Volume 58 - Issue 3 - March 2012
Nutrition 411: Nutrition Q & A: Real Answers to Your Questions
- 3/1/2012
- 1 Comments
- 3706 reads
When I started working in wound care, email was in its infancy. If a colleague had a question about nutrition, he or she would use the telephone to speak with me directly. Nowadays, email is the way most people communicate. Each week, I receive inquiries from patients, caregivers, colleagues, strangers, and the media. This month’s column features some of the most common questions from my mailbox — real questions from real healthcare practitioners seeking nutrition advice.
Continence Coach: Nonsurgical Treatment for Pelvic Organ Prolapse: Calling on Nurses for Pessary Fittings
- 3/1/2012
- 1 Comments
- 3408 reads
Pelvic organ prolapse (POP) and urinary incontinence are common conditions that significantly affect quality of life for many women. Current treatment options include nonsurgical and surgical interventions; both have proven efficacy. Although surgical repair of POP is the only “cure” for this problem, nonsurgical options have been shown to satisfactorily manage symptoms of prolapse and urinary incontinence.1 This article briefly reviews the definition and clinical presentation of POP and discusses the use of a pessary for nonsurgical treatment.
My Scope of Practice: Educating in a New Role
- 3/1/2012
- 0 Comments
- 1064 reads
Perfection is not attainable, but if we chase perfection we can catch excellence. — Vince Lombardi
In 2003, Janet M. Davis, MSN, RN, GNP-BC, CWOCN, stepped away from direct patient care and into the role of full-time educator. Although she misses the patient interaction, Janet knows her reach of care is far greater now. As a clinical consultant and educator for 3M Health Care (St. Paul, MN), she continues to help people, just in a different way, by providing information and education to all levels of clinicians, from nursing assistants to physicians.
AAWC Update
- 3/1/2012
- 0 Comments
- 977 reads
Would you like to speak at conferences, regional meetings, or other engagements? The AAWC is now offering a program for AAWC members. The AAWC Speakers Bureau provides a means to promote your availability for discussions and presentations regarding quality wound prevention and care. This is an opportunity for you to get your name out there.
To become involved with the Speaker Bureau program, you must be a member in good standing, complete an application, and follow the full terms and conditions of the program.
Examining the Relationship Between Physician and Facility Level-of-Service Coding in Outpatient Wound Centers: Results of a Multicenter Study
- 3/1/2012
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- 6591 reads
Index: Ostomy Wound Manage. 2012;58(3):20–28.
Abstract
The evaluation and management (E/M) services for the physician and the hospital-based outpatient center (“facility”) are calculated using different federal regulations. In addition, patients visiting outpatient wound care centers require different levels of care from the physician than the facility. The purpose of this study was to analyze and compare physician and facility E/M level-of-service coding using the electronic wound registry records from three geographically diverse, hospital-based outpatient wound centers. De-identified data on 9,985 patient visit level-of-service codes were prospectively collected using an electronic health record (EHR) system that internally and automatically audits the chart and calculates the physician and the facility E/M level of service based on the documentation present in the chart.
Using High-Voltage Electrical Stimulation in the Treatment of Recalcitrant Pressure Ulcers: Results of a Randomized, Controlled Clinical Study
- 3/1/2012
- 0 Comments
- 17564 reads
Index: Ostomy Wound Manage. 2012;58(3):30–44.
Abstract
The use of electrical stimulation has been studied in a variety of wounds emphasizing different variables with regard to provision of therapy. The purpose of this prospective, randomized, controlled clinical study was to evaluate the effect of high-voltage electrical stimulation (HVES) on nonhealing, lower-extremity, Stage II and Stage III pressure ulcers. Patients admitted for care and eligible to participate in the study received standard supportive care and topical treatments covered with wet-to-moist dressings. Patients assigned to the treatment arm of the study also received HVES (100 V; 100 µs; 100 Hz) continuously for 50 minutes once daily, five times per week. Patients were followed until healing for a maximum of 6 weeks.
An Observational Study to Assess an Electronic Point-of-Care Wound Documentation and Reporting System Regarding User Satisfaction and Potential for Improved Care
- 3/1/2012
- 0 Comments
- 6679 reads
Index: Ostomy Wound Manage. 2012;58(3):46–51.
Abstract
The integration of information technology into daily patient care potentially provides a means to standardize care and enable continuous quality improvement through improved communication among care teams. A 2-month observational study was conducted on 38 residents with pressure ulcers at a 51-bed skilled nursing facility to rate the Ease of Use and Wound Management Effectiveness of a point-of-care electronic wound documentation system. Nine nurses evaluated the use of handheld “smart phone” devices equipped with a digital camera to document pressure ulcer assessment and treatment at point of care. Ease of Use (five items) was scored on a 5-point Likert scale (5 = very easy); Wound Management Effectiveness (eight items) was scored on a 5-point Likert scale (5 = very effective).
SAWC Exhibitor Preview: The 25th Annual Spring Symposium on Advanced Wound Care and the Wound Healing Society Meeting
- 3/1/2012
- 0 Comments
- 1030 reads
April 19–22, 2012
Georgia World Congress Center
Atlanta, Georgia
For a quarter century, the Symposium on Advanced Wound Care (SAWC) has offered practitioners the clinical and product information necessary for the provision of quality care. Dedicated Exhibit Hall hours ensure ample opportunity for one-on-one time with manufacturers to enhance product familiarity as well as to understand the scientific foundation for various approaches to wound healing and prevention. No other wound care conference does it better. Here is a preview of what you can expect to see in this year’s Exhibit Hall. Be sure to complete your SAWC plans at www.sawc.net.
New Products and Industry News
- 3/1/2012
- 0 Comments
- 1247 reads
Burn and wound care business acquired
Mölnlycke Health Care US, LLC (Norcross, GA) acquired all the commercial assets of Brennen Medical (St. Paul, MN) within the burn and wound care markets. Under a new name, Brennen Medical will continue to develop their core technologies (porcine tissue and beta-glucans) for applications in other markets.
For more information, visit, www.molnlycke.com.
Hydrofiber wound dressing now available in US
ConvaTec’s (Skillman, NJ) AQUACEL® EXTRA™ wound dressing with strengthening fiber is now available in the United States. It is constructed with two-dimensional strengthening fibers stitched into the dressing. Although it is made from the same base material used to manufacture Hydrofiber® Technology, the strengthening fibers do not gel on contact with fluid, so they maintain their integrity and become encompassed by the gel, providing additional strength. The design makes it nine times stronger and increases absorbency 39% over the current AQUACEL® wound dressings. The new design also aids the easy removal from even the deepest wound beds. The new wound dressing will be specifically suitable when managing moderate to highly exuding wounds.
Editor's Opinion: Access to Quality Healthcare — Beyond the Headlines
- 3/1/2012
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- 925 reads
For decades, access to quality healthcare for all people has been an often elusive goal of governments all over the world. More than 30 years have passed since ministers from 134 countries attended the 1978 Alma-Ata conference and, in association with the World Health Organization and UNICEF, called for “health for all” by the year 2000. One of the Alma-Ata declarations supported by all participating countries states, “Governments have a responsibility for the health of their people which can be fulfilled only by the provision of adequate health and social measures. A main social target of governments, international organizations and the whole world community in the coming decades should be the attainment by all peoples of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life.”1 The conference also recognized that inequalities in health status are both socially unacceptable and economically undesirable and that a strong primary healthcare system is needed to attain the health-for-all goal. Many countries simply have not had the required financial resources or stability to come close to attaining this goal. Some were successful but of late are struggling to maintain it; others, including the United States, simply keep trying.




