Editorial Staff

Editor Barbara Zeiger

Assistant Editor Lauren Mateja

Web Content Coordinator Katherine Blessing

Editorial Correspondence

Barbara Zeiger, Editor, OWM

HMP Communications, 70 E Swedesford Rd
Suite 100, Malvern PA, 19355

Telephone: (800) 237-7285 or
(610) 560-0500, ext. 4244
Fax: (610) 560-0501

Email: bzeiger@hmpcommunications.com

April 2013 | Volume 59 - Issue 4

Healthcare Providers’ Perspectives on Communicating Incontinence and Skin Damage Information with Patients with Dementia and Their Family Caregivers: A Descriptive Study


  Communication between healthcare providers and patients/family caregivers about incontinence and associated skin damage is wanting, and information about healthcare providers perspectives on improving this communication is limited. A descriptive study was conducted using semi-structured, tape-recorded interviews with 11 healthcare providers with clinical expertise in geriatrics and dementia working in a large integrated healthcare system....

From the Editor: NPNG: Learning to Be “Social”

  I am being tasked at work to hop on the blog bandwagon and maximize my social media resources to proliferate familiarity with OWM. As I begin to prepare posts for WordPress and Blogspot, along with a blog that will be distributed to almost two dozen nurse- and physician-oriented sites (this in addition to Facebook, Twitter, and LinkedIn activities), I am contemplating the value of these new demands and wondering how readers feel about all this hyperconnection....

Progress in Practice: The Role of New Foam Dressing Technology in Protection from Skin Breakdown

  A wide range of dressings is available for the management of pressure ulcers. The practitioner will make dressing choices based on many factors, including ability to absorb exudate, barrier properties, adhesiveness, and patient comfort. Hydrocolloid and film dressings are indicated for Stage I pressure ulcers where the skin is still intact; their function is to protect the vulnerable area from shear force, friction, and moisture. The type of adhesive should be selected carefully to avoid causing additional skin damage or irritation to the area. Products such as emollients and film-forming barriers are used to protect the skin in areas at risk for pressure ulcer formation to provide a barrier to excess moisture or urinary/fecal incontinence and to keep the skin hydrated (dry skin is an important independent risk factor for pressure ulcer development).1

  This article discusses the external factors that influence the formation of pressure ulcers and the potential role for AQUACEL® Foam dressing as part of a comprehensive protocol of care to protect against skin breakdown. ...

Pearls for Practice: Objective Quantitative Analysis of Wound Bed Preparation for Pressure Ulcers and Venous Leg Ulcers Utilizing a Hydroconductive Wound Dressing

  The concept of wound bed preparation provides a systematic approach to removing the barriers to wound healing and enhancing the effects of wound therapies.1 An effective product for wound bed preparation needs to facilitate removal of nonviable tissue and debris, decrease excessive exudate, decrease the tissue bacterial level, remove deleterious chemicals, and set the stage for healing.2 Spruce3 suggested in a series of cases that the hydroconductive dressing, Drawtex (SteadMed Medical LLC, Ft. Worth, TX), was such a product and could be used effectively within the wound bed preparation framework. ...

Nutrition 411: Back to Basics: Nutrition as Part of the Overall Wound Treatment Plan

  Over the past decade, advancements in wound care have revolutionized wound healing outcomes. Cutting-edge interventions and innovative products and techniques are helping wound care become a topic of interest in scientific research. With exciting new findings and high-tech treatments in the spotlight, it may be easy to overlook the role that basic nutrition plays in wound care management. It is important to address adequate nutrition and hydration early on, because poor nutritional status can prolong the inflammatory phase of healing and decrease collagen synthesis and fibroblast proliferation. ...

Continence Coach: Advocates and Educators: Proponents of Men’s Health

  I am an advocate of women’s rights, particularly in healthcare, but I am aware the male gender has been relegated to second-class status relative to the other gender on any number of issues. Men may be to blame for not vocalizing or demanding health rights and access to options, perhaps because health concerns imply weakness as opposed to strength. As Americans, we still seem to perpetuate a culture that promotes fitness, sex, workouts, and muscle-building as icons of men’s health. ...

My Scope of Practice: Awestruck

The voice of the intellect is a soft one, but it does not rest until it has gained a hearing. — Sigmund Freud

  Claudia Thomas, RN, BSN, CWOCN, was always amazed at the healing and sometimes nonhealing ways of the human body. So it came as no surprise that she listened to her inner voice and decided to turn her awe into a career. She enrolled at McNeese State University (Lake Charles, LA) to study nursing, and in 1979 graduated not only with her nursing degree, but also with a better understanding of her original inspiration: how the human body heals and why in some cases, it doesn’t. ...

A Retrospective, Nonrandomized, Before-and-After Study of the Effect of Linens Constructed of Synthetic Silk-like Fabric on Pressure Ulcer Incidence


  A new, synthetic, silk-like fabric was developed for the purpose of providing bedding and patient gowns that manage moisture, friction, and shear when used between the patient and the healthcare support surface that may affect the development of pressure ulcers (PUs). A retrospective study was conducted to compare the incidence of hospital-acquired PUs in patients admitted to Telemetry, Urology, and Intensive Care Units before and after hospital linens were changed from standard to the synthetic (intervention) linens....

New Products and Industry News

Dressings simplified for challenging wound sites

  Spiracur Inc (Sunnyvale, CA) introduced its SNaP SecurRing™ Hydrocolloid. This new product, a hydrocolloid shaped into a ring, is designed to facilitate fast and easy applications of the SNaP Wound Care System on uneven skin surfaces or wounds in challenging locations. The new hydrocolloid is intended for patients with chronic wounds such as diabetic foot ulcers or wounds to the plantar surface of the foot, as well as acute wounds, such as ray (toe) amputations. Designed to fill uneven skin surfaces and mold around wounds, it protects the periwound tissue from maceration and increases adhesion of the hydrocolloid dressing. The end result is a sterile wound care product that will decrease application time and cost by reducing the need for adjunct products necessary to protect the wound from excess moisture and leaks.

  Gary Rothenberg, DPM, CDE, CWS, (Miami Veterans Affairs Healthcare System, Miami, FL) will present a poster, “Advances for Negative Pressure Wound Therapy in Challenging Anatomic Locations,” at the Symposium for Advanced Wound Care (SAWC) in Denver, CO, May 1–5, 2013. The poster describes the utilization of NPWT on an anatomically challenging location that otherwise would have been difficult to seal.

  For more information, please visit www.spiracur.com. ...

Pressure-redistribution Surfaces for Prevention of Surgery-related Pressure Ulcers: A Meta-Analysis


  Pressure-redistribution surfaces are generally recommended to prevent pressure ulcers (PUs) in high-risk patients, but their use in surgery-related PU prevention remains controversial. A meta-analysis was conducted to assess the relative preventive impact of pressure-redistribution surfaces versus standard hospital mattresses (usually a hospital-issue, foam-based mattress) on the incidence of surgery-related PUs....