Editorial Staff

Editor Barbara Zeiger

Associate Editor Kelsey Moroz

Web Editor Samantha Alleman

Editorial Correspondence

Barbara Zeiger, Editor, OWM

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Suite 100, Malvern PA, 19355

Telephone: (800) 237-7285 or
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Email: bzeiger@hmpcommunications.com

October, 2008 | Volume 54 - Issue 10

Editor's Opinion: Has the Pendulum Reached the Sun?

   In a recent issue of Ostomy Wound Management, Morris Magnan and JoAnn Maklebust observed, “Policy has an interesting way of shaping both science and practice.”1 They expressed the hope that recent Centers for Medicare and Medicaid Services (CMS) reimbursement changes for acute care facilities might provide the impetus to develop a theory of pressure ulcer prevention....

Managing Painful Venous Ulcers

   Patients with venous ulcers often report pain, which may be continuous or intermittent and often is associated with dressing changes. The pain may be perceived as generalized in the leg, focused in the ulcer or periwound, or both. Inflammation and edema resulting from the underlying venous disease are key factors in the patient’s pain.

   Appropriate wound care combined with continuous use of compression can help reduce pain and improve outcomes in patients with venous ulcers. Although compression therapy is the standard of care for resolving these wounds and reducing pain, patients often resist this approach — willingness to wear compression stockings depends on the patient’s understanding that managing pain and discomfort will improve quality of life. ...

My Career Chose Me

It’s choice — not chance — that determines your destiny. - Jean Nidetch (Weight Watchers® founder)

  Nursing is a vocation that reveals inner strength and courageousness that some men and women never knew they possessed. Wound/ostomy nursing in particular facilitates personal discovery and professional achievement. For Rosemary Kates, RN, MSN, CRNP, CWOCN, the nursing journey began in 1974 as a cardiovascular staff nurse specializing in critical care and cardiac rehab. After 15 years of working with postop open heart surgery patients, Rosemary wanted a change and eventually became a nurse educator at Our Lady of Lourdes Medical Center (OLLMC), Camden, NJ. One of her primary duties was to work with staff on patients’ skin issues and pressure ulcer prevention. Because Rosemary and the nursing staff lacked skin care knowledge, she paid close attention to WOCN consultant Nancy Tomaselli’s work. Nancy soon became Rosemary’s professional mentor, guiding and encouraging Rosemary on wound care issues....

Determining the Effect of an Oak Bark Formulation on Methicillin-resistant Staphylococcus aureus and Wound Healing in Porcine Wound Models


  Control of wound infections, especially those associated with methicillin-resistant Staphylococcus aureus, is necessary for the wound healing process. Selection of topical agents should be based not only on their ability to eliminate pathogenic bacteria, but also on whether they may be detrimental to tissue repair....

How Much Time Does it Take to Get a Pressure Ulcer? Integrated Evidence from Human, Animal, and In Vitro Studies


  Severe pressure ulcers and deep tissue injury are associated with higher mortality rates, longer hospital stays, and costly treatment. Time is a critical factor in commonly employed measures (eg, pressure redistribution for wheelchair users and patient turning schedules) to prevent pressure ulcers and deep tissue injury....

A Clinical Trial to Investigate the Effect of Silver Nylon Dressings on Mediastinitis Rates in Postoperative Cardiac Sternotomy


  Mediastinitis is a rare but serious postoperative complication of cardiac surgery that increases mortality rates, hospital length of stay, and medical costs. A clinical trial was conducted to investigate whether the type of postoperative surgical dressing (silver nylon or standard gauze) affects the rate of mediastinal infections....

Practice Recommendations for Preventing Heel Pressure Ulcers


  Heels are the second most common anatomical location for pressure ulcers. A combination of risk factors, including pressure, may cause ulceration. Heel pressure ulcers are a particular concern for surgical patients. A review of the literature, including poster presentations, shows that controlled clinical studies to assess the effectiveness and cost-effectiveness of available interventions are not available. Case series (with or without historical controls) as well as pressure ulcer guideline recommendations suggest the most important aspect of heel ulcer prevention is pressure relief (offloading)....

Low-frequency, Therapeutic Ultrasound Treatment for Congenital Ectodermal Dysplasia in Toddlers


  Hay-Wells Syndrome is a rare genetic disorder characterized by ankyloblepharon, ectodermal dysplasia, and cleft palate. Recalcitrant scalp wounds with secondary infections are common. This case series describes the use of acoustic pressure wound therapy in 3-year-old fraternal twins (male and female) with HWS-associated scalp wounds. Present since infancy, the wounds were severe and extensive at presentation to the authors’ wound clinic....

New Products/Industry News

Clinical trial affirms honey’s healing benefits for venous leg ulcers

     Medihoney™, Derma Science Inc’s (Princeton, NJ) Wound & Burn Dressing with Active Leptospermum Honey, was recently found in a large randomized and controlled clinical trial to significantly improve the healing rates of stalled venous leg ulcers. Before this study, no other advanced wound care dressing under compression therapy demonstrated improved healing rates of leg ulcers....

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