United Wound Healing

United Wound Healing We provide compassionate expertise and a team-approach to supporting skilled nursing wound care nati

Pamela’s Pearl with Pamela Scarborough,PT,DPT,CWS,FAAWC. This week we are talking about: How to recognize Chronic Sympto...
10/09/2025

Pamela’s Pearl with Pamela Scarborough,PT,DPT,CWS,FAAWC.

This week we are talking about: How to recognize Chronic Symptomatic Peripheral Arterial Disease (PAD). As part of your vascular assessment for the lower extremity, are you asking your ambulatory patients and residents:
“Do your legs or feet hurt when you walk and is the pain relieved with a short rest?”

Claudication is recognized as a manifestation of chronic symptomatic PAD and should be a component of the history and physical examination for PAD.

Claudication is defined as fatigue, cramping, aching, pain, or other discomfort of vascular origin in the muscles of the lower extremities that is consistently induced by walking and consistently relieved by rest (usually within approximately 10 minutes). Claudication that limits functional status is known as functionally limiting claudication.

References: Gornik HL, Aronow HD, Goodney PP, Arya S, Brewster LP, Byrd L, Chandra V, Drachman DE, Eaves JM, Ehrman JK, Evans JN, Getchius TSD, Gutiérrez JA, Hawkins BM, Hess CN, Ho KJ, Jones WS, Kim ESH, Kinlay S, Kirksey L, Kohlman-Trigoboff D, Long CA, Pollak AW, Sabri SS, Sadwin LB, Secemsky EA, Serhal M, Shishehbor MH, Treat-Jacobson D, Wilkins LR, et al. 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS guideline for the management of lower extremity peripheral artery disease: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. Published online May 14, 2024.

Accurate PU/PI staging and reporting are essential to both compliance and quality care. Yet, MDS Section M remains one o...
10/08/2025

Accurate PU/PI staging and reporting are essential to both compliance and quality care. Yet, MDS Section M remains one of the top areas where teams struggle.

On October 23rd at 12 PM PST, join me and wound care expert and Director of Education & Fellowship Program here at United Wound Healing, Pamela Scarborough,PT,DPT,CWS,FAAWC for a 🆓, practical, solutions-driven webinar:
Staging Pressure Ulcers/Injuries and Coding Tips from MDS

Pamela will walk us through:
Common errors in PU/PI staging—and how to avoid them.

CMS “Present on Admission” criteria explained
Identifying when worsening triggers F686 and other tags
If you’re an RN, wound nurse, provider, or MDS coordinator, this one-hour session is designed to strengthen your knowledge and keep your team compliant.

🤩Register here, and share with you colleagues: https://zoom.us/webinar/register/9317581296636/WN_Umbist2STLSfNXThLKx5ZQ

Accurate PU/PI staging and reporting are essential to both compliance and quality care. Yet, MDS Section M remains one o...
10/07/2025

Accurate PU/PI staging and reporting are essential to both compliance and quality care. Yet, MDS Section M remains one of the top areas where teams struggle.

On October 23rd at 12 PM PST, join me and wound care expert and Director of Education & Fellowship Program here at United Wound Healing, Pamela Scarborough,PT,DPT,CWS,FAAWC for a 🆓, practical, solutions-driven webinar:
Staging Pressure Ulcers/Injuries and Coding Tips from MDS

Pamela will walk us through:
Common errors in PU/PI staging—and how to avoid them.

CMS “Present on Admission” criteria explained
Identifying when worsening triggers F686 and other tags
If you’re an RN, wound nurse, provider, or MDS coordinator, this one-hour session is designed to strengthen your knowledge and keep your team compliant.

🤩Register here, and share with you colleagues: https://zoom.us/webinar/register/9317581296636/WN_Umbist2STLSfNXThLKx5ZQ

Accurate staging and coding of pressure ulcers/injuries (PU/PIs) are essential for compliance and quality care—but also among the most common error areas in the MDS. In this 60-minute session, Dr. Pamela Scarborough, PT, DPT, MS, CWS, FAAWC - Director of Education & Fellowship Program at United Wo...

Today’s question: Do vascular exams still matter? Absolutely, YES!!! Despite advanced diagnostics, physical examination ...
10/01/2025

Today’s question: Do vascular exams still matter?
 
Absolutely, YES!!!
 
Despite advanced diagnostics, physical examination of the legs and feet is a critical first step in assessing vascular function. 
 
Four quick bedside tests provide essential information:
1. Pulse Palpation – Femoral, popliteal, posterior tibial, dorsalis pedis.
◦ Absent/diminished pulses are often the earliest sign of PAD.
2. Buerger’s Test (Elevation Pallor) – Pallor with leg elevation suggests impaired arterial perfusion.
3. Rubor of Dependency – Delayed color return or dusky rubor upon lowering indicates arterial insufficiency.
4. Venous Filling Time – 20 sec = arterial insufficiency.
Why It Matters
• Each exam evaluates different vascular components: large arteries, microvascular reactivity, gravity-induced ischemia, and venous outflow.
• Together, they screen for PAD, guide urgency for ABI and imaging, and support clinical decision-making in wound care, compression safety, and vascular referral.
• These tests are inexpensive, repeatable, and provide real-time functional insight not captured by Doppler alone.
Bottom line: A careful vascular exam of the legs and feet remains indispensable for early detection of PAD, triage for further testing, and ongoing monitoring of disease progression.
Resources:
1. 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines
2. UWH-Lower Extremity Physical Examination Recommendations – From the 2024 ACC/AHA PAD Guidelines.


“What a great morning connecting with my colleague and friend, Q Kim, ARNP, CWS.Q joined United Wound Healing shortly af...
09/25/2025

“What a great morning connecting with my colleague and friend, Q Kim, ARNP, CWS.

Q joined United Wound Healing shortly after completing his nurse practitioner program and has since developed into an exceptional skin and wound care specialist. His clinical expertise, patient-centered approach, and leadership within skilled nursing facilities have made a tremendous impact.

We are proud of the work you do, Q, and grateful for the example you set in advancing high-quality wound care.”

Pressure injuries impact patient safety, quality measures, and facility costs. Too often, these injuries stem from simpl...
09/23/2025

Pressure injuries impact patient safety, quality measures, and facility costs. Too often, these injuries stem from simple—but preventable—misuse of support surfaces.
Encourage your RNs, treatment nurses, and CNAs to attend this free webinar THIS WEEK: Thursday, September 25th at 12pm PST.
Led by Dr. Pamela Scarborough PT, DPT, MS, CWS, FAAWC, this program will cover:
PU/PI causes and prevention strategies
Proper use of beds, mattresses, and overlays
How to stop recurrence before it starts
✅ A small investment of one hour could mean fewer pressure injuries, stronger outcomes, and improved survey readiness.
Register Now:

This link will take you to a page that’s not on LinkedIn

✨ We’re Growing & Hiring! ✨United Wound Healing is expanding rapidly as we continue our mission to provide compassionate...
09/18/2025

✨ We’re Growing & Hiring! ✨

United Wound Healing is expanding rapidly as we continue our mission to provide compassionate, specialized wound and skin care across communities. With new partnerships, advanced training programs, and an ever-growing team of providers, we’re proud to be making a real difference in patients’ lives. 💙

We’re looking for dedicated clinicians and support staff who are ready to and be part of something bigger. If you have a passion for patient care and want to grow in a supportive, innovative environment, we’d love to meet you.

🔹 Learn more about our open positions at unitedwoundhealing.com
🔹 Join a team that’s redefining wound care
🔹 Make an impact, every single day

Calling all CNAs, RNs, and Wound Care TeamsSupport surfaces matter more than you think. Misunderstood equipment use can ...
09/10/2025

Calling all CNAs, RNs, and Wound Care Teams
Support surfaces matter more than you think. Misunderstood equipment use can put
residents at risk for pressure injuries.

Join us on 🗓️September 25th at 12pm PST for a free webinar with Dr. Pamela Scarborough,PT,DPT,CWS,FAAWC
Scarborough:
Learn how to prevent and reduce PU/PIs
Understand when and how to use beds, mattresses, and overlays.

Walk away with practical tips you can apply immediately
This session is especially valuable for CNAs, who play a critical role in day-to-day
prevention.

Save your 💺 today!
https://zoom.us/webinar/register/9317546735049/WN_SDcZ2VydRdq92UIYVJjEWg

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413 29th Street NE, Suite I
Puyallup, WA
98372

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Team Centered Wound Care

We are a leadership company that also heals skin and wound needs. We heal, educate and protect with teams across the country at our patient’s bedside. We care and treat our patients as if they were our own family members.