential to wound healing<\/li><\/ul><h6>*Images\u00a0and some content were taken from this article:\u00a0http:\/\/mdpi.com\/2227-9032\/2\/4\/445\/htm<\/h6>","_et_gb_content_width":"","footnotes":""},"class_list":["post-205","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/whcva.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=205"}],"version-history":[{"count":17,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/205\/revisions"}],"predecessor-version":[{"id":1133,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/205\/revisions\/1133"}],"up":[{"embeddable":true,"href":"https:\/\/whcva.com\/index.php?rest_route=\/wp\/v2\/pages\/11"}],"wp:attachment":[{"href":"https:\/\/whcva.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}