Editorial Staff

Editor Barbara Zeiger

Assistant Editor Lauren Mateja

Web Content Coordinator Katherine Blessing

Editorial Correspondence

Barbara Zeiger, Editor, OWM

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

November 2013 ISSN 1943-2720 | Volume 59 - Issue 11

A Prospective, Randomized Clinical Study Evaluating the Effect of Transdermal Continuous Oxygen Therapy on Biological Processes and Foot Ulcer Healing in Persons with Diabetes Mellitus


  Hypoxia is a major factor in delayed wound healing. The aim of this prospective, randomized, clinical trial was to compare outcomes of treatment in persons with chronic diabetic foot ulcers (DFUs) randomly assigned to transdermal continuous oxygen therapy (TCOT) for 4 weeks as an adjunct to standard care (debridement, offloading, and moisture). Nine patients (age 58.6±7.1, range 38–73 years) received TCOT (treatment group) and eight patients (age 59.9±12.6, range 35–76 years) received standard care alone (control group)....

Creating a Pressure Ulcer Prevention Algorithm: Systematic Review and Face Validation


  Pressure ulcer (PU) prevention is a care imperative supported by substantive evidence, but translating that knowledge into clinical decision-making at the point of care remains challenging. The purpose of this study was to create a succinct, evidence-based algorithm for inclusion in an existing industry-sponsored, evidence-based wound care program that will: 1) help clinicians assess and document overall patient PU risk; 2) help clinicians assess and address modifiable PU risk factors; and 3) guide clinicians toward an evidence-based protocol of care for patients with impaired skin integrity....

Serial Sharp Debridement and Formulated Collagen Gel to Treat Pressure Ulcers in Elderly Long-term Care Patients: A Case Study


  Clinicians treating pressure ulcers in the elderly in long-term care often face psychosocial, financial, and patient quality-of-life challenges; as such, they seek to identify products that meet wound healing goals as expeditiously as possible. The purpose of this case series was to evaluate outcomes of serial sharp debridement and the application of a formulated collagen gel in patients with chronic, nonhealing pressure ulcers....

AAWC Update

 The AAWC is pleased to present an extended news and information section for this year’s AAWC focus issue of OWM. We hope the information to follow entices you to join our organization. If you are currently a member, we urge you to share this issue with colleagues and encourage them to join. Our membership numbers more than 2,300 wound care professionals and others dedicated to the advancement of wound care.

  Acronyms: Defining AAWC and SAWC — What is the Difference? The AAWC (the Association for the Advancement of Wound Care) is a not-for-profit organization. Membership in the AAWC provides many benefits throughout the year, including subscriptions to OWM and WOUNDS, discounts to conferences, and more. The SAWC (the Symposium on Advanced Wound Care) is the premier multidisciplinary wound care conference. It is held in the spring and the fall. SAWC Spring and SAWC Fall are the official meeting sites of AAWC members. The discount on conference registration can cover your annual membership dues; attending both can save you hundreds of dollars. ...

Guest Editorial: The State of the AAWC—Many Reasons to be Proud

 Each November, the Association for the Advancement of Wound Care (AAWC) provides OWM readers with an annual update. As I reflect on my term as the first podiatrist President of the AAWC (2012–2014), I applaud our Board of Directors and staff for all of their efforts, especially their assistance in completing our 5-year strategic plan 1 year early. Accomplishments have included providing continuous evidence-based resources and education to professionals and the lay public, particularly via our website. The AAWC Board of Directors met recently to craft a new 3- to 5-year plan to help advance the practice. Details will be released to members as soon as the plans are finalized. ...

From the Top: The AAWC — Strong, Responsive, and Growing

  Not many organizations can boast a 60% increase in membership in just over a 2-year period. Welcome to the AAWC!

  I am proud to announce AAWC membership is its highest ever, with more than 2,300 members. Because we need to continue to grow, I ask all OWM readers to lend their support. Your membership will help the AAWC further its mission and complete its goals — satisfaction guaranteed or your money back! With automatic subscriptions to two monthly journals, discounts on conferences, and reduced rates on books and other products, the AAWC brings you a return on investment greater than the modest cost of joining. A general individual membership is a tax-deductible $115. Lower rates apply for students, retirees, and VA/military healthcare workers....

Nutrition 411: The Diabetic Foot Ulcer — Can Diet Make a Difference?

  The statistics are shocking: 25.8 million Americans, or 8.3% of the population of the US, has been diagnosed with diabetes.1 Among the complications of the disease are diabetic foot ulcers (DFUs), which affect as many as 20% of patients with diabetes during their lifetime.2 DFUs can significantly impair a patient’s quality of life, require prolonged hospitalization, involve infection and gangrene, and may ultimately result in amputation....

Continence Coach: Telehealth to the Bladder’s Rescue

  A central element of President Obama’s 2010 healthcare legislation1 offers healthcare coverage to millions of Americans. Under the legislation, the federal government will pay for the expansion through 2016 and no less than 90% of costs in later years. Still, 26 states rejected the opportunity to open coverage or to allow federal subsidies on the new health exchange “marketplaces” to individuals. Approximately 60% of the country’s uninsured working poor resides in these states. According to a census data analysis by The New York Times,2 two thirds of poor African Americans and single mothers and more than half of the low-wage workers who do not have insurance because they live in states that declined to participate in a vast expansion of Medicaid are left behind; “among those excluded are about 435,000 cashiers, 341,000 cooks, and 253,000 nurses’ aides.” These are the individuals you, your patients, and their caregivers depend on in various facilities throughout the vast healthcare delivery system. ...

My Scope of Practice: A Specimen of a Lab Champion

 Do you ever wonder what happens to the specimens you send to the laboratory? This month we interviewed Leonard (Len) Levin, MS, MBA, RM(NRCM), M(ASCP), Microbiology Laboratory Supervisor, Robert Wood Johnson (RWJ) University Hospital – Hamilton, Hamilton, NJ, a 2004 Malcolm Baldrige National Quality Award-winning facility. A professional with 33 years’ clinical and administrative experience in the laboratory, Len shares the details of his multifaceted career, as well as some advice for wound care clinicians on ensuring accurate lab results. ...