Online Exclusives

Industry Spotlight: Mark R. Lacerte, President & CEO, HARTMANN USA

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Industry Spotlight
Please provide a short description of your background, training, and experience.

Is it time to consider doing ultrasounds of the skin upon admission to the emergency department?

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Farid Blog

The March 2017 of Ostomy Wound Management includes our pilot study regarding the use of hospital-grade ultrasound (US) technology to discover deep tissue injuries (DTI) not yet visible on the skin. I know of at least 1 long-term care facility that uses an US unit no bigger than a loose-leaf binder to obtain grainy images of the epidermis/dermis on the heels and sacrum of new admissions, specific only for skin edema to at least document abnormalities of the skin on those areas.

Farid Blog: Rehabilitation: A concept with far-reaching significance and potential

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Farid Blog

Over the past 20 years, we have seen a welcome expansion of provider reimbursement for rehabilitation services. What used to be a nursing home option for patients who did not have the ability to care for themselves has evolved into a nursing home and rehabilitation center with updated capabilities for restoring function. In addition, there are acute rehabilitation centers embedded in acute care facilities for patients needing exercise and ambulation who have serious cardiovascular conditions.

“[Wound Care Nurse]…heal thyself:” Facial Skin Care

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Online Exclusive

I’ve always been interested in promoting healthy skin, especially facial skin. As a child, I remember going to the local beach club with my mom and my brothers and sisters and passing the Noxema (Unilever, London, UK; yes, it is still manufactured!) around at night to soothe the sunburn on every sunny day! We were not aware of sun damage that would come back to haunt us when we were older.

Ensuring Your Work Gets Noticed

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Online Exclusive

Congratulations! You have conducted a study. You may be sharing your findings at the Symposium on Advanced Wound Care (session speaker or poster/oral abstract presenter). We hope you also are planning to compose and submit a manuscript to OWM.

Practical Magic: Ostomy Bag Barrier Films — Fit for a Purpose

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Practical Magic

Similar to appliances, cars, and technology, barrier films for ostomy applications are expected to be smarter. It’s no longer good enough for an ostomy bag simply to be strong; it now also needs to be discreet for the patient, cost-effective to produce, and ecofriendly. DeepakPrakash

What is that purple stuff? Gentian violet 1% solution

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Online Exclusive

European, Eastern European, Asian, Middle Eastern, and African/North African (Egypt, Morocco, Algiers) civilizations discovered gentian violet not only was a great dye, but it also had amazing abilities to eradicate skin (umbilical cord) and mucous membrane infections as well as promote wound healing.

The Patient With a Short-bowel Stoma Who Eats: Keeping the Appliance Intact

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Online Exclusive

The Problem: I recently cared for a young man — alert and oriented — who suffered a ruptured neo-bladder and was diagnosed with metastatic bladder cancer. The surgery performed to bypass the area of disease and to divert the intestinal output away from the rupture left him with only 2 feet of viable bowel from the stomach to a high-output stoma. The patient was not a candidate for parenteral nutrition, and he wanted to eat without restriction. This meant fairly large, bite-sized pieces of undigested food would be exiting from the stoma, along with large amounts of fluid.

Combining Ostomy Faceplate Issues with High-Output Strategies

When you do your first assessment for a stoma/ostomy problem (that call early in the morning about “…I can’t keep the stoma bag on…”), always check the amount and consistency of the drainage either in the current pouch or, if the problem is ongoing, on the sheets and surrounding clothing. The inability to maintain pouch placement usually will be compounded with high-output, very liquid drainage. High output also will cause burns all around the stoma (see illustration).

Two Warriors Against Aging Skin: Hyaluronic Acid and Diet: Skin Care (Part 2)

As we age, there is a decrease in estrogen and androgens that results in collagen degradation and skin drying with loss of elasticity. However, it’s the atrophy of the epidermis that makes the wrinkling of the skin the fait accompli. A recent advance in topical skin moisturizing chemistry, hyaluronic acid (HA) is a glycoprotein produced and contained in the extracellular matrix everywhere in the body. The skin contains more than 50% of the body’s HA; other high-content locations are the vitreous of the eye and the synovial fluid of the joints.