Kara S. Couch, MS, CRNP, CWS, is a nurse practitioner in the Division of Rheumatology. She practices at the Limb Preservation Center at the George Washington (GW) University Hospital. Prior to joining the staff at GW, Kara worked at Medstar Georgetown University Hospital and Walter Reed National Military Medical Center. She srves as a member of the International Consolidated Guidelines Task Force for the Association for the Advancement of Wound Care and is the co-leader of the International Consolidated Venous Ulcer Guideline which was updated in 2015. She lectures nationally on wound care topics and has been published multiple times in peer-reviewed journals and textbooks on wound care.