United Wound Healing

01/29/2026

Albumin and prealbumin are often misunderstood—and frequently misused—when assessing wound healing potential ❗️

🔬 Albumin
   •   Reflects chronic illness, inflammation, fluid status, and liver function
   •   If the liver is stressed or failing, albumin production may drop—even when nutrition is adequate ⚠️
   •   With a long half-life (~18–21 days), albumin does not reflect current protein intake or short-term nutritional changes
   •   🚫 Should not be used alone to judge wound healing readiness

🧬 Prealbumin (Transthyretin)
   •   Much shorter half-life (~48–72 hours) ⏱️
   •   More responsive to recent nutritional changes, making it helpful for trending short-term interventions
   •   Still affected by inflammation, infection, and acute illness—just like albumin 🦠

🔥 CRP Overlay Matters
   •   Always interpret albumin and prealbumin alongside CRP
   •   Inflammation suppresses both labs regardless of nutritional intake 📉

💡 Pearl Takeaway
Neither albumin nor prealbumin predicts wound healing on their own.
They help identify physiologic and nutritional barriers, not healing guarantees.

👉 Always interpret labs in clinical context, alongside inflammation, organ function, and the patient’s overall condition 🧠🩺

PamelaScarborough,PT,DPT,CWS,FAAWC

01/27/2026

Pamela Scarborough,PT,DPT,CWS,FAAWC will provide practical guidance on wound hygiene,
infection identification, and dressing selection—grounded in best practices and F880
considerations.

🗓 January 29, 2026
12:00 PM PT
This session is perfect for RNs, wound nurses, and providers.
Register today!

https://zoom.us/webinar/register/7217582259445/WN_BM1Mpo5LROa0ShWuAz1kRw

01/27/2026

Introducing the nation’s FIRST post‑graduate Wound Medicine & Dermatology
Fellowship. Empowering NPs and PAs with elite clinical training, research, and mentorship.
Learn more: https://landing.unitedwoundhealing.com/

01/27/2026

Introducing the nation’s FIRST post‑graduate Wound Medicine & Dermatology
Fellowship. Empowering NPs and PAs with elite clinical training, research, and mentorship.
Learn more: https://landing.unitedwoundhealing.com/
MedicalEducation healfearlessly

01/21/2026

We are excited to share these in person and remote job opportunities with you! United Wound Healing is on the grow and we are looking to build our team. If you find a position that seems like a good fit please consider applying. If you find a job that seems ideal for a loved one please consider sharing this post.

01/19/2026

Hard-to-heal wounds demand more than routine care—they require a deliberate, evidence-based
approach to wound hygiene and infection prevention.
Join Dr. Pamela Scarborough,PT,DPT,CWS,FAAWC Scarborough, for an educational webinar
focused on:

Effective cleansing of the wound bed and periwound area
Early vs. overt signs of wound infection

F880 infection control triggers and regulatory considerations
Appropriate use of topical antimicrobial dressings
This session is designed for RNs, wound nurses, and providers committed to delivering high-
quality, compliant wound care.

🗓 January 29, 2026
12:00 PM PT
Reserve your spot and strengthen your wound care practice:
https://zoom.us/webinar/register/7217582259445/WN_BM1Mpo5LROa0ShWuAz1kRw
healfearlessly

01/14/2026

Please join us and giving a warm welcome to our new Skin and Wound Care Provider, Adam Gonzalez PA-C! Adam will be healing, protect, protecting, preventing, and educating in Washington state! You can learn more about this exceptional healer here: https://www.unitedwoundhealing.com/specialist/adam-gonzalez-pa-c/

01/09/2026

We make house 🏡 calls!

Home Health patients can be treated by United Wound Healing’s skin and wound specialists both virtually and in person. Our collaborative approach to wound care at home results 2x faster healing compared to national averages.

01/07/2026

https://www.ziprecruiter.com/c/UNITED-WOUND-HEALING-PS/Job/Fellowship-Wound-Management-&-Dermatology-NP-or-PA/-in-Puyallup,WA?jid=3d506ded239fa134

01/06/2026

Coagulum vs. Congealed Surface Exudate

✨ Know the difference to guide safe cleansing & debridement

⸻

🩸 COAGULUM
Organized blood-derived clot material

🔍 Key Characteristics
• Originates from bleeding (overt or microvascular)
• Fibrin-rich clot material
• Dark red, maroon, or brown
• Firm, rubbery, or tightly adherent
• May bind to wound bed or underlying structures

📌 Clinical Context
• Seen after sharp or mechanical debridement
• Common in highly vascular wounds
• More likely in patients on anticoagulants
• Can block granulation & epithelial migration if persistent

⚠️ Management Implications
• Fresh coagulum may be temporarily protective
• Persistent coagulum may require gentle mechanical or sharp removal
• Over-aggressive removal ⛔️ increases bleeding risk

⸻

💧 CONGEALED SURFACE EXUDATE
Dried inflammatory wound fluid

🔍 Key Characteristics
• Originates from inflammation—not bleeding
• Plasma proteins, inflammatory mediators, debris & bacteria
• Yellow, tan, gray, or translucent
• Superficial & loosely adherent
• Lifts or flakes easily with cleansing

📌 Clinical Context
• Common with poor moisture control
• Seen with infrequent dressing changes
• Often overlies viable tissue
• Frequently linked to early biofilm formation 🦠

✅ Management Implications
• Easily removed with cleansing or soft abrasion
• Monofilament debridement effective
• No sharp debridement required
• Signals need for better moisture balance & dressing choice

⸻

🔎 Clinical Takeaway
✔️ Not all surface material is the same
✔️ Identify before you remove
✔️ Match the intervention to the tissue

12/29/2025

A new year is coming! This is an exciting time to consider a new career! With at home and in person options check out all United Wound Healing has to offer!

United Wound Healing is a team of skin and wound specialists dedicated to ensuring every person receives the best possible care for their skin, regardless of their age, current health, or where they live. We have roots that were planted over 10 years ago, and today have the privilege of caring for m...