Margaret Heale

Content from this Writer

Wound Research Data Review Including Outliers
May 10th, 2018

by Margaret Heale RN, MSc, CWOCN

When looking at randomized controlled trials one of the first things you read is a one liner, "subjects were matched," and there may be a list that includes stage of pressure injury, size of wound, age, sex, and a myriad of other things somebody...

home care nurse with patient
February 22nd, 2018

By Margaret Heale RN, MSc, CWOCN

I watched a short PowerPoint DVD on the "bag technique" as part of our regular in-servicing the other day. The presentation started with the most important way to prevent cross infection—wash hands—which is fine. Then came the bag technique. I...

compression wrapping
October 12th, 2017

By Margaret Heale RN, MSc, CWOCN

Wrapping wounds is an art, and hence, it comes easily to some and more difficult to others. This post won't make you a wound dressing artist, but it does provide some tips for good bandaging techniques. The word "bandage" (in the US) often refers...

dressing removal
July 21st, 2017

By Margaret Heale RN, MSc, CWOCN

Wounds are dressed every day, and much goes into the choices that are made to properly apply wound dressings. The condition of the periwound skin should be a major factor in the decisions made, as injuring this area can extend the wound and cause...

Medical supply waste
May 12th, 2017

Margaret Heale RN, MSc, CWOCN

It is truly shocking how much plastic we use and how much medical supply waste there is. From gloves that we wear to touch a patient's skin, to the sterile packed scissors that we are meant to dispose of into the sharps after use.

personalized medicine
February 23rd, 2017

Margaret Heale, RN, MSc, CWOCN

"Personalized medicine" is apparently a new concept that has evolved from taking good family histories, then adding a genetic testing component. The idea is to help assess the risk of specific traits that may be evident, and confirm with genetic...

patient repositioning for pressure injury prevention
December 20th, 2016

by Margaret Heale, RN, MSc, CWOCN

This past fall, I attended the New England WOCN Society regional conference. While I am still processing all the great information that I absorbed there, I'd like to share with you some of the important discussions that came up on the topics of...

wound care terminology
November 17th, 2016

by Margaret Heale, RN, MSc, CWOCN

Looking back on a previous New England WOCN Society regional conference I attended, it strikes me that there where several impressive items discussed relating to the topic of pressure injuries. In listening to Dr. Joyce Black give a little...

advancing wound care nursing skills
July 21st, 2016

by Margaret Heale, RN, MSc, CWOCN

I was not at the April National Pressure Ulcer Advisory Panel (NPUAP) meeting, but I do think some of critical commentary that has followed the announcement of the pressure injury staging system changes is flawed. Clearly designating the...

delivery of high quality bedside care
February 25th, 2016

by Margaret Heale, RN, MSc, CWOCN

Stepping forward into a model of care that is quantitative and objective is essential and most definitely the way we are headed in wound care and beyond. Using the word "care" in the same sentence with "quantitative" and "objective" may sound...

nurse transporting patient in wheelchair
November 25th, 2015

by Margaret Heale, RN, MSc, CWOCN

It has become quite easy to look at pressure ulcer prevention in most health care settings. From acute care, through the ED and on to the OR and ITU, then to the various floors of med surg, orthopedic, not forgetting rehab and community nursing....

Accountability
July 22nd, 2015

by Margaret Heale, RN, MSc, CWOCN

Most of the residents here are elderly, though some of the more acute rehab patients are quite a bit younger than me. We actually have five women over a 100 out of 116 people, quite impressive with the eldest being 105 years old. As for me, I am...

open door
May 7th, 2015

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

People can be open with few secrets and little to hide but even then there are behaviors, memories, hopes, fears and desires that are not revealed. We have a...

Holding hands
March 12th, 2015

My perspective is a little different as I was a matron in a British hospital in the 70s. Perspective gives the mind greater depth and a more complete understanding of the nature of what we see. You may think that nursing is the same wherever you go, but of course culture and history mold us...

Nursing and Clean Wound Dressing Changes
December 24th, 2014

by Margaret Heale, RN, MSc, CWOCN

Hi blog buddies,
Matron Marley is taking a vacation to allow her writer (me) to vent. The problem I see has evolved since the introduction of a 'clean dressing technique' over the last 15 years or so, and has little foundation in the...

October 23rd, 2014

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

Hi blog buddies, Matron Marley here. I may be an ex-matron, but I may just have some gems for you. Today I would like to cast the threads (strings even) of...

August 18th, 2014

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

Another day at Rose Cottage is over and I am remembering some events and pondering as I wait for my granddaughter to finish work and drop me off home. I have...

May 8th, 2014

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

I was in the shower getting ready for my day volunteering at the nursing home and my mind bemoaned again how much I miss bathing. Relaxing in a deep hot bath...

February 12th, 2014

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

I have been living with my daughter for almost a year and helping out at a nursing home where my granddaughter works. I don't remember having this problem...

December 19th, 2013

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

It's Matron Marley here again. I do hope you had a good Thanksgiving folks. My daughter ordered Chinese and her offspring were thrilled. I snuck away to the...

October 9th, 2013

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

So after I last wrote, I was to assist with a dressing change, as the resident is more relaxed with somebody having their focus on her and not also trying to...

September 3rd, 2013

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

Well it's me again, Matron Marley. I got in through the door no problem today. My granddaughter dropped me off as she is doing some MDS training. I am...

July 25th, 2013

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

Here I am again, Matron Marley, working as a volunteer in the local nursing home on just my second visit. I had a little difficulty getting in and discovered...

June 20th, 2013

Perspective of Nursing Care from Past to Future by Matron Marley

by Margaret Heale, RN, MSc, CWOCN

Well, I was a matron such a long time ago when we still had candy stripers and you swallowed tablets or wrote on them with chalk. My granddaughter is doing...