Editorial Staff

Editor Barbara Zeiger

Assistant Editor Lauren Mateja

Web Content Coordinator Katherine Blessing

Editorial Correspondence

Barbara Zeiger, Editor, OWM

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December 2013 ISSN 1943-2720 | Volume 59 - Issue 12

Managing Severe Dermatitis Caused by Ileal Peristomal Leakage Using a Mushroom-type (de Pezzer) Catheter in Infants: A Case Series


  Skin damage secondary to peristomal leakage is a fairly common complication of ileostomies in infants. Traditional conservative measures, including skin barriers, ointments, and agents to reduce bowel movements, initially may be helpful but not in all patients. The purpose of this case series was to describe a new and relatively simple procedure to temporarily manage severe peristomal dermatitis caused by ileal peristomal leakage in infants....

A Descriptive Study of Commonly Used Postoperative Approaches to Pediatric Stoma Care in a Developing Country


  Construction of an enterostomy is a common procedure in pediatric surgery. However, caring for the child with a stoma is challenging for parents in developing countries. Modern devices such as colostomy bags and accessories are expensive and not readily available. The purpose of this study was to describe methods of effluent collection and peristomal skin protection used by the mothers of colostomy patients....

A Retrospective Analysis of a Human Cellular Repair Matrix for the Treatment of Chronic Wounds


  Despite the introduction of advanced wound care modalities over the last 15 years, chronic wounds are an increasing problem. Few single options are available for clinicians to treat recalcitrant wounds such as diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs). A retrospective, single-center study was conducted at an outpatient wound care center to evaluate the clinical effect of a human cellular repair matrix (h-CRM) on chronic wounds that had failed to heal....

Guest Editorial: Incontinence Nursing Practice: Is it Evidence-based?

  Evidence-based nursing practice (EBNP) is the integration of the best available research evidence with clinical expertise, patient values, and circumstances.1 Implementing EBNP can resolve problems in the clinical setting, achieve excellence in care delivery, introduce innovation, reduce variations in nursing care, and assist with efficient and effective decision-making. Urinary incontinence (UI) is one particular area of nursing practice where care needs to be evidence-based, because it involves many aspects of daily nursing care. Although scientific knowledge is growing exponentially and experts are publishing guidelines and recommendations, most practicing nurses are unaware this knowledge exists; there is a considerable gap between evidence-based research and clinical UI nursing practice. ...

Nutrition 411: Urinary Tract Infection: Prevention Strategy to Improve Quality Measures

  Urinary tract infections (UTIs) are the most prevalent infection in long-term care (LTC), accounting for at least 40% of all infections and more than 8% of total costs.1,2 UTIs are the leading driver of hospitalizations, with a 30% readmission rate from LTC within 30-days.3 They can cause urinary frequency, urgency, loss of bladder control, pain, burning upon urination, straining, flank or lower back pain, fever, a decrease in daily activity, and depression. Many times, alteration in mental status, confusion, lethargy, agitation, delirium, subtle changes in behavior, and falls can be the first indication of the presence of a UTI.4,5 UTIs can cause a decrease in appetite and an increase in metabolic rate, leading to unintended weight loss, negatively impacting nutritional status. These are all quality-of-care measures that can be improved by preventing UTIs. ...

Continence Coach: Opening the Dialogue on Bowel Health

  The high prevalence of dual urinary incontinence (UI) and fecal incontinence (FI) — 70% in nursing homes, 50% in assisted living, and 20% in community dwellers living independently1 — precipitated formal action in 2005 by the National Association For Continence (NAFC) Board of Directors to expand the NAFC’s mission to address both bladder and bowel control problems faced by individuals. Two years later, the first conference on FI at the National Institutes of Health (NIH) was hosted by the National Institute for Diabetes and Digestive and Kidney Diseases (NIDDK).2 The emphasis was on the lack of awareness about FI among the public, physicians and other providers, and industry players....

My Scope of Practice: Not Afraid to Make a Change

Everyone thinks of changing the world, but no one thinks of changing himself. — Leo Tolstoy

  If you ask Cindy Barefield, BSN, RN-BC, CWOCN, what she finds intriguing about ostomy care, she might relate the story of Grandma Mabel, who had ostomy surgery in 1938 and was left with only rags and towels to collect the output. Utilizing his knowledge of horses and a tin can with a belt strap, her husband fashioned a collar around the edge. Or Cindy might tell you about Norma Gill and Dr. Rupert Turnbull, Jr; they opened the first School of Enterostomal Therapists in 1961, where the only requirement was that all trainees have an ostomy. How far the world of wound, ostomy, and continence nursing has come in terms of ostomy management options. How far the role of the WOC nurse has advanced to one of content experts, educators, and advisers in collaborative health initiatives who advocate for the delivery of healthcare to improve patient outcomes. ...

A Descriptive Survey Study on the Effect of Age on Quality of Life Following Stoma Surgery


  The number of operative procedures involving the creation of an intestinal stoma is likely to increase as the population ages. Understanding the role of age on postoperative outcomes such as quality of life (QoL) and self-efficacy is critical to developing appropriate supportive strategies. A descriptive survey study was conducted among 18 patients (11 men seven women, age range 47 to 90 years) who had an intestinal ostomy created during a 3-year period at the University of Alberta Hospital in Edmonton, Alberta, Canada....

AAWC Update: Reflecting on a Year of Success

 The AAWC would like to thank its members, board members, staff, volunteers, association partners, and corporate sponsors for a prosperous 2013. Because of your continued membership, volunteer spirit, and time and support given to our special programs, the AAWC has been able to achieve a 60% increase in membership over the last 2 years. The AAWC is proud to have developed and/or continue to offer the following benefits and services over the last year. All are available at www.aawconline.org....

New Products and Industry News

Portable NPWT System Provides Enhanced Features

  Kinetic Concepts, Inc (San Antonio, TX) announced the next generation V.A.C. Via Negative Pressure Wound Therapy System received Food and Drug Administration clearance. This single patient-use, ultra-portable system simplifies wound care for patients with moderate- to low-exudating wounds. It features a diaphragm pump for faster draw down, longer battery life, and higher leak rate threshold than the original device. These enhancements make the system both effective and convenient for patients.

  In addition to providing all the benefits of the therapy, patients can enjoy a discreet, portable device; clinicians can benefit from the convenience of having easy access to an off-the-shelf, single patient-use device; and hospitals will appreciate the potential cost savings of reduced length of stay. ...