Editorial Staff

Editor Barbara Zeiger

Assistant Editor Lauren Mateja

Web Content Coordinator Katherine Blessing

Editorial Correspondence

Barbara Zeiger, Editor, OWM

HMP Communications, 70 E Swedesford Rd
Suite 100, Malvern PA, 19355

Telephone: (800) 237-7285 or
(610) 560-0500, ext. 4244
Fax: (610) 560-0501

Email: bzeiger@hmpcommunications.com

May 2012 | Volume 58 - Issue 5

An Overview of Integrative Care Options for Patients with Chronic Wounds

Abstract

  Integrative care incorporates aspects of traditional and nontraditional medicine, also often referred to as holistic or complementary and alternative medicine. Providing integrative wound care involves addressing physical, psychosocial, and spiritual components of the whole person. Several care models, including the Seven Balance Point Model, include holistic considerations, as well as promotion of physical health recommendations involving nutrition, sleep, exercise, and emotional, social, and spiritual well-being. The quality of life of patients with chronic wounds may be negatively affected by chronic and procedural pain, sleep disturbance, social, and emotional concerns....

Guest Editorial: An Introduction to Palliative Chronic Wound Care

  Palliative wound care — ie, the merging of symptom management into advanced wound care — is a relatively new field. The traditional goal of wound care is to heal or prepare for surgical closure, but techniques and procedures involved can be painful and costly. Palliative wound care requires a different mindset than traditional wound care, yet is based on the same fundamental scientific principles. ...

Pearls for Practice: A Hydroconductive Dressing as a Potential Alternative to Negative Pressure Wound Therapy

  Negative pressure wound therapy (NPWT) involves the controlled application of subatmospheric pressure to the local wound environment using a sealed wound dressing connected to a vacuum pump.1 This therapy can help convert an open wound into a controlled, closed wound while removing excess fluid from the wound bed, reducing edema, and creating a moist healing environment.2,3 But NPWT has several drawbacks. Having the tubing constantly connected to a vacuum source can limit mobility for ambulatory patients, a problem partially alleviated by recent modifications involving portable NPWT devices. ...

Nutrition 411: Tips for Utilizing MyPlate with Patients with Wounds

  Although patients with wounds often benefit from nutrition education, they often do not have the opportunity to meet with a registered dietitian (RD) or nutrition professional. Other healthcare practitioners (HCPs) must fill the educational gaps. Fortunately, many credible resources are available online to obtain patient handouts, sample meal plans, and other tools. One of these sources is the MyPlate program from the US Department of Agriculture (USDA)....

Continence Coach: Recognizing Excellence in Care at the End of Life

  Care for patients at the end of life has long troubled American medicine, not only in its failure to provide good palliative care, but also in the tension between technology and ethics as it affects the relationship between providers and patients. Although the palliative care movement has gained momentum and sophistication over recent decades, a better understanding of the end-of-life situation by patients, their closest family and friends, and care providers is needed to give greater structure and integrity to provision of care in this final phase....

My Scope of Practice: Destiny Takes a Hand

“We are what we repeatedly do. Excellence, then, is not an act, but a habit”. – Aristotle

  Walter A. Conlan, III, MD, CWSP, didn’t always plan to be a wound care specialist. He first thought he wanted to specialize in psychiatry but eventually chose to focus on physical medicine and rehabilitation while attending Thomas Jefferson Medical College in Philadelphia, PA. Dr. Conlan believed physical medicine would be a better fit because it allowed him to use the biopsychosocial model, which combines components from psychology, neurology, and orthopedics. It was this desire to incorporate more than one academic discipline into his work that helped him on his way to wound care. ...

Special to OWM: Wound, Ostomy and Continence Nurses Society™ Offers Course/Designation for Nurse Wound Care Providers

  The WOCN® Society has developed the Wound Treatment Associate (WTA) Education Program to further empower wound, ostomy continence (WOC) specialty nurses to improve patient outcomes by enhancing their wound team....

AAWC Update

AAWC Pays Tribute to Members

  Whether involved for many years or just joining today, AAWC members are not ordinary wound care professionals; they are part of a special community that invests in career development and maintains an acute awareness of growth within the wound care industry....

General Principles and Approaches to Wound Prevention and Care at End of Life: An Overview

Abstract

  The incidence and prevalence of wounds in persons at the end of life is largely unknown, but wounds are estimated to occur in at least one third of hospice patients. At the end of life, healthcare professionals must help the patient and/or family decide whether the goals of wound prevention and care should focus on healing or palliation. At all times, it is important to consider that a palliative approach does not negate the potential for wound improvement or even closing before death. A review of the literature suggests that, in general, few differences exist between the general principles of wound prevention and care and an optimal palliative care plan....

A Prospective, Descriptive Study of Characteristics Associated with Skin Failure in Critically Ill Adults

Abstract

  Critically ill patients with multi-organ failure are especially susceptible to problems with skin integrity, including skin failure. An 18-month, prospective, descriptive study was conducted to identify and describe characteristics of intensive care unit (ICU) patients with skin failure and examine the relationships among patient demographics, nutritional status, laboratory parameters, the presence of other organ system failures, and use of mechanical assistive devices, support surfaces, and vasopressive and sedative medications. A total of 29 patients with acute skin failure were identified. All (100%) patients with skin failure were diagnosed with failure of at least one other organ system....