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Calcinosis Cutis: WOC Nurse Management
1Debra Netsch, DNP, APRN, FNP-BC, CWOCN, CFCN, WEB WOC Education Programs, Minneapolis, Minnesota; and Ridgeview Medical Center, Waconia, Minnesota.
Calcinosis cutis, a painful skin condition, presents diagnostic challenges. Successful management involves addressing underlying causes, supporting the patient, and employing moist wound healing principles.
Area of Science:
- Dermatology
- Wound Care
Background:
- Calcinosis cutis involves calcium deposition in dermal and subcutaneous tissues.
- It is a painful, debilitating condition with no established treatment standards.
- Wound, Ostomy, and Continence (WOC) nurses may be the first to identify this condition.
Observation:
- Two cases of calcinosis cutis are presented.
- One patient was initially misdiagnosed with venous ulcerations.
- The second patient had confirmed calcinosis cutis, Raynaud's disease, and scleroderma.
Findings:
- Successful management was achieved despite the lack of standardized treatment.
- Key principles included identifying and treating the underlying cause.
- Host support and adherence to moist wound-healing principles were crucial.
Implications:
- This case study highlights effective strategies for managing complex calcinosis cutis.
- It emphasizes the importance of a multidisciplinary approach in wound care.
- Evidence-based wound healing principles can lead to successful patient outcomes.
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