In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN (American Association of Post-Acute Care Nursing) and Martha Kelso, RN, LNC, HBOT, CEO of Wound Care Plus, a mobile wound care provider, discuss new point-of-care technology (MolecuLight i:X) to help identify wound infections and the impact this has on deprescribing antibiotics. 

 In this podcast, our moderator Martha Kelso, RN, LNC, HBOT, discusses what a PharmD is and how they should be more involved in the wound care community, especially considering how wounds and medications interact with each other, with Survam Patel, PharmD, and Josh Coons, PharmD. 

 Two experienced wound care providers, Martha Kelso and Rosemary Hill describe how COVID-19 has impacted their wound care practice and how the adoption of MolecuLight into their standard of care has enabled them to overcome the limitations brought on by COVID, enabling proactive wound care at a time when patients need it the most.

 In this podcast, Martha Kelso, RN, LNC, HBOT and Steve Heisler discuss an unusual and difficult case with a 65-year-old man, who was a person with diabetes and not adherent to medical advice, with several morbidities. They discuss this case from a legal perspective and the challenges with treating during the pandemic. 

  In this podcast Janice Beitz, Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN-AP, CRNP, APNC, ANEF, FNAP, FAAN, and Martha Kelso, RN, LNC, HBOT, discuss wound care with a focus on pharmacology. They delve into how different medications affect wounds and their healing processes. 

  In this podcast, Steve Bergquist talks with Martha Kelso and Seth Snowden about evaluating and treating Atypical Wounds. 

 In this podcast, Martha R. Kelso, RN, LNC, HBOT, talks with Steve Heisler, personal injury lawyer, about litigation in wound care, the do's and don'ts concerning medical malpractice, and negligence claims. 

 In this episode, Martha Kelso, founder and Chief Executive Officer of Wound Care Plus, LLC, explains to us how diabetes can affect wounds. 

 Managing blood sugars is amazing because it helps ward off issues; however, it still doesn’t protect you from the long-term devastating effects of diabetes. Listen to our newest episode as Martha explains how glycemic control can halt diabetes. 

 Martha says that increasing age drive up the risk of diabetes if you’ve had poor exercise and poor nutrition throughout your lifespan. The more years you combine poor habits, the greater, the likelihood that you will develop diabetes. 

 Early detection is more difficult in the elderly because the typical signs and symptoms, such as fever, are usually absent. Tune in as Martha Kelso answers the frequently–asked question which is: How families of elderly wounded patients detect infections.       

 In today’s episode, listen as Martha Kelso talks about Moleculight. An imaging device that is a portable, non-invasive, real-time camera used to visualize the bacterial load in a wound. 

 As the percentage of our population over age 65 increases, infectious diseases among the elderly are becoming a serious public health concern. But why? Join us in this episode as Martha Kelso explains more about why infections are so prevalent among seniors and the elderly. 

 In this episode of The Injured Senior Podcast, Martha Kelso is back with us again to talk about a new device that’s emerging in long-term care that recognizes infection in seniors. Martha is bedsore and pressure wound expert and the CEO of Wound Care Plus, LLC, a mobile wound care provider in the midwest. Her expertise in this field has allowed her to share her passion and knowledge with many others and she joins us on this episode to chat with host Steve Heisler. Tune in to this episode to learn all about the new exciting technology that is revolutionizing health care for seniors.  

 34.2 million Americans have diabetes, and 88 million people in the United States have prediabetes. Diabetes often goes unrecognized, and people can live and have diabetes with little to no symptoms. When someone’s vision or kidneys fail, that’s when people finally understand that they have the condition. Martha Kelso, founder and CEO of Wound Care Plus, LLC., jumps into how diabetes can affect wounds. Amputation is fifteen to forty times greater for people with diabetes. Plus, people who have diabetes often end up with strokes, heart attacks, and other significant issues. Tune in as we talk about the importance of glycemic control, the foods to avoid, and different ways seniors can positively adjust their lifestyles. 

1. Are bedsores and pressure ulcers considered wounds?

• That’s correct. Anything that is a break in the skin or damaging the underlying tissue, you could define as a wound or an ulcer.

2. Is it accurate to say that bedsores and pressure ulcers are mostly caused by actual pressure from sitting in one position for too long? 

• I totally agree. Yes.

3. What type of wounds would you say are most common in the senior and elderly community?

• According to generic averages, about 25% of the time is pressure, 25% of the time are arterial, 25% venous, and then the other 25% is variety.

4. Martha, are you saying that there is a misdiagnosis that is happening where the medical professionals or long-term care settings are actually not properly diagnosing these wounds and they actually are cancer?

• Correct. In the document that I published called Why All the Pressure About Pressure, I listed two cases that were wrong diagnosis cases. We have situations where the primary care physician, the medical director, or even another specialist have ordered studies to determine the etiology, like potential arterial disease, so we’re ordering an ABI, or arterial ultrasound, and they’re canceling our orders saying, nope, it’s pressure.

 All bedsores are pressure ulcers, but not all pressure ulcers are bedsores. Changes in long-term care settings, including eliminating the use of restraints. Many facilities don’t check to see if existing medications could be eliminated or replaced. Many nurses and even doctors aren’t trained on wound care. Wounds are often a barometer of health, a person with other health issues is more likely to get bedsores. A wound may not appear for 3-10 days depending on the patient's history. Don’t feel guilty for asking questions about a wound found on your loved one.