I'm interested in taking the CWCA exam, but a friend of mine mentioned that the WCC is better. What is the difference between the two?
Volume 48 - Issue 12 - December, 2002
Joining Forces to Make a Difference
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T his is a particularly appropriate time for an issue highlighting advances in continence care because there is progress to report! For many years, pioneers in the field of incontinence fought an uphill battle to have incontinence recognized as a significant healthcare issue. Many healthcare providers considered it a minor "hygienic" problem unworthy of research dollars or medical attention (obviously, they were not dealing with the problem personally).
The relentless efforts of our continence pioneers have been effective. Incontinence is now recognized as a significant healthcare proble
Fall Updates
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OIG Issues Draft Compliance Program for Pharmaceutical Manufacturers
The Office of Inspector General of the Department of Health and Human Services published a draft compliance program for pharmaceutical manufacturers in the October 2, 2002 Federal Register.1 This program is one in a series of government compliance programs for various types of healthcare organizations (eg, hospitals, clinical laboratories, home health agencies, physicians' practices, and the durable medical equipment and prosthetic and orthotic industry) that provide goods and services for
Connecting the Disconnect between Hospital and Home
- Wed, 9/3/08 - 10:25am
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Mr. D, 76 years old, underwent a colostomy in a local hospital after several weeks of preoperative outpatient radiation therapy that caused severe diarrhea. The nurses at the hospital managed his colostomy and told him he probably "would not need to wear a pouch" after he was taught how to irrigate. They showed him how to empty a two-piece system before he was discharged 7 days after his surgery. Mr. D was able to manage emptying but did not pay much attention to the procedure because he viewed wearing the pouch as a temporary situation. After his discharge, the home care nurse informed him
Still Rewarding after 24 Years
- Wed, 9/3/08 - 10:25am
- 1 Comments
- 2443 reads
J an Avakian-Kopatich, BSN, ET, COCN, CWCN, has no trouble explaining what she likes best about her position as a Certified Ostomy/Wound nurse at St. Luke's Medical Center, Aurora Health Care, Milwaukee, Wis. She values the independence the specialty has afforded her. She enjoys developing close, professional, long-term rapport with her patients and their families. She feels appreciated by physicians who respect her expertise and treat her as a valuable team member. She likes experiencing the gratitude of the nurses she relieves of time-consuming wound/ostomy duties. Patients trust her. Vendor
Managing and Treating Urinary Incontinence
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A n excellent resource for students in medical and nursing schools, as well as practicing healthcare providers (HCPs) in acute and long-term care, Managing and Treating Urinary Incontinence addresses a variety of topics related to urinary incontinence (UI). Among these topics are the types and causes of incontinence, how bowel function affects UI, available protective products, behavioral treatments, and surgical and pharmacological interventions used to treat UI.
The author introduces the subject with a comprehensive overview of incontinence, emphasizing that most HCPs do not rea
State of the Science: Pathology and Management of the Patient with Overactive Bladder
- Wed, 9/3/08 - 10:25am
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T he term overactive bladder (OAB) is defined as urinary urgency, nocturia, and frequency with or without urinary incontinence. The actual prevalence is unknown, but it is estimated to affect as many as 17 million Americans,1 with approximately 6.5 million experiencing urinary incontinence. More commonly seen in women and in those above the age of 65, OAB expands the clinical focus beyond continence to include patients coping with significant, troublesome symptoms. Of note: approximately one-half of these patients do not experience leakage of urine.2
When Fiber is Not Enough: Current Thinking on Constipation Management
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B owel dysfunction is a common problem and associated with significant morbidity. Chronic constipation affects a significant percentage of the population in Western countries (55% to 30%, depending on the criteria used to define constipation), and laxatives are among the most commonly used drugs.1 While most individuals respond well to self-treatment, a subset of patients does not respond to standard interventions, underscoring recognition that the pathology of constipation is diverse and multifactorial.2,3
Understanding Constipation
Characteri
An Evaluation of Two Incontinence Skin Care Protocols in a Long-Term Care Setting
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P reserving functional status and promoting quality of life are significant goals of care for residents of long-term care facilities. Management of incontinence and maintenance of skin health are important components of achieving these goals.
In the long-term care setting, urinary incontinence is common. The 1996 AHCPR Guideline, Urinary Incontinence in Adults: Acute and Chronic Management, estimates the prevalence of urinary incontinence at 50%.1 Recent long-term care studies document a 13% prevalence of urinary incontinence and a prevalence of both urinary and fecal i
The Impact of Urinary Incontinence in African American Women
- Wed, 9/3/08 - 10:25am
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U rinary incontinence (UI) is a condition of uncontrollable loss of urine - a condition one can physically smell, see, and feel.1 Urinary incontinence occurs in people of all ages but older women are most commonly affected.2 Ample evidence suggests that UI affects a person's quality of life. Harris3 observed that the social and physical effects of UI interfere with an individual's relationship with others. One relationship that was significantly affected was the spousal sexual relationship, with some women avoiding sexual intimacy.3 Failure to seek m
Evaluating the Efficacy of a Uniquely Delivered Skin Protectant and Its Effect on the Formation of Sacral/Buttock Pressure Ulcer
- Wed, 9/3/08 - 10:25am
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T he development of pressure ulcers is a common adverse occurrence in healthcare, affecting 2.3% to 28% of patients in long-term care (LTC) facilities.1 Although the highest prevalence (total number of people affected within the population at any time) is seen in LTC facilities, the highest incidence (number of people with new ulcers formed within a specific period of time) is in acute care.1 The perception that all pressure ulcers are a marker of poor care and neglect provokes litigation that mostly affects nursing homes.2,3 More than 75% of pressure ulcers re
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