|Advanced Solutions for Problem Wounds
Camden Clark’s Regional Wound Care Center
Camden Clark’s Regional Wound Care Center offers advanced solutions for problem wounds, along with hyperbaric oxygen therapy. The goal is to heal chronic wounds and prevent limb loss. Many patients who have suffered from chronic wounds are restored to health in a shorter time than they thought possible.
Hyperbaric oxygen therapy (HBOT) is a medical treatment that enhances the body’s natural healing ability and strengthens the body’s immune system. By dramatically increasing the oxygen content level in blood and compromised tissue, HBOT provides the ideal enviroment to promote the growth of new blood vessels and skin. It’s a thoroughly tested, completely safe and painless therapy that has helped thousands of patients worldwide heal faster and better.
The Center treats all acute or chronic wounds, especially those difficult to heal, including but not limited to:
- Arterial ulcers
- Diabetic ulcers
- Pressure ulcers
- Pyoderma Gangrenosum
- Radiation injuries
- Vasculitic ulcers
- Venous ulcers
At the Wound Care Center, the patient experience includes a detailed history and assessment; an individualized treatment plan and coordination of care with appropriate services and specialties. In addition, patient care is based on multi disciplinary group of board certified specialists including Vascular, Infectious Disease, General Surgery, Plastic Surgery and Podiatry. We also work in support of the patient’s primary care physician making communication a top priority.
Our Medical Directors
Dan McGraw, M.D.,Vascular Surgeon Emphasizes prevention, early detection and minimally invasive procedures to prevent serious circulatory problems before they occur. Dr. McGraw is also Board Certified in Vascular Surgery.
Joan Allman, D.O., Internal Medicine Finished her residency program at Charleston Area Medical Center in 1999 and currently practices at Cornerstone Health Care. Interest in dermatology and minor surgery prompted her to pursue wound care. Offers advanced therapies for hard to heal wounds. Coordinates care with specialists. Involved in the training of medical students and residents at Camden Clark Medical Center. Board Certified in Internal Medicine
A Team of Experts
The Camden Clark Regional Wound Care Center is a partnership between Camden Clark Medical Center and Candescent Healing, a leading provider in limb preservation, advanced wound care and hyperbaric oxygen therapy. The clinic is staffed by a multidisciplinary team of physicians and nurses who have received specialized training in hyperbaric oxygen therapy and advanced wound care treatment. Specialties available include infectious disease, plastic and reconstructive surgery, vascular surgery, internal medicine and wound, ostomy and continence nursing, registered dietitians and technicians.
How to Make a Referral
To make a referral to the Camden Clark Regional Wound Care Center fax a completed patient referral form to (304) 420-7128. Forms can be mailed to you by calling (304) 424-2228. Members of our physician panel will evaluate your patient to identify their specific needs. As a referring physician, you will be consulted regarding the proposed are plan for the patient. Please send all of the patient’s recent diagnostic studies and care notes for use in his/her evaluation.
Benefits of Hyperbaric Oxygen Therapy (HBO)
Hyperbaric oxygen therapy (HBO) is a safe, noninvasive and proven modality for healing chronic wounds resistant to traditional therapies. While HBO can be used as a stand-alone therapy, it is more often used as part of a combined treatment plan that includes antibiotics and advanced wound care or surgery. The treatment has particular relevance for individuals with diabetes having clinically demonstrated improved outcomes for wound healing and reduced amputation rates. The specific benefits of oxygen hypersaturation in the blood plasma include physiologic mechanisms that:
- Promotes neovascularization in hypoxic tissue
- Promotes fibroblast proliferation and collagen production which are necessary for the formation of a healthy collagen matrix and essential to wound healing in hypoxic tissue
- Increases the rate of killing of some bacteria by phagocytes
- Supports marginally perfused/oxygenated tissues and provides interim oxygenation in relative states of ischemia
- May increase limb salvage in certain situations, especially wounds associated with diabetes
Camden Clark Regional Wound Care Center is an outpatient service offering comprehensive, coordinated advanced wound care including hyperbaric oxygen therapy for the treatment of chronic wounds. The program’s goal is to improve the outcome for patients who have failed to respond to traditional therapies alone and diminish the need for amputation. Working with the referring physician, The Camden Clark multispecialty team develops a comprehensive treatment plan specific to the individual patients’ needs, which may include a combination of:
Facts About Chronic Wounds and Their Treatment
- Conventional and advanced wound dressings
- Antibiotic therapy
- Nutritional counseling
- Education and prevention techniques
- Hyperbaric oxygen therapy
- Chronic wounds affect approximately 6.5 million people in the U.S. with treatment costs approaching 20 billion dollars annually.
- The most common chronic wounds involve the skin and soft tissue, including diabetic foot ulcers, pressure ulcers, and venous stasis ulcers.
- Individuals with diabetes often develop extremity ulcers at an incidence of 2% per year and account for the majority of foot and leg amputations in the United States.
- According to the National Institutes of Health, “Hyperbaric oxygen treatment is cost-effective compared with standard care” and “The 12-year cost for patients receiving HBOT was $40,695 compared with $49,786 for standard care alone. Outcomes were 3.64 quality –adjusted life-years (QALYs) for those receiving HBOT and 3.01 QALYs for controls.”
Who is a Candidate?
To combat a chronic stagnant wound or to prevent limb loss, hyperbaric oxygen therapy is appropriate for individuals with the following Medicare-approved conditions:
- Diabetic lower extremity wounds, such as foot and leg ulcers
- Venous stasis ulcers, arterial ulcers, and pressure ulcers
- Refractory osteomyelitis
- Necrotizing soft tissue infections
- Radiation damage to soft tissues and bone
- Crush injury
- Compromised skin grafts and flaps
- Acute vascular insufficiency
- Other non-healing wounds
The Camden Clark Regional Wound Care Center multispecialty team will work with referring physician’s to evaluate each patient’s eligibility and specific benefit from advance wound healing or hyperbaric oxygen therapy. Hyperbaric oxygen therapy is contraindicated in patients with untreated pneumothorax or who are pregnant.
Camden Clark Regional Wound Care Center has a healing rate of 80.34% for diabetic foot ulcers, which is above the national average.
What Patients Can Expect during HBO Therapy
The hyperbaric oxygen chamber is a large, clear acrylic cylinder where a patient lies comfortably on a reclining mattress. Over a 10 minute period, the atmosphere within the chamber is gradually increased to 2.0 ATM (1 atmosphere = 14.7 pounds per square inch) with 100% oxygen. During an average 90 minute session, the patient experiences a 20-fold increase in blood oxygen levels. This oxygen saturation is achieved through the chamber’s compression of the oxygen molecules which allows increased oxygen diffusion in tissue fluids where it can exert its beneficial effects.
A single treatment normally lasts between one and two hours. Depending on the individual treatment plan, delivery may occur five days a week for up to six weeks. Many times, perceptible treatment benefits can be observed following one to two treatments.
Throughout the treatment session, patients are able to watch television, listen to music, talk with staff or sleep. Since the increased oxygen does not affect the external wound site, wound dressings are usually left in place during the session. Chamber decompression occurs over an approximate 10 minute period.