Wound Care
The Bozeman Health Wound and Hyperbaric Center provides comprehensive inpatient and outpatient services focused on the evaluation, treatment and management of complex wounds. Our multidisciplinary team specializes in promoting wound healing associated with a range of conditions, including diabetes, vascular compromise (venous/lymphatic/arterial), pressure injuries, burns, traumatic wounds and post-surgical complications.
Our treatment offerings include, but are not limited to: diabetic foot and nail care, wound debridement, compression therapy, advanced dressings/skin cell substitutes, infection control, ostomy cares and specialized treatments such as Hyperbaric Oxygen Therapy (HBOT).
Diabetic Foot & Nail Care
We provide comprehensive preventative foot and nail care services for individuals with diabetes, with a focus on reducing the risk of complications such as foot ulcers. Our team supports patients in coordinating care with their Primary Care Provider or Endocrinologist to obtain medically necessary diabetic footwear or custom orthotics.
We maintain close collaboration with local orthotic and prosthetic clinics in Bozeman to ensure timely access to specialty products tailored to each patient’s needs.
Patients receiving routine nail care are typically seen at the Wound Clinic every 9 to 10 weeks. This consistent follow-up schedule allows for early identification of potential issues and helps ensure that feet remain healthy and free of wounds.
Ostomy
We offer expert ostomy care provided by a Certified Wound Ostomy Nurse Practitioner in both inpatient and outpatient settings.
Our Ostomy Care Team provides comprehensive support beginning prior to surgery. Preoperative ostomy site marking and patient education are performed to ensure optimal placement of the ostomy, which helps minimize postoperative complications and improves patient outcomes.
Following surgery, a wound care registered nurse (RN) will visit the patient in the hospital to provide continued education and support. For patients discharging with home health, our wound RN coordinates with the designated home health agency to ensure seamless care.
Upon discharge, we schedule follow-up appointments with our Certified Wound Ostomy Nurse Practitioner. This visit is designed to equip patients with the necessary knowledge, skills, and supplies to manage their ostomy confidently and successfully at home.
HBOT/Hyperbaric Medicine
The Bozeman Health Hyperbaric program is nationally accredited by the Undersea and Hyperbaric Medical Society (UHMS), ensuring the highest standards of safety and care. Hyperbaric therapy is recognized by the FDA and Centers for Medicare and Medicaid services for specific indications including:
- Air or Gas Embolism
- Carbon Monoxide Poisoning
- Clostridial Myositis and Myonecrosis (gas Gangrene)
- Crush Injury, Compartment Syndrome and other Acute Traumatic Ischemia’s
- Decompression Sickness
- Acute Arterial Insufficiencies (e.g., Central Retinal Artery occlusion)
- Severe Anemia
- Intracranial Abscess
- Necrotizing Soft Tissue Infections
- Refractory Osteomyelitis
- Delayed Radiation Injury (e.g., radiation cysisitis, proctitis or osteoradionecrosis)
- Compromised Skin Grafts and Flaps
- Thermal Burns
- Sudden Sensorineural Hearing Loss
- Avascular Necrosis
Hyperbaric Oxygen Therapy sessions are approximately two hours in duration and are typically administered Monday through Friday, excluding holidays. The total number of treatments is determined by a hyperbaric-trained medical provider following an initial consultation and based on the patient’s specific clinical needs.
HBOT supports wound healing by promoting angiogenesis, thereby enhancing circulation to compromised tissues. Additionally, it reduces swelling and inflammation, and works synergistically with antibiotics to improve infection control and accelerate recovery.
Your Wound Team
Christopher Martin,
MD
Bozeman Health
Wound Care
James E Loeffelholz,
MD
Bozeman Health
Wound Care
Crystal Marx,
MSN, APRN, FNP-C
Bozeman Health
Wound Care
Kelly Earle,
DNP, APRN, FNP-CB, CWS
Bozeman Health
Wound Care
Mara Zello,
FNP-C CWON
Bozeman Health
Wound Care
Melissa Bowen,
DNP, APRN, FNP-BC
Bozeman Health
Wound Care
Sara Lemert,
DMSc, PA-C
Bozeman Health
Wound Care
Sarah de Groot,
NP
Bozeman Health
Wound Care
Susan Whittinghill,
PA-C
Bozeman Health
Wound Care
Frequently Asked Questions
Hyperbaric vs "Mild" Hyperbaric Therapy
What is the difference between the chambers?
What is the benefit of the higher pressurization?
Chamber pressure needs to be above 1.3 ATA to kill bacteria. Pressures below that level cannot kill bacteria, and can actually promote undesirable growth of aerobic bacteria. The FDA does not recognize soft chambers as a medical device for hyperbaric oxygen treatments.
