From The Journal

A Retrospective Review of Outcomes Using a Fecal Management System in Acute Care Patients

  Intrarectal catheters (ie, large bore, soft, silicone catheters with a retention balloon intended to hold the catheter within the rectum and create a seal) may be used for the temporary management of diarrhea and fecal incontinence, to protect perineal skin and wounds, and to prevent cross infection....

A Pilot Study to Evaluate the Role of the Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT) in Clinical Decisions for Pressure Ulcer Treatment

The Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT) was designed to assess pressure ulcer (PrU) healing in the spinal cord impaired (SCI) population. The tool contains 7 variables: wound surface area, depth, edges, tunneling, undermining, exudate type, and necrotic tissue amount....

The Effects of Using a Moldable Skin Barrier on Peristomal Skin Condition in Persons with an Ostomy: Results of a Prospective, Observational, Multinational Study

  Peristomal skin problems are the most commonly experienced physical complication following ostomy surgery and often are caused by leakage or a poorly fitting skin barrier. A prospective, multicenter, observational evaluation of persons with a colostomy, ileostomy, or urostomy was conducted to assess the incidence of peristomal lesions and level of patient satisfaction with moldable skin barriers....

Editorial Opinion

From the Editor

  I view aging through the eyes of my 85-year-old dad. He lives completely independently and is in relatively good health. He is an active participant in all family events (and there are a lot of them, with 5 great-grandchildren).

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Featured Column

A Clinical Minute

  Patients referred to wound centers frequently have complex wounds and comorbidities that contribute to poor wound healing. Amniotic allografts have recently been used in the treatment of difficult-to-heal wounds.

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Featured Department

My Scope of Practice

  Despite logic and foundation in evidence-based practice, protocols are as challenging to implement as they are to develop. No one condones a cookie-cutter approach to wound care, but certain aspects of assessment, diagnosis, and treatment jive with the "if-then" reasoning of care protocols. Just ask Lidia Garner, CWCN, OCN, BSN, RN. She pursued development of "wound tiers" to help clinicians select appropriate dressings for particular wound types so wounds would heal quicker and with less scarring and pain. Plus, Lidia thinks the implementation of prospective payment systems, because they encourage a methodical, cost-conscious course of action, are an impetus for improving care.

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