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
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Fax: (610) 560-0501

Email: bzeiger@hmpcommunications.com

September 2012 | Volume 58 - Issue 9

Using Science to Advance Wound Care Practice: Lessons from the Literature

Abstract

  Wound care professionals can improve clinical, patient-oriented wound outcomes and do so cost-effectively by using scientific evidence to meet patient and wound care goals and needs. A review of the literature was conducted to define evidence-based wound management, describe the potential of science to improve outcomes in wound care, and summarize strategies, tactics, and tools for wound care providers and recipients to utilize science to their mutual benefit....

Content Validation of Algorithms to Guide Negative Pressure Wound Therapy in Adults with Acute or Chronic Wounds: A Cross-sectional Study

Abstract

  Despite extensive use of negative pressure wound therapy (NPWT) and reported patient safety concerns, evidence-based algorithms to guide its safe and appropriate use in various wounds have only recently been developed. Preliminary content validity was established using literature review and expert-based face validity with a small sample of experts (N = 12)....

A Mechanically Powered Negative Pressure Device Used in Conjunction with a Bioengineered Cell-based Product for the Treatment of Pyoderma Gangrenosum: A Case Report

Abstract

  Pyoderma gangrenosum (PG), an uncommon inflammatory and ulcerative skin disease, typically is treated medically with a combination of immunosuppression and local wound care, but evidence to guide care is limited. PG wounds can be difficult to heal. A 76-year-old male patient presented with a history of rheumatoid arthritis and recalcitrant PG. After 9 months of treatment with local wound care, steroids, and topical tacrolimus, the wound had increased in size from 1.8 cm x 1.5 cm to 7.2 cm x 5.6 cm....

Efficacy of a Bio-electric Dressing in Healing Deep, Partial-thickness Wounds Using a Porcine Model

Abstract

  Numerous physical modalities have been used in attempts to augment the healing process, including ultrasound, low-energy light therapy, and electrical stimulation (ES). ES has been shown to benefit tissue repair in a variety of wound types, but variations in study designs, administration, and parameters render its application in clinical practice somewhat unconventional. A dressing was designed to generate an electric potential of 0.6 V to 0.7 V in the presence of moisture, thereby delivering a sustained micro-current without the need for an external power source. The purpose of this study was to examine the effects of this bio-electric dressing (BED) on deep, partial-thickness wounds using six female specific pathogen-free animals and a well established porcine model for wound healing. Wounds (10 mm x 7 mm x 0.5 mm) were created in paravertebral and thoracic areas of these animals using a specialized electrokeratome and covered with the active polyester BED and a polyurethane film dressing (n = 30) (treatment) or an inactive polyester and film dressing (n = 30). Using an epidermal migration assay, wounds were assessed daily from day 4 through day 8 post-wounding. Differences in the proportion of wounds healed were statistically significant (P <0.001) on days 5 and 6 post-wounding. These results show BED is more effective than a control dressing treatment with moisture-retentive dressings in this animal model. Controlled clinical studies are warranted to elucidate the potential clinical implications of this treatment modality. {C}...

From the Editor: He Skillfully Walked the Line

  The healthcare industry, including the world of scientific publications, has changed over my 12 years as Editor of Ostomy Wound Management. When I came on board, what I call the line separating church and state — ie, between providing clinical information versus product promotion — was not as sharp. The journal ran ads for products within articles describing their successful use. Review and disclaimer policies for Editorial Board members were loosely developed. Instructions for authors and accompanying conflict of interest statements were probably half as long as they are now....

Nutrition 411: Wound Healing in the Era of Long-term Care Culture Change

  Patients in skilled nursing facilities (SNFs) have seen institutional life change dramatically over the past several years. SNFs, often called long-term care (LTC) communities, operate under vastly different guidelines than traditional acute care hospitals. Although patients average a 3- to 4-day length of stay, LTC patients often reside in the facility for years, frequently until their death. This necessitates a different approach to care and a more homelike environment. A culture change revolution has taking been shape for several years and is gaining speed.

  Understanding related changes can help healthcare providers (HCPs) treat patients and their wounds more effectively....

Continence Coach: Our Moral Obligation to Skin Care: Calling for Inclusivity

Absorbent Quality Performance Standards

  A council headed by the National Association For Continence (NAFC) recently released its recommended national quality performance standards for disposable adult absorbent products for incontinence in frail, elderly, and/or disabled populations.1 The council focused on products provided and paid for by states to Medicaid waiver recipients cared for in their private homes, but the recommendations are considered applicable to consumer purchases of retail product as well as product purchased for use by hospitals, nursing homes, hospice centers, and similar facilities. The complete draft recommendations can be found on the NAFC’s website. The recommendations were publicly vetted for commentary for a 60-day period ending in early September. Final recommendations are anticipated before year’s end 2012....

My Scope of Practice: A Professional Who’s Been There

Life’s challenges are not supposed to paralyze you, they’re supposed to help you discover who you are. — Bernice Johnson Reagon, American historian

 Wound, ostomy, and continence care is a vocation and avocation for Paula Erwin-Toth, MSN, RN, CWOCN, CNS. Born with multiple birth defects involving her urinary system and pelvic and hipbones, Paula spent a good part of her childhood in care facilities. “My passion for WOC nursing stemmed from personal experiences,” Paula says. “My first memories are of hospitals, casts, nurses, and doctors. My experiences left me with good and bad memories. Rather than generating fear, my healthcare professionals were generally helpful and supportive, inspiring me to pursue a career in healthcare.” ...

AAWC News

Visit the AAWC (Booth 1605) at SAWC Fall

  AAWC members who attend SAWC Fall have several advantages:     • Members choose from more than 40 clinical sessions and earn up to 16 credits at a discounted rate of 20%;     • AAWC membership dues are currently 25% off, so the overall savings are abundant if you join/renew before you register;...