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 52 - Issue 4 - April, 2006
Making Good Choices
- 4/1/2006
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- 1997 reads
Congratulations. If you are reading this journal, you have achieved some measure of success. You established a career path, earned a clinical degree and/or certification, and added initials after your name. You are making a difference in the lives you touch. Plus, at your core you are most likely a person of hope, of expectation — someone who sees the injured body human as healable, someone who makes quality of life-affirming decisions.
Your journey was not without pause. Professional pursuits and provision of care require option assessments. It is safe to assume, given your status
Letters to the Editor
- 4/1/2006
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- 5889 reads
Silver is still confusing
Dear Editor,
Despite the title, the article Brett DW, A discussion of silver as an antimicrobial agent: alleviating the confusion (Ostomy Wound Manage. 2006;52[1]:34–41) only added to the confusion.
If greater silver delivery decreases the risk for impending silver resistance, why is most current resistance related to silver sulfadiazine (SSD), which delivers in excess of 3,000 ppm of Ag+ in 24 hours?
I understand 1) the silver ion (Ag+) is the active, antimicrobial age
The Battle of the Bulge and Ostomy Care
- 4/1/2006
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- 4413 reads
A recent meeting in Florida1 included an exemplary presentation on diabetes mellitus. The speaker had a frightening set of chronological slides that illustrated the mounting overweight and obesity epidemic in the US over the past several years and its link to the increase in diabetes mellitus — even in children as young as 8 years old. This is not something new, yet we read more and more that this problem is taking an enormous toll — not only on our health, but also on the economy, our nation’s future, and the healthcare professionals who care for bariatric patient
Prevention and Treatment of Perineal Skin Breakdown Due to Incontinence
- 4/1/2006
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- 36850 reads
Pathology and Risk Factors of Perineal Skin Breakdown
Perineal skin breakdown secondary to incontinence can range in severity and may present as one or all of the following symptoms: erythema, swelling, oozing, vesiculation, crusting, and scaling in the groin, perineum, and buttocks region.1
Multiple potentially harmful variables work together to cause perineal skin breakdown. Moisture from incontinence alters the skin’s protective pH and increases the permeability of the stratum corneum. An intense irritant such as feces contains bacteria that can per
Adapting a Soft Silicone Dressing to Enhance Infant Outcomes
- 4/1/2006
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- 11395 reads
In the quest to maintain skin integrity, reduce pain, and improve outcomes for preterm infants (babies born before 37 weeks gestation1), neonatal intensive care clinicians must balance technology with tissue protection. Protecting the nasal septum and perinasal tissue during the course of continuous positive air pressure (CPAP) therapy provided via nasal prongs or mask has been identified by the neonatal skin care team at Duke University Medical Center as an area of particular concern. Infants cared for by this team may be very low birth weight (VLBW) — less than 1,500 g or 3.
Enthusiasm on the Front Lines:
- 4/1/2006
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- 3202 reads
Front lines. We use the armed services metaphor to refer to clinicians directly involved in patient care. For Olga C. Rodriguez, MSN, RN, CPHQ (Colonel, Army Nurse and Deputy Commander for Nursing), the term is not an analogy. The 25-year army veteran, now Nurse Director at The Methodist Hospital, Houston, Tex, has seen active duty in both US wars with Iraq. She utilized her administrative and clinical expertise on the true front lines, her responsibilities ranging from preparing troops for deployment to caring for the tiniest casualties of battle. She is proud of the outcomes she and her staf
New Opportunities for Wound Care Clinicians: Taking the Leap into Industry
- 4/1/2006
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- 4381 reads
Of the estimated 16 million Americans who have diabetes, 15% to 20% will develop a diabetic foot ulcer.1 There are 2.5 million Americans with venous leg ulcers2; more than 2.1 million have pressure ulcers.3 This year the first baby boomer will turn 60 years old — the majority of chronic wounds occur in people over age 65. By the year 2030, the US population over age 65 will increase from 13% to 20%.4
These statistics represent the societal demographics utilized by companies that develop wound care technologies. Wound care manufacturers re
Video Review: Review of Preventing Diabetic Foot Ulcers: The 3-Step Program
- 4/1/2006
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- 2327 reads
Preventing Diabetic Foot Ulcers: The 3-Step Program is a professionally produced, non-commercial, 18-minute video designed to help people with diabetes and their family members understand three important steps they can take to help prevent a diabetic foot ulcer. The video recently won first place in the diabetes category of the 2005 International Health & Medical Media Awards (http://www.theFreddies.com). Catherine R. Ratliff, PhD, a member of the OWM Editorial Advisory Board, was
April 2006
- 4/1/2006
- 0 Comments
- 3093 reads
Undergarment briefs help nourish and protect skin
Medline Industries Inc. (Mundelein, Ill) announces the launch of Restore™ briefs treated with Remedy™ Skin Repair Cream, a new skin care treatment that nourishes and protects patients’ skin. The briefs were designed to help healthcare workers achieve compliance with the new Centers for Medicare and Medicaid Services (CMS) guidelines on preventing skin breakdown.
The skin cream product is applied to the entire length of the brief to help restore and maintain the skin’s natural balanc
The Impact of Chronic Venous Insufficiency and Leg Function on the Quality of Life of HIV-Positive Persons
- 4/1/2006
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- 10352 reads
Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) is a worldwide health problem. In addition to delaying HIV progression, a goal of treatment is to maintain optimal quality of life. Because wounds have the potential to negatively impact quality of life, their assessment and management in HIV-positive persons is essential. Chronic venous insufficiency (CVI) — heralded by varicose veins, edema, stasis dermatitis, indurated discolored skin, ulcers, and leg pain — may impair lower extremity function. The condition has a high occurrence in persons who have in
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