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

June 2013 | Volume 59 - Issue 6

The Effect of Multiple Layers of Linens on Surface Interface Pressure: Results of a Laboratory Study


  Underpads and layers of linens are frequently placed under patients who are incontinent, have other moisture-related issues, and/or are immobile and cannot reposition independently. Many of these patients are also at risk for pressure ulcers and placed on pressure-redistribution surfaces. The purpose of this study was to measure the effects of linens and incontinence pads on interface pressure....

Development of Two Enteroatmospheric Fistulae After Split-thickness Skin Grafting: A Case Report


  An enteroatmospheric fistula is a devastating complication in the open abdomen. Usually the fistula forms before the completion of split-thickness skin graft surgery. A 35-year-old woman admitted with pancreatic and liver injuries, and postoperative sepsis underwent open abdomen treatment and developed two enteroatmospheric fistulae 14 days after split-thickness skin grafting....

Guest Editorial: The Difference is in the Evidence

To celebrate the 45th anniversary of The Wound Ostomy Continence Society Annual meeting, OWM turned the soapbox over to the Society’s Executive Vice President for a look at the status of the WOC nurse in healthcare.

  In 2010, The Wound, Ostomy and Continence Nurses Society™ (WOCN®) contracted with the University of Minnesota to conduct a research study to examine the outcomes of patients with and without treatment from a Wound, Ostomy and Continence (WOC) nurse. Results of this study were recently published in the Journal of Wound, Ostomy and Continence (JWOCN).1...

Pearls for Practice: Using Hydroconductive Dressings on Wounds Where Healing is Delayed due to Steroid or Immunosuppression Therapy

  Wound bed preparation is the management of a wound in order to accelerate endogenous healing or to facilitate the effectiveness of other therapeutic measures.1 The concept wound bed preparation has evolved to provide a systematic approach to removing the barriers to natural wound healing and enhancing the effects of wound therapies.2 To be effective in wound bed preparation, a product has to facilitate debridement of necrotic tissue and debris, decrease excessive wound exudate, decrease the tissue bacterial level, remove deleterious chemical mediators, and set the stage for acceleration of endogenous healing.3 ...

Nutrition 411: Understanding Iron Deficiency and Anemia

  Patients with wounds frequently have low levels of hemoglobin and hematocrit, and clinicians often automatically think “iron deficiency.” Although in many cases that diagnosis may be correct, identifying a specific type of anemia takes a bit more investigation, including a nutrition-focused physical examination and additional biochemical data. This article reviews the basics about iron deficiency and anemia. ...

Continence Coach: Nurses Beware: Don’t “Write off” Sleep-disturbing Voiding

  Whether patient, spouse or partner, or yourself, many of us know persons affected by nocturia — ie, sleep-disturbing voiding.1 Its high prevalence is due to the number of causal factors. Numerous studies illustrate the negative impact of sleep disorders, regardless of their causes, on physical and mental performance, speech and memory, and physical and emotional energy, and as such fatigue, weight management, and mental outlook. Sleep problems, including snoring, sleep apnea, insomnia, sleep deprivation, and restless leg syndrome, can be contributing factors. Although insomnia often is related to either pain or depression, nocturia is recognized by researchers as an independent risk factor for compromised sleep quality.2 In fact, nocturia is the leading cause of sleep problems, accounting for slightly more than half (52%) of all self-reported explanations for being disturbed in a list of nearly a dozen reasons.3 ...

My Scope of Practice: Ears Wide Open

Most people do not listen with the intent to understand; they listen with the intent to reply. — Stephen R. Covey, author

  The most important lesson Vashti Livingston, MS, CNS, CWOCN, has learned over her 20 years of nursing is to really listen to the patient. No experience drove home the idea more than her interaction with an 86-year-old bladder cancer patient with a new ostomy. When the patient told her 8 months after surgery that he was finally back on track, she naturally thought he was referring to his adjustment to living with an ostomy. In actuality, he had been going to the Sexual Medicine clinic and was sharing his delight that his sexual function had returned. “By his standards, he was now finally doing well,” Vashti says. “Changing the ostomy pouch was not as relevant to his feeling of recovery. When I thought about it, I recalled that at his preoperative visit and stoma site marking, he had mentioned he was very concerned about the return of sexual function, not to mention his 52-year-old girlfriend. So, I now listen. What may be of the utmost concern to the patient is not what we clinicians always think.” ...

Skin and Wound Issues in Patients with Parkinson’s Disease: An Overview of Common Disorders


  Parkinson’s Disease is a chronic neurodegenerative disorder that is expected to increase in coming decades as the American population continues to age. Although the motor dysfunction (bradykinesia, tremor, rigidity) of Parkinson’s Disease is well described in the literature, the nonmotor dysfunction related to autonomic system changes is not as commonly addressed....

AAWC Update

AAWC Celebration at SAWC Spring a huge success!

  Founding President Evonne Fowler, RN, CWCN, took the crown on behalf of “Team Evonne” at the AAWC Celebration: Membership Meeting and Auction at the Symposium on Advanced Wound Care (SAWC Spring) in Denver, Colorado....

New Products and Industry News

Venous ulcer data presented at SAWC 2013

  Organogenesis Inc (Canton, MA) announced key findings from a comparative effectiveness analysis that demonstrate a significant benefit for venous leg ulcer (VLU) patients who were treated with Apligraf®. The results were presented at the 2013 Spring Symposium on Advanced Wound Care (SAWC) in Denver, CO....