Volume 48 - Issue 10 - October, 2002

Guest Editorial: Ethics in Research: What Is It and Who Cares?

T raditionally, we think of ethics in research in terms of protecting human subjects. Maintaining the safety of human subjects is important; ensuring research integrity is equally imperative. Research integrity includes: making an unbiased sample selection and logical data decisions, reporting the results correctly (and completely), and including correct (and complete) citations from previously published work. Unfortunately, the more one reads and uses research, the more one realizes that exercising research integrity does not appear to come "naturally" to everyone.

Human subject protect



Strategies for Improving Ostomy Outcomes

T he convergence of several immense and divergent changes in healthcare delivery and payment have caused providers to make changes in the processes and structure of care provision, especially as it relates to ostomy care. Along with these changes comes today's reality that achieving financial efficiency and clinical effectiveness is wholly dependent on the outcomes of the care actually provided. Wasteful or highly variable practices, historically inherent in ostomy care, not only hamper an organization's survival and escalate cost, but also impede the individual patient's rehabilitation.



A Nurse with a Mission

F or the most part, the government of Indonesia frowns on a nurse making house calls. The people in the mountainous region of North Sumatra must travel for a distance and come to her one-room home that doubles as a clinic. People from the village begin arriving early and sit with no complaint, sometimes all day. Children do not run around. There are no lines -only a tacit understanding of who is next. An American nurse is visiting and helps provide palliative care to the elderly and advice on rehydrating babies to new mothers. A young man has an abscessed tooth. She can offer only acetaminophe



Preparing the Patient for Colostomy Care: A Lesson Well Learned

E ducation can be defined as experience that results in a change of behavior in some desired direction. Adults are strongly motivated to learn only when they perceive a possible application in their own lives.1 Education is a vital role of the nurse, particularly regarding colostomy care. Providing instruction on proper technique for changing a pouch system, as well as some important things to look for during the procedure, will help prevent problems and make living with a colostomy a bit more manageable. One patient's experience offered the opportunity to acknowledge the key points



Validation Report for LTC Quality Indicators

E valuating and reporting the quality of healthcare currently provided to American patients is a relatively new trend. Quality Indicators (QI) first appeared in our healthcare delivery system several years ago after multiple government investigations revealed gaps in the quality of care for patients in nursing homes. Today, QIs are intended to reflect the quality of care delivered or specific outcomes that can be attributed to the care delivered by various healthcare providers. A study (Validation of Long-term and Post-acute Care Quality Indicators1) commissioned by the Centers for



October 2002 Industry News

Consulting firm to specialize in wound and skin care

Strategic Sales Solutions, Inc (Newtown, Pa.) launched a consulting firm specializing in the development and implementation of sales and marketing strategies for the wound and skin care industry. In addition, the firm provides identification and evaluation services associated with marketing initiatives.

For more information please call 215-369-9812 or email: info@strategic-sales-solutions.com. - OWM

National coverage for hyperbaric oxygen therapy

The Centers for Medicare and Medicaid (CMS) ha



October 2002 New Products

New dressing combines silver and moisture management

Medline Industries, Inc (Mundelein, Ill.) launched SilvaSorb™, the first line of antimicrobial silver wound dressings that combines sustained release antimicrobial silver with highly effective moisture management materials. The new product is designed to help heal chronic wounds such as pressure ulcers, diabetic foot ulcers, leg ulcers, skin tears, first- and second-degree burns, grafted wounds and donor sites, surgical wounds, and lacerations and abrasions. It also reduces infection. The product is a major addition to th



The Process of Developing Best Practice Guidelines for Nurses in Ontario: Risk Assessment and Prevention of Pressure Ulcers

I n order to meet consumer expectations for quality care, healthcare professionals are required to apply knowledge and expertise that reflects current best practice.1 The provision of healthcare services in Canada is mandated and funded by the provinces and territories; therefore, healthcare policy and professional practice is largely overseen at this level. The Registered Nurses Association of Ontario (RNAO), in cooperation with the Ontario Ministry of Health and Long Term Care (MOH/LTC), has played a lead role in this area. Following a major review of nursing in Ontario,2



Successful Salvage of Infected PTFE Mesh after Ventral Hernia Repair

U se of prosthetic biomaterials for the repair of abdominal wall hernias has decreased hernia recurrence rates when compared with primary fascial closure.1 By allowing for "tension-free" closure of incisional hernia defects, prosthetic mesh provides a permanent replacement for native fascia that frequently has been weakened or removed by previous surgery. Polypropylene and polytetrafluoroethylene (PTFE) are the most commonly used prosthetic biomaterials in the repair of ventral hernias. Both are biologically inert and allow for ingrowth of normal adjacent tissues. In the large major



A Comparison of Computer-Assisted and Manual Wound Size Measurement

T he ability to accurately and precisely measure the size of a wound is critical in documenting the progress to healing and in assessing the effectiveness of interventions on the healing process in clinical and research settings.1-3 Several techniques are available for documenting wound size, including measuring the dimensions of a wound using a disposable ruler. Ruler-based assessments of wound size have good reliability.4 However, deciding which dimensions to measure if the wound is irregular can be difficult.5 Furthermore, this ruler-based technique tends to