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The Wound Care
Center @ PMHD is dedicated to the provision of state-of-the art, outpatient
clinical wound care and hyperbaric medicine. Patients can self-refer to the
center or be referred by a physician.
For more information about The Wound Care
Center @ PMHD, call (760) 351-4848, or choose from the options below.
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About Hyperbaric Oxygen
Therapy
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Hyperbaric Oxygen
Therapy—the use of 100% oxygen under pressure to promote healing—works
because it quickly delivers high concentrations of oxygen to the
bloodstream, accelerating the healing rate of wounds. It also stimulates
the growth of new blood vessels, which improves circulation. 
Hyperbaric
therapy is indicated for about 20% of wound care patients-
your treating physician will advise whether or not it is appropriate in
your case. The
average course of treatment lasts for 25 consecutive days (excluding
weekends). Hyperbaric therapy is painless and does not require pain
medication.
There are five primary diagnoses for which hyperbaric therapy is
indicated in a wound care center setting:
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Compromised skin
grafts or flaps
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Diabetic foot ulcers
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Ischemic wounds
(insufficient blood flow to tissue)
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Radiation necrosis
(caused by radiation therapy)
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Refractory
Osteomyelitis (infection of bone)
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Hyperbaric Treatment
Guidelines |
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For
safety reasons, certain items are not allowed inside the hyperbaric
chambers. Please do not wear or bring the following into the chamber
during your treatment:
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Makeup
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Perfume
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Aftershave
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Hairspray/hair oils
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Wigs/hairpieces
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Nail polish
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Alcohol- or petroleum-based products
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Metallic items of any kind (jewelry, watches, coins, etc.)
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Flammable materials
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Hearing aids
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Glasses
Ask your hyperbaric
physician for advice about wearing contact lenses during treatment
You should also
refrain from smoking during the course of your treatment, as tobacco use
will prolong the healing process, constricting blood vessels in your
body.
When you arrive for treatment you will be provided with 100% cotton
garments to wear.
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Treatment Options
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Treatments involve research-based, best clinical practice wound care
management, including.
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Debridement (removal
of dead tissue)

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Hyperbaric Oxygen
Therapy
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Ostomy-related
skin and wound care
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Skin replacement
(bio-engineered tissue)
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Vacuum-assisted
wound closure
Patients undergoing
wound treatment at the center receive topical and/or oral pain
medication if necessary (excluding hyperbaric treatment, which is
painless). Each patient’s
wound-healing
progress is tracked by the web-based WoundStar® program, which measures
and photographs the wound weekly from the beginning of treatment to
completion, so progress can be precisely monitored. Every patient who
begins treatment at the wound center receives a complete history and
physical, and each patient’s condition is considered in a holistic
manner, since healing will only take place if patients eat well and have
other medical concerns under control.
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About the Center
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The Wound Care includes four
exam rooms, plus a suite with two large, clear acrylic hyperbaric oxygen
chambers, each with its own TV/DVD player for patients to watch movies
during treatment. The completely transparent chambers allow patients see
and be seen. |
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Who needs Wound Care?
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At
any given time almost six million Americans suffer from problem wounds.
There are many different types of wounds. A surprising number of people
require wound care at some point in their lives. A minimum of 15% of
patients with diabetes will have a chronic, non-healing wound dur ing
their lifetimes. Individuals without diabetes may also experience a
non-healing wound for other reasons, such as radiation therapy, trauma
or due to other medical conditions.
The Wound Care Center’s management
model involves treatment for a wide variety of wounds,
including:
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Bone necrosis
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Brown recluse spider
bites
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Chronic non-healing
wounds
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Compromised skin
grafts and flaps
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Decubitus
ulcers (pressure sores or bedsores)
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Diabetic foot and
leg ulcers
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Diabetic wounds
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Gangrene
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Ischemic wounds
(wounds with no blood supply)
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Osteomyelitis
(bone infection)
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Ostomy-related
skin problems and wounds
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Peripheral vascular
disease and circulatory-related wounds
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Radio necrosis
(tissue damage due to radiation therapy)
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Refractory
osteomyelitis (recurrent bone infection)
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Soft tissue necrosis
(death of muscle or skin tissue)
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Traumatic wounds
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