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 48 - Issue 8 - August, 2002
Guest Editorial: Engagement 101: Getting Involved to Improve Care
- 7/31/2002
- 0 Comments
- 1873 reads
R ecently, I became an American citizen. Every morning, I wake up with Mahatma Gandhi's words in my mind: "We must be the change we wish to see in the world." As such, I see it as my duty to question the status quo and try to change what doesn't make sense, to be entrepreneurial, and to never take no for an answer. I was, therefore, honored when I was asked to speak at this past spring's Symposium on Advanced Wound Care about how healthcare providers have to engage in the political process (whether they want to or not). It gave me an opportunity to encourage others to share my vision and miss
August Letters to the Editor
- 7/31/2002
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- 3542 reads
People Without Diabetes Also Need Foot Screening
Dear Editor:
My involvement in research studies concerned with healing and prevention of foot and leg ulcers prompted me to respond to the article entitled "Assessing Foot Care Knowledge in a Rural Population with Diabetes" (Ostomy/Wound Management, 2002;48[1]:50-56).
Although the author successfully reiterated the importance of comprehensive foot care in people with diabetes, applicability of such issues to non-diabetic populations has not been made clear. Many diabetic patients suffer from various degrees of peripheral neuropathy and ar
Have Program, Will Travel
- 7/31/2002
- 2 Comments
- 3132 reads
If people tell you No, you haven't asked the right way. - Beverly Hampton
H opefully, Beverly G. Hampton, RN, MSN, CWOCN, CS, likes Willie Nelson. When one hears about Beverly's activities, the song "On the Road Again" comes immediately to mind. Recently notified that she will receive the Ohio State University Professional Achievement Alumni Award, one of her first reactions was "I'll get to go see the OSU/Penn State game!" But there is no mistaking her sense of pride and accomplishment in creating alternative learning experiences for nurses pursuing ET certification.
The Ohio Sta
The Position on Preoperative Stoma Site Positioning
- 7/31/2002
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- 8431 reads
I n a world of outcomes, a surprisingly scant amount of literature is available regarding the clinical and financial outcomes of preoperative stoma site marking, a totally controllable and essential component of quality ostomy care. In fact, it could reasonably be considered preventive medicine - the first step and cheapest alternative toward reducing complications and overall ostomy management costs and improving quality of life for the patient.
What is in the literature, however, substantiates what we have long recognized in clinical practice: The procedure positively influences clinical
August New Products
- 7/31/2002
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- 2483 reads
Polyurethane membrane dressing makes its debut
Ferris Mfg. Corp. (Burr Ridge, Ill.) announces the addition of a new product to the PolyMem(R) family of dressings - PolyMax(TM). The new product is a thicker version of PolyMem(R), a hydrophilic polyurethane membrane with semipermeable thin film backing. Sixty percent more absorbent than its low profile predecessor, the new product also extends the time and reduces the number of necessary dressing changes - important elements for managing deep, extensive wounds.
For information on all Ferris products, visit their website, www.FerrisCares.com, o
August Industry News
- 7/31/2002
- 0 Comments
- 1439 reads
Continuing healthcare program available
Healthpoint, Ltd. (Fort Worth, Tex.) announced its schedule for the Continuing Education series "Innovations and Treatment Strategies in Wound Care," a nationwide effort to provide healthcare practitioners with the most up-to-date information on current trends, cutting-edge approaches, and innovations in the evolving field of wound management. The courses are approved for 1 credit hour toward the AMA Physician's Recognition Award and 2.5 contact hours for nurses.
Current dates and locations throughout the country include:
Central
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An Evaluation of the Canadian Ostomy Assessment Guide
- 7/31/2002
- 0 Comments
- 9093 reads
T he Canadian Ostomy Assessment Guide (COAG) was developed to assist in the selection of appropriate pouching systems by nonspecialized nurses. With the reform of Canada's healthcare system, ostomy patients are discharged from hospital 5 to 7 days after surgery, limiting time for teaching. Furthermore, due a limited number of enterostomal therapists (ETs) in hospital and home care settings, ostomy patients are frequently taught and cared for by nonspecialized nurses who may have little to no knowledge about ostomy pouching systems.
In response to this situation, as well as the limited evide
A Randomized, Controlled Study to Compare the Effectiveness of Two Foam Dressings in the Management of Lower Leg Ulcers
- 7/31/2002
- 0 Comments
- 8186 reads
P olyurethane foam dressings are commonly used in the treatment of chronic wounds, including leg,1,2 decubitus,1 and diabetic foot ulcers.3 They absorb exudate, prevent maceration and leakage, and control odor.1,2 Their exudate handling properties also may have a positive impact on the treatment cost of exuding ulcers.4
The purpose of this prospective, randomized, controlled clinical study was to compare a new, nonadhesive polyurethane foam dressing to a hydrocellular dressing in the management of moderately to heavily exuding venous ulcers. The effect of both dressings on healing and periul
Restoration of Body Weight, Function, and Wound Healing after Severe Burns Using the Anabolic Agent Oxandrolone is Not Age Depen
- 7/31/2002
- 0 Comments
- 7465 reads
S evere catabolism, resulting in a rapid loss of lean body mass, is a well recognized complication of major burns. Significant involuntary weight loss is a predictable occurrence despite optimum nutrition and early wound closure.1-5 The majority of lost weight is lean body mass, due to the overwhelming catabolic response that leads to the use of body protein for energy.3 Complications of lost lean mass are of particular concern for the older patient who already is likely to have sustained pre-injury loss of body protein as the result of decreased endogenous anabolism and decreased physical ac
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