I have a colostomy, about 1" opening, and for 8 years I had no problem with my pouches. Then for 3 or 4 months I can't seem to have a bag on for more than a day, and there is leakage. What is deep convexity and should I have different kind of pouches that have a deep convexity? Would that help? Thank you.
Volume 56 - Issue 2 - February, 2010
KCI Donates Medical Supplies to Aid Haitian Earthquake Victims
- 2/1/2010
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Ostomy Wound Management recently had the chance to talk with Kinetic Concepts, Inc.’s ([KCI] San Antonio, Texas) spokesperson Katie Gaultney to learn about her company’s efforts to provide much-needed medical supplies and aid to Haitian earthquake victims.
OWM: Mrs. Gaultney, describe KCI’s efforts on behalf of Haitian earthquake victims.
KG: As a company whose mission is to create products that help and heal those in critical need, KCI saw the opportunity to provide medical supplies as a duty to step up to the plate as the crisis in H
A Prospective, Multicenter Study to Validate Use of the PUSH© in Patients with Diabetic, Venous, and Pressure Ulcers
- 2/1/2010
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Abstract: Monitoring wound progress is essential for evaluating and documenting treatment outcomes. The Pressure Ulcer Scale for Healing (PUSH) was developed to track pressure ulcer (PU) progress but information about its utility for other types of chronic wounds is limited. A 10-month, descriptive, multicenter study was conducted to examine the responsiveness and concurrent validity of the PUSH when used to monitor wound changes in diabetic foot (DFU), venous leg (VLU), and PU. Using a convenience sample of participants (n = 98, mean age 60 [range 20 to 89] years, the majority [85%] ma
A Cross-sectional Descriptive Study of Pressure Ulcer Prevalence in a Teaching Hospital in China
- 2/1/2010
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Abstract: Surveying pressure ulcer (PU) prevalence is a common practice in some western countries and has served as a tool to improve prevention policies and procedures. Although attention on PU prevention has increased in China, no PU prevalence baseline information is available to help guide care. To obtain this baseline information, a cross-sectional descriptive study was conducted in a 3,000-bed teaching hospital in Wuhan. On the morning of the study, trained clinicians audited the total hospital patient population (61 nursing units, 2,913 inpatients) using the PU survey tool design
Heel Pressure Ulcers in Orthopedic Patients: A Prospective Study of Incidence and Risk Factors in an Acute Care Hospital
- 2/1/2010
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Abstract: Heel pressure ulcers (PU) are a major concern in orthopedic patients. A prospective 6-month study was conducted in an acute care hospital in Canada to determine the incidence of heel PU in an orthopedic population, evaluate the effect of patient and care variables on heel PU incidence, and describe the natural history/sequelae of Stage I heel PU. One hundred and fifty (150) patients (average age 70.6 years) admitted for elective orthopedic surgery or treatment of a fractured hip participated in the study. A direct heel skin assessment was performed following admission and bef
Geoff Mackay, President and CEO Organogenesis, Inc. ‘Living Technology’
- 2/1/2010
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For Geoff Mackay, President and CEO of Organogenesis (Canton, Mass), the pharmaceutical business feels more and more like a second home. He has become increasingly familiar with the industry through various leadership positions during his 11 years with Novartis AG (Basel, Switzerland) and other international companies and he is proud of his role in fulfilling the promise of regenerative medicine.
Geoff has been involved in regenerative medicine and wound care since 1996. “My initial focus areas were immunology and dermatology,” he says. “I was
The Pressure for Global Collaboration
- 2/1/2010
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Despite an increasing number of products devoted to pressure ulcer treatment and prevention, pressure ulcers continue to be a healthcare problem throughout the world. The prevalence of pressure ulcers has remained approximately 15% in healthcare facilities in the US between 1999 and 2005.1 In Canada, the prevalence has been reported to be 26%2 and the European Pressure Ulcer Advisory Panel (EPUAP) found an overall prevalence of 18.1% in a survey of patients in Belgium, Italy, Portugal, Sweden, and the UK.3 It is obvious that pressure ulcers are an international
Managing Skin Grafts and Donor Sites
- 2/1/2010
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Skin grafts are frequently used over large and/or difficult-to-heal wounds such as burns, pressure ulcers, venous ulcers, diabetic ulcers, and traumatic wounds. They can be created and applied in various ways. The split-thickness skin graft (STSG), which involves removing the epidermis and part of the dermis from the donor site and applying it to a well vascularized wound bed, is the most common. When the patient does not have donor tissue available, various biological and synthetic options are available.
The coverage provided by the STSG is superfici
Managing Venous Leg Ulcers in the Home
- 2/1/2010
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Venous leg ulcers (VLUs) present treatment challenges, particularly in the home health setting. Home health care patients with VLUs often have multiple comorbidities, which complicate wound treatment and healing. Many patients are unable to see a physician regularly for wound assessment and treatment evaluation; in addition, they may face financial challenges, unable to afford costly prescription items — eg, enzymatic debriding agents. Home health nurses must formulate a plan of care to address multiple factors including edema management, treatment compliance, compression
Sarcopenia, Cachexia, and Starvation
- 2/1/2010
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As a population, we are extremely concerned about weight. Whether it is the epidemic of overweight children developing very adult problems due to obesity or the rail thin models splashed across the pages of the latest fashion magazines, weight is a hot topic of conversation. As wound care clinicians, we, too, should be very concerned with weight. Instinctively, we understand that patients who are losing body weight may heal slowly or develop chronic wounds. Scientifically, we know when the amount of nutritional substrate is inadequate to meet all the body’s physiologic ne
Challenge of the Decade
- 2/1/2010
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The Paraprofessional Healthcare Institute (PHI) recently reported on projections from the National Employment Matrix released by the Bureau of Labor Statistics (BLS), highlighting the significant growth in demand for direct care workers in the decade ahead.1 With increasing longevity and the lives of persons with chronic illnesses being extended by technological advances both in diagnostics and treatment, we are on the precipice of either a disaster — facing a serious shortage of qualified, paid caregivers — or the opening of a bright, new day of improved qu
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