Wound Care & Hyperbaric Medicine
Patients with wounds that don’t heal after 30 days often need the services provided by the Wound Care & Hyperbaric Medicine Center at Speare Memorial Hospital. Nearly 96% of wounds are healed at our center and we have a 98% patient satisfaction rate. These high scores have resulted in our center being recognized as a national center of distinction.
Call for an appointment: 603-481-8780.
Understanding Chronic Wounds
Associated with inadequate circulation, poorly functioning veins, and immobility, non-healing wounds occur most frequently in the elderly and in people with diabetes—populations that are sharply rising as the nation ages and chronic diseases increase. At Speare’s Wound Care & Hyperbaric Medicine Center we follow treatment protocols specifically established for each type of wound. We utilize the latest approaches to wound healing and remain current in new scientific advances in wound care.
Through a partnership with Healogics, Speare is able to offer a new and comprehensive center offering specialized wound care. Healogics is the world’s largest wound care management company with over 500 hospital partners delivering excellent evidence-based care to patients with chronic wounds. Healogics has been the leader in wound care for over 20 years, offering the most advanced modalities such as adjunctive hyperbaric oxygen therapy (HBOT). Of special importance to our hospital, Healogics Centers traditionally achieve excellent clinical outcomes, including high limb salvage rates, a 91% healing rate within 30 median days-to-heal, and extremely high patient satisfaction.
What is specialized wound care?
Once a treatment plan has been initiated, you will visit the Center on a regular basis for specialized treatments and documentation of the progress of your healing. You will also be fully instructed on how to do your own wound care at home between visits, as well as how to protect your wound from further injury. It is very important to remember that you are the most important part of your healing process. Keeping appointments and following directions are critical to attaining a positive healing outcome. The Center employs the most technologically advanced wound care therapy, including:
- topical wound therapy
- growth-factor therapy
- tissue therapy
- dressing selection
- special shoes
- patient education
- hyperbaric therapy
The Wound Care and Hyperbaric Medicine Center team consists of:
The Wound Care and Hyperbaric Medicine Center team consists of:
- Dr. Koren, MD – Medical Director
- Dr. Hanowell, MD
- Dr. Bentwood, MD
- Rebekah Sexton PA-C
- Jessica L. Case PA-C
- Rebecca Sayre Clinical PD
- Alison Lovett RN, CWS
- Deanna Brodie LPN, CHT
- Linda Drew FOC
- Patty Norcross, RN
Patient Testimonials |Bob Keith’s Story “We can fix that,” were four words Bob Keith of Moultonborough thought he would never hear. Over the last decade Bob’s quality of life had diminished due to growing discomfort from a surgical wound that would not heal. Then the Wound Care & Hyperbaric Medicine Center opened at Speare, and Dr. Koren gave Bob new hope for healing his old wound.
- Read more about Bob Keith’s Story story here: Bob Keith’s Story
Your First Appointment
Patients are mostly referred to the Wound Care & Hyperbaric Medicine Center by their primary care physician. Upon referral to the Center, patients undergo a thorough diagnostic examination to identify the type of wound you have and the underlying problems causing the wound. The initial appointment consists of a full assessment to determine the etiology of the wound, the appropriate classification, and size of the wound, the overall health status of the patient and the patient’s ability to comply with needed therapies.
Based on the evaluation, a customized treatment plan is developed to optimize the therapies best suited to address the patient’s needs. Wound size and depth are documented at the initial visit, and again at each subsequent visit. Some of the diagnostic modalities which may be used include:
- Laboratory evaluation
- Radiology (including MRI)
- Transcutaneous oxygen testing
- Vascular studies, electrocardiogram
After this determination, a program specifically tailored to your needs will be initiated based on the most effective treatment options. An interdisciplinary approach will be used to provide the maximum healing possible.
Specialized wound care is usually administered on an outpatient basis. Patients are free to drive themselves to the Center for therapy. You should plan two-and-a-half to three hours for your first visit and roughly 45-minutes to an hour for all following visits.
After an initial consultation and examination at the center, you will receive complete instructions regarding your treatment.
Note: You should refrain from smoking or the use of any tobacco products during the entire course of therapy. Tobacco use will prolong or even prevent healing of a wound site due to its effect on the blood vessels in your body.
The Wound Care & Hyperbaric Medicine Center is located just inside the Emergency Room entrance accessible from our Avery St. parking lot.
Hours of operation: Mon & Tues 9:00 am – 5:00 pm, Thurs & Fri 8:00 am – 4:00 pm, Wed. – Closed
Appointments and Inquires: (603) 481-8780
FAX: (603) 481-8779
Hyperbaric oxygen therapy, also known as HBO, or HBOT, is the administration of 100% pure oxygen, while in a pressurized chamber. This saturates the blood plasma with extra oxygen, which increases the amount of oxygen that reaches the wounded tissue. This increase in oxygen supports the growth of new, healthy tissue. The oxygen also acts as a bacteriostatic, which helps decrease the chance of infection in the wound.
Our HBO chambers are largely comprised of acrylic, allowing the patient to see everything around them, and for the technicians to clearly see the patient throughout their treatment. The patient lays on a stretcher which slides into the chamber and can watch tv or listen to music inside the chamber. Treatment is generally recommended for 5 days per week, with each treatment taking approx. 2 hours from start to finish. The number of treatments depends on the condition being treated.
There are several indications for HBO therapy including diabetic foot ulcers with Osteomyelitis, delayed radiation injury, thermal burns, and hypoxic wounds. Medicare has approved coverage for many types of chronic, non-healing wounds. Most private insurance companies also follow Medicare rules. Our highly trained and experienced staff will review your insurance plan prior to starting therapy so you will know if there is any additional cost. We look forward to assisting you with healing your wound.