Editorial Staff

Editor Barbara Zeiger

Assistant Editor Lauren Mateja

Web Content Coordinator Katherine Blessing

Editorial Correspondence

Barbara Zeiger, Editor, OWM

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Email: bzeiger@hmpcommunications.com

May, 2010 | Volume 56 - Issue 5

Guest Editorial: Global Efforts Address Wounds and Lymphedema

Global awareness of the “hidden epidemic”1 of lymphedema and chronic wounds was heralded by a wake-up call from the World Alliance of Wound and Lymphedema Care2 (WAWLC). Worldwide, one person in 30 is estimated to suffer from lymphedema,1 often with associated chronic wounds. Lymphedema results from conditions as diverse as filariasis (23 million cases in India alone) or surgery involving lymphatic tissue (20% to 40% incidence following groin surgery).1 Among persons older than 60 years, 1% to 3% are afflicted with chronic venous ulcers and edema...

From the Editor: Correction: Notice of Duplicate Publication

Takahashi PY. Chandra A, Cha SS, Crane SJ. A predictive model for venous ulceration in older adults: results of a retrospective cohort study. Ostomy Wound Manage. 2010;56(4):60–66:
Since publication of the April 2010 issue of Ostomy Wound Management, the editors have learned that the article noted above substantially duplicated information published earlier in the journal WOUNDS (Takahashi PY, Kiemele L, Cha SS, Chandra A. A cross-sectional evaluation of the association between lower extremity venous ulceration and predictive risk factors. WOUNDS. 2009;21[11...

Pearls for Practice: Making Bedside Wound Management Decisions in Long-Term Care

In the long-term care (LTC) setting where the number of Registered Nurses (RN) and specially trained wound care nurses may be limited, Licensed Practical Nurses (LPN) and Certified Nursing Assistants (CNA) typically provide resident care. For optimal resident outcomes, it is critical that nurses and CNAs focus on pressure ulcer prevention, assess wounds accurately and in a timely manner, and initiate appropriate interventions. The pressure ulcer or wound is not just a nursing problem —it is an issue where every member of the care team contributes to positive outcomes.
Staff education a...

Pressure Ulceration and the Use of Active Leptospermum Honey for Debridement and Healing

The National Pressure Ulcer Advisory Panel1 (NPUAP) defines a pressure ulcer (PU) as “a localized injury to the skin and/or underlying tissue, usually over a bony prominence, that results from pressure (including pressure associated with shear)”; the Panel adds, “the significance of contributing and confounding factors that influence pressure ulcer formation have not been fully determined.” PUs are a significant healthcare problem. Prevalence in acute care ranges from 1.4% to 36.4% and costs of care are estimated to range from $2.2 to $3.6 billion annually in the US.2</...

The Ostomy Files: A Validated Ostomy Care Algorithm: Applications to Clinical Practice

An algorithm is a step-by-step procedure designed to solve a specific problem by advancing through a series of pre-determined logical steps. Initially used in computers and digital processing, algorithms now are used for many diagnostic and therapeutic problems in medicine and healthcare.1 When algorithms are designed to promote safe patient care, they must have established validity and reliability. Validity entails two aspects: content and construct. The algorithm must have research evidence demonstrating inclusion of the items or components (content) appropriate to its use (eg, o...

The Effects of Low-frequency Ultrasound (35 kHz) on Methicillin-resistant Staphylococcus aureus (MRSA) in vitro


  Scanning electron microscopy study results support an in vitro bactericidal effect of low-frequency ultrasound (LFU) delivered at 40 kHz on bacteria, including methicillin-resistant Staphylococcus aureus (MRSA). The purpose of this in vitro study was to determine the effects of LFU delivered at 35 kHz on bacterial viability, cell wall structure, and colony characteristics, including antibiotic resistance on vegetative forms of MRSA....

A Prospective, Longitudinal, Multicenter, Cohort QOL Evaluation of an Intensive Follow-up Program for Patients with a Stoma


   The creation of a stoma can profoundly affect a patient’s quality of life. A prospective, 3-month multicenter study was conducted to evaluate stoma patient quality of life among volunteers receiving standard clinical follow-up (S) and those receiving intensive follow-up via telephone (I). A total of 336 patients volunteered to participate; 187 in the S group and 149 in the I group; mean age 63±14 years, 65.85% male; the majority (64.3%) had a colostomy....

Testing a Computer-based Ostomy Care Training Resource for Staff Nurses


    Fragmented teaching and ostomy care provided by nonspecialized clinicians unfamiliar with state-of-the-art care and products have been identified as problems in teaching ostomy care to the new ostomate. After conducting a literature review of theories and concepts related to the impact of nurse behaviors and confidence on ostomy care, the author developed a computer-based learning resource and assessed its effect on staff nurse confidence....

New Products and Industry News

Continence control device receives medical design excellence award

  ConvaTec (Skillman, NJ) recently announced that the Vitala™ Continence Control Device (CCD) has received a 2010 Medical Design Excellence Award. Vitala™ CCD is a non-intrusive device that provides temporary continence to individuals with an end colostomy. This technology, developed and patented by ConvaTec, allows individuals to manage their colostomy without a pouch, belt, or irrigation. Indicated for use up to 8 hours, the device is a single-use, disposable disc, which is worn together with the C...

Continence Coach: A Call to Action: Improving the Health Literacy of Americans

Perhaps this very instant is your time. — Louise Bogan, Pulitzer Prize-winning poet (1897–1970)

  During the last US presidential election and in its aftermath with the recent passage of the Health Care and Education Reconciliation Act of 2010, there was a great deal of discussion regarding universal healthcare coverage and problems of the uninsured. Regardless of your political leanings on the topic, we need to do a better job of providing high-quality healthcar...