CWOCN case studies
CWOCN · Put your knowledge to work in context.
The Certified Wound, Ostomy and Continence Nurse (CWOCN) credential is awarded by the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB), a certification body whose credentials it states are accredited by the Accreditation Board for Specialty Nursing Certification (ABSNC) and the National Commission for Certifying Agencies (NCCA). WOCNCB notes that for more than 45 years, more than 10,000 dedicated nurses have chosen to certify in wound, ostomy, continence and foot care nursing through the board. The CWOCN case studies are 5 cases and about 3,681 words.
1A Plantar Ulcer With a Falsely Reassuring ABI
R is 58, with type 2 diabetes for 16 years, HbA1c 10.4%, on insulin. He presents with a 2.2 × 1.8 cm full-thickness ulcer on the plantar aspect of the right first metatarsal head; it has been present 5 weeks.
762 words, about 4 min2Night Pain That Changes the Compression Plan
K is 74, BMI 34, with a 12-week history of a 4 × 3 cm ulcer at the right medial gaiter. The wound bed is about 70% slough with heavy serous drainage; the periwound skin is macerated, with hemosiderin staining and 3+ pitting edema to the knee.
704 words, about 4 min3High-Output Ileostomy on Postoperative Day Five
L is 62, postoperative day 5 after total colectomy with end ileostomy for fulminant colitis. The stoma is pink, moist, and functioning.
681 words, about 3 min4Retracted Stoma, Frequent Leaks, and Satellite Lesions
D is 70, with an end colostomy formed 8 weeks ago after abdominoperineal resection. The stoma is retracted, sitting 1 cm below the skin surface, with a 3 mm mucocutaneous separation at the 6 o'clock position that is clean and not necrotic.
720 words, about 4 min5A Catheter Request in an Older Adult With Incomplete Emptying
S is 78 and lives in assisted living. She reports urgency, frequency, and 3 episodes of incontinence per night.
814 words, about 4 min