Editorial Staff

Editor Barbara Zeiger

Associate Editor Kelsey Moroz

Web Editor Samantha Alleman

Editorial Correspondance

Barbara Zeiger, Editor, OWM

HMP Communications, 83 General Warren Blvd
Suite 100, Malvern PA, 19355

Telephone: (800) 237-7285 or
(610) 560-0500, ext. 244
Fax: (610) 560-0501

Email: bzeiger@hmpcommunications.com

June, 2003 | Volume 49 - Issue 6

Guest Editorial: Staying Power

A s a registered nurse case manager with a hospital-affiliated wound management program in central Pennsylvania, my responsibilities include care coordination as well as clinical care. I chose nursing because of its diversity and many opportunities. I love wound care primarily because of the patients and also because I enjoy the challenge of discovering why an individual has a wound and providing the appropriate care. Wound care creates a continuous learning environment.
My patients are my mentors. They are what keep me feeling good about myself and my career. I also work with exceptiona...

The New Sculptors of Clinical Practice

S pring is a prime season for medical symposia. National and international multidisciplinary healthcare professionals and associated industry types gather to learn about the latest developments in wound, ostomy, and continence care in a rapidly changing and evolving healthcare environment. Even as sophisticated technological and therapeutic advances are apparent in journals and exhibit halls, changes are taking place that will have as great an impact on clinical practice as the bounding advances in research and technology.

What are these new sculptors of practice? The national nursing sh...

Learning to be "Present" in the Pain Experience

Now is the only time over which we have dominion.
  - Leo Tolstoy
Every situation, properly perceived, becomes an opportunity to heal.
  - A Course in Miracles

P ain. Ask any patient, clinician, or human being for that matter, and you will get a different set of descriptors for categorizing pain. Often however, pain - or the mere precursory thought of pain - is considered categorically "bad," setting off a series of stress-induced and psychoneurological changes in our bodies. Much of our learned response is tied to the fear, helplessness, a...

Preparing Those Next at Bat

F or 6 years in the early 1990s, Canada had no enterostomal therapy training program. Former programs in Sherbrooke, Montreal, Toronto, and Vancouver (two taught in French, two in English - one of each language hospital-based and university-based) had been closed by administration. Not wanting to see ETs - a rare species - become extinct, Diane St-Cyr, BSc, MEd, RN, ET, along with colleague Nicole Denis, approached the Canadian Association for Enterostomal Therapy (CAET) with an idea for a distance learning program - underscoring her belief that teaching and sharing are vital to preparing a ne...

Ostomy Statistics: The $64,000 Question

T his we know: The Queen "Mum" had one - as did Senator Hubert Humphrey, Speaker of the House Thomas "Tip" O'Neill, and actress Loretta Young. Contemporary notables include Rolf Benirschke, Pope John Paul II, actress Barbara Barrie, President George W. Bush's brother Marvin, and professional golfer Al Geiberger. Yet after more than 50 years and despite the bravery of these previously-mentioned well-known people, the demographics of the American ostomy population and the number and types of new surgeries performed each year remain elusive.
A possible explanation of this dilemma may be du...

Intact Skin - An Integrity Not to be Lost

T he skin is the body's largest organ and performs many important functions, including protection against infectious pathogens, ultraviolet light, noxious substances, and fluid/electrolyte loss; thermoregulation; sensation; metabolism (eg, vitamin D); and communication.1,2
A breach of skin integrity can result from a variety of occurrences and cause a range of consequences, some of which can be life-threatening.3 These breaches, which can be very debilitating,4 frequently occur in the elderly because aged skin is more prone to compromise. Aging affects th...

Skin Assessment and Pressure Ulcer Care in Hospital-based Skilled Nursing Facilities

P ressure ulcer prevalence varies by setting, but recent data suggest it may as high as 17% in acute care, 28% in long-term care, and 29% in home care settings.1 Regardless of the type of patient care environment, pressure ulcers are a significant healthcare problem because they increase the amount of nursing care required, the resident's length of stay, and healthcare costs.2 Prevention is the key to reducing pressure ulcer prevalence. The first step to pressure ulcer prevention is a thorough and complete initial nursing assessment of the patient upon admission. In order...

Using a Castor Oil-Balsam of Peru-Trypsin Ointment to Assist in Healing Skin Graft Donor Sites

S kin graft donor sites frequently are more painful after surgery than the areas receiving the skin grafts. Bleeding may occur from the donor sites, and dressing changes may cause even more pain. Donor sites may heal slowly and become infected or malodorous.1
Despite the frequency of the skin graft procedure, no standard approach to treating donor sites exists. Donor site treatment may be poor because patients and caregivers focus on the area grafted and because donor site care is painful. To this day, a common method of managing donor sites includes leaving a dressing such as...

June 2003 New Products

Skin care product line expanded

Span-America (Greenville, SC) announced a new addition to its Selan® family of skin care products. New Selan+ Herbal is a zinc oxide barrier cream enhanced with tea tree oil, a safe natural plant extract that is native to Australia. Tea tree oil has been used effectively for decades. Its use in a barrier cream makes the product an ideal option for holistic approaches and treatments for diaper rash and other rashes due to moisture, Stage I pressure ulcers, amputee tissue trauma, and the itch associated with end stage renal disease. The cream is...

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