Volume 48 - Issue 1 - January, 2002

Toys, Technology, and TLC

The economic and technological triumphs of the past few years have not solved as many problems as we thought they would, and, in fact, have brought us new problems we did not foresee.
- Henry Ford, 1863-1947



ET Nursing: Easing the Transition

  Pennsylvania Hospital was the first hospital in the United States. This 400-bed acute care facility in the heart of Philadelphia, Pa. is a recognized and distinguished obstetrical and orthopedic center that recently merged with the University of Pennsylvania Health System. For the past 17 years of its more than 225-year history, Pennsylvania Hospital has benefitted from the expertise and dedicated service of a self-described "hands-on" practitioner who attributes the good outcomes she is able to effect to her ability to teach as she treats.



Expanding Practice to Demystify Patient Costs for Ostomy Supplies

  Thomas Gregg, a 65-year-old Medicare beneficiary and longtime patient, calls. "My pouch has been leaking a lot and the wafer only lasts 1 or 2 days," he says. He is upset that the leakage has become so frequent that it is interfering with his daily life, causing him to miss work and lose income. You recall that Mr. Gregg had his ileostomy as a young man, secondary to ulcerative colitis.



Offloading Difficult Wounds and Conditions in the Diabetic Patient

  Lower extremity wounds represent significant medical and financial challenges to the healthcare system. This is especially the case in the diabetic population where neuropathy, often associated with vascular disease, can lead to ulceration, immobility, infection, and gangrene.



Utilizing the Ankle Brachial Index in Clinical Practice

L ower extremity vascular changes have been highly correlated with claudication pain, ischemic tissue loss, and functional limitations that include poor standing balance and mobility.1,2 A thorough peripheral vascular assessment is essential in the clinical management of individuals with peripheral arterial occlusive disease (PAOD). Intermittent claudication, diminished distal lower extremity pulses and skin temperature, texture, and color changes are common indicators of PAOD.3 Tests that provide more objective and quantifiable values should be used to monitor vascular disease progression, t



Assessing Foot Care Knowledge in a Rural Population with Diabetes

Literature Review
People with diabetes are at high risk for foot and leg ulcers. As the disease progresses, peripheral vascular disease and peripheral neuropathy may develop, with loss of Achilles and patellar reflexes and decreased vibratory sensation. Peripheral neuropathy may be the most important precursor to ulcer development. Distal symmetric polyneuropathy, the most common type of neuropathy in individuals with diabetes, involves sensory, motor, and autonomic nerve fibers, leading to reduced thermal and pain sensation, numbness, and painful paresthesias.1 When an insensate foot is su



The 15th Annual Symposium on Advanced Wound Care & 12th Medical Research Forum on Wound Repair April 27 to April 30, 2002 Balt

S ymposium 15 is just 4 months away! Plans include eight pre- and post-conference sessions that will explore common yet complex subjects that impact wound healing in all populations and settings. Essential skills needed to understand, assess, and/or manage these topics will be presented in interactive sessions as follows:
Session 1. "Chronic Wounds: Biological Theory and Clinical Practice," our longest-running session, is continuously updated to meet the needs of our audience. Warren Rottmann, PhD, and Keith Harding, MD, will offer one of the most comprehensive workshops to date on t



New Products for January 2002

Bariatric bed system introduced
Kinetic Concepts, Inc. (KCI), has introduced the BariMaxx? II bed system that features the new Comfort & Support Mattress? to help reduce the risk of pressure ulcer development in patients up to 1,000 lb.
The bed is UL listed, has side exit and entry, and expands from a width of 36" to 48" while the patient is on the bed. The unit incorporates a headboard with transport bars and integrated scales, a footboard with scale display, and dual braking casters with steer lock. Individual support columns within the mattress component of the bed act independently to