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refers to the surgically created opening in the body for the discharge of body wastes.

  1. Ostomy 101: Colostomy, ileostomy, and urostomy

    Colostomy, ileostomy, and urostomyBy Jackie Doubleman, BSN, RN, CWOCN Most patients are distressed to learn they need ostomy surgery to divert stool, urine, or both. Adapting to ostomy surgery can be difficult at best, even with today’s advanced technology and the wide assortment… Read more…

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  2. Making sure patients have the ostomy supplies they need

    ostomy supplies they needBy Connie Johnson, BSN, RN, WCC, LLE, OMS, DAPWCA No matter where you work or who your distributors are, ensuring the patient has sufficient ostomy supplies can be a challenge. Whether you’re the nurse, the physician, the patient, or the… Read more…

    Comments: 5 Comments

  3. Compassionate care: The crucial difference for ostomy patients

    Compassionate careBy Gail Hebert, RN, MS, CWCN, WCC, DWC, LNHA, OMS; and Rosalyn Jordan, BSN, RN, MSc, CWOCN, WCC, OMS Imagine your physician has just told you that your rectal pain and bleeding are caused by invasive colon cancer and you… Read more…

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  4. Understanding radiation dermatitis

    According to the National Cancer Institute, an estimated 1.6 million new cases of cancer will have been diagnosed in the United States in 2015. During the course of their disease, most cancer patients receive radiation therapy. Delivering high energy in the form of waves or particles, radiation… Read more…

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  5. Teaching ostomy care for home

    By Goranka Paula Bak, BSN, RN, ET, CWOCN Before discharge, a new ostomy patient and caregiver have a lot to learn, including how to empty the pouch, establish a schedule for pouch changes, measure the stoma to ensure protection from… Read more…

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  6. Clinician Resources: United Ostomy Association, NGC, NCCN, Experts

    Here is a list of valuable ostomy resources, some suggested by our colleagues who follow Wound Care Advisor on Twitter. United Ostomy Association of America The United Ostomy Association of America provides comprehensive resources for patients, including information about the… Read more…

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  7. Clinical Notes: Revascularization, Amputation Risk Score

    Amputation Risk ScoreLeg revascularization fails to improve outcomes in nursing home patients Lower-extremity revascularization often fails to improve outcomes in nursing home patients, according to an article in JAMA Internal Medicine. “Functional outcomes after lower extremity revascularization in nursing home residents: A… Read more…

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  8. Ostomy documentation tips

    General characteristics Document if the diversion is an intestinal or urinary ostomy, whether it’s temporary or permanent, and the location— abdominal quadrant, skin fold, umbilicus. (See Descriptor reference.) Describe the type of ostomy: • colostomy (colon)—sigmoid or descending colostomy, transverse colostomy,… Read more…

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  9. Clinical Notes: Moldable Skin Barrier, hypoglycemia, diabetic food ulcers

    Moldable skin barrier effective for elderly patients with ostomy A study in Gastroenterology Nursing reports that compared to a conventional skin barrier, a moldable skin barrier significantly improves self-care satisfaction scores in elderly patients who have a stoma. The moldable skin barrier also caused less irritant dermatitis… Read more…

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  10. Knowing when to ask for help

    As a wound care expert, you’re probably consulted for every eruption, scrape, and opening in a patient’s skin. Occasionally during a patient assessment, you may scratch your head and ask yourself, “What is this? I’ve never seen anything like it.”… Read more…

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  11. How to manage peristomal skin problems

    For an ostomy pouching system to adhere properly, the skin around the stoma must be dry and intact. Otherwise, peristomal skin problems and skin breakdown around the stoma may occur. In fact, these problems are the most common complications of surgical stomas. They can worsen the patient’s pain… Read more…

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  12. Clinician Resources: human trafficking, npuap, caregiver, ostomy, HIV

    Check out the following resources, all designed to help you in your clinical practice. Human trafficking resources Victims of human trafficking often suffer tremendous physical and psychological damage. Clinicians play an important role in identifying potential victims so they can obtain help. Here are some… Read more…

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  13. Frequently asked questions about support surfaces

    The National Pressure Ulcer Advisory Panel (NPUAP) describes support surfaces as “specialized devices for pressure redistribution designed for management of tissue loads, microclimate, and/or other therapeutic functions.” These devices include specialized mattresses, mattress overlays, chair cushions, and pads used on… Read more…

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  14. Causes, prevention, and treatment of epibole

    As full-thickness wounds heal, they begin to fill in from the bottom upward with granulation tissue. At the same time, wound edges contract and pull together, with movement of epithelial tissue toward the center of the wound (contraction). These epithelial cells, arising from either the wound margins or… Read more…

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  15. Clinician Resources: Patient Safety, Ostomy, Wound Management

    This issue’s resources include patient tools and new guidelines. Improving patient safety Research suggests that adverse events affect patients with limited English proficiency (LEP) more frequently, are commonly caused by communication problems, and are more likely to result in serious… Read more…

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  16. Role of the ostomy specialist clinician in ileal pouch anal anastomosis surgery

    By Leanne Richbourg, MSN, RN, APRN-BC, CWON-AP, CCCN, GCNS-BC Restorative proctocolectomy with ileal pouch anal anastomosis (IPAA) is the gold standard for surgical treatment of ulcerative colitis (UC) or familial adenomatous polyposis (FAP). It’s also done to treat colon and… Read more…

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  17. Providing skin care for bariatric patients

    Providing skin care for bariatric patientsBy Gail R. Hebert, MS, RN CWCN, DWC, WCC, OMS How would you react if you heard a 600-lb patient was being admitted to your unit? Some healthcare professionals would feel anxious—perhaps because they’ve heard bariatric patients are challenging to… Read more…

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  18. Clinical Notes: Modified Braden Risk Score, dialysis patients, plantar

    Modified Braden risk score proposed A study in Ostomy Wound Management states the risk classification of patients using Braden Scale scores should comprise three (rather than five) levels: high risk, with a total score ≤11; moderate risk, with a total… Read more…

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  19. Clinical Notes: ostomy, pressure ulcer, burn treatment

    Self-management ostomy program improves HRQOL A five-session ostomy self-care program with a curriculum based on the Chronic Care Model can improve health-related quality of life (HRQOL), according to a study in Psycho-Oncology. “A chronic care ostomy self-management program for cancer survivors” describes results from a longitudinal pilot… Read more…

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  20. Clinician Resources: falls, npuap, patient safety, civility

    End your year by checking out these resources for your practice.   Sentinel event alert for falls As part of its sentinel event alert “Preventing falls and fall-related injuries in health care facilities,” The Joint Commission has assembled information and multiple… Read more…

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  21. Teaching ostomy patients to regain their independence

    By Goranka Paula Bak, BSN, RN, ET, CWOCN Every year, thousands of people of all ages have ostomy surgery in the United States. That means no matter where you work, you’re likely to care for patients with new ostomies and… Read more…

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  22. Doing it cheaply vs. doing what’s best for patients

    Sad but true: Much of what we do as healthcare professionals is based on reimbursement. For nearly all the services and products we use in wound care and ostomy management, Medicare, Medicaid, and insurance companies control reimbursement. For many years, these payers have been deciding which interventions, medications,… Read more…

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  23. Clinician Resources: Intl Ostomy Assoc., Substance Use Disorder

    Take a few minutes to check out this potpourri of resources. International Ostomy Association The International Ostomy Association is an association of regional ostomy associations that is committed to improving the lives of ostomates. Resources on the association’s website include:… Read more…

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  24. Helping patients overcome ostomy challenges

    By Beth Hoffmire Heideman, MSN, RN No one wants an ostomy, but sometimes it’s required to save a patient’s life. As ostomy specialists, our role is to assess and intervene for patients with a stoma or an ostomy to enhance… Read more…

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  25. Clinical Notes: biofilm, bariatric surgery, statins and more

    Management of biofilm recommendations The Journal of Wound Care has published “Recommendations for the management of biofilm: a consensus document,” developed through the Italian Nursing Wound Healing Society. The panel that created the document identified 10 interventions strongly recommended for clinical practice; however, panel members noted that, “there… Read more…

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  26. Providing evidence-based care for patients with lower-extremity cellulitis

    By Darlene Hanson, PhD, RN; Diane Langemo, PhD, RN, FAAN; Patricia Thompson, MS, RN; Julie Anderson, PhD, RN; and Keith Swanson, MD Cellulitis is an acute, painful, and potentially serious spreading bacterial skin infection that affects mainly the subcutaneous and… Read more…

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  27. Moldable ostomy barrier rings and strips

    By Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS Each issue, Apple Bites brings you a tool you can apply in your daily practice. Here’s a brief overview on moldable, bendable, and stretchable adhesive rings and strips used to… Read more…

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  28. Clinician Resources: Nutrition, Workplace Violence, Pressure Injuries

    Learn about resources useful to your practice. Nutrition and pressure ulcers Advances in Skin & Wound Care has published “The role of nutrition for pressure ulcer management: National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific… Read more…

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  29. Product Dossier

    Angelini Pharma Inc. BIOPAD: 100% equine Type-1 collagen primary wound dressing EXSEPT PLUS: electrolytically-produced Sodium Hypochlorite wound cleanser SILVERSTREAM: Ionic Silver wound cleanser with menthol ANIOSGEL 85 NPC: HYDROALCOHOLIC ANTISEPTIC GEL for skin and hands BLEACH WIPES 1: 10/1:50 :… Read more…

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  30. Practicing emotional intelligence may help reduce lateral violence

    It’s been a stressful day at work—nothing new. One confused patient pulled off her ostomy bag, you’re having difficulties applying negative-pressure wound therapy on another, and a third patient’s family is angry with you. We all experience stressful days, but unfortunately, sometimes we take our stress… Read more…

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  31. Buzz Report: Latest trends, Part 1

    We all lead busy lives, with demanding work schedules and home responsibilities that can thwart our best intentions. Although we know it’s our responsibility to stay abreast of changes in our field, we may feel overwhelmed when we try to… Read more…

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  32. Clincal Notes: Analysis, Osteomyelitis, sickle cell, maggot

    Value of systematic reviews and meta-analyses in wound care “Systematic reviews and meta-analyses—literature-based recommendations for evaluating strengths, weaknesses, and clinical value,” in Ostomy Wound Management, discusses evidence-based practice and how systematic reviews (SRs) and meta-analyses (MAs) can help improve management… Read more…

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  33. Restorative nursing programs help prevent pressure ulcers

    Immobility affects all our body systems, including our skin. According to the National Pressure Ulcer Advisory Panel, many contributing factors are associated with the formation of a pressure ulcer, with impaired mobility leading the list. So what can clinicians do… Read more…

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  34. Top 10 outpatient reimbursement questions

      At the 2015 Wild on Wounds conference, the interactive workshop “Are You Ready for an Outpatient Reimbursement Challenge?” featured a lively discussion among participants about 25 real-life reimbursement scenarios. Here are the top 10 questions the attendees asked, with… Read more…

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  35. Our gold medal issue: Best of the Best 2016

    This issue marks the fourth anniversary of the “Best of the Best” issue of Wound Care Advisor, the official journal of the National Alliance of Wound Care and Ostomy. Fittingly, it comes during an Olympics year. Since 1904, the Olympics have awarded gold… Read more…

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  36. The power of the positive

    Being positive in a negative situation is not naïve. It’s leadership. — Ralph S. Marston, Jr., author and publisher of The Daily Motivator website Clinicians may encounter many challenges and stressors in the workplace—long hours, rotating shifts, inadequate staffing, poor… Read more…

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  37. “Best of the Best” three-peat

    By: Donna Sardina, RN, MHA, WCC, CWCMS What do the Los Angeles Lakers, Green Bay Packers, Montreal Canadiens, and New York Yankees have in common? All three have “three-peated”, meaning they have won three consecutive championships. This year, we at… Read more…

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  38. Clinician Resources: Ulcer Prevention, CAUTI, Negative Bacteria

    Start the New Year off right by checking out these resources. Pressure ulcer prevention education Access the following education resources from Wounds International: The webinar “Real-world solutions for pressure ulcer prevention: Optimising the role of support surfaces” includes: • an… Read more…

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  39. Clinical Notes

    Mild compression diabetic socks safe and effective for lower extremity edema Diabetic socks with mild compression can reduce lower extremity edema in patients with diabetes without adversely affecting arterial circulation, according to a randomized control trial presented at the American… Read more…

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  40. Clinical Notes: Healing SCI Patients, antiseptics on mahout, diabetes

    Electrical stimulationElectrical stimulation and pressure ulcer healing in SCI patients A systematic review of eight clinical trials of 517 patients with spinal cord injury (SCI) and at least one pressure ulcer indicates that electrical stimulation increases the healing rate of pressure ulcers. Wounds with electrodes overlaying the wound… Read more…

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  41. Clinician Resources: Pressure-Injuries, Ostomy, Lymphedema, Delirium

    Here is a round-up of resources that you may find helpful in your practice. New illustrations for pressure-injury staging The National Pressure Ulcer Advisory Panel (NPUAP) has released new illustrations of pressure injury stages. You can download the illustrations, which include normal Caucasian and non-Caucasian skin… Read more…

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  42. National Alliance of Wound Care® Introduces New Certification in Ostomy Management

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  43. Preventing pressure ulcers in pediatric patients

    By Roxana Reyna, BSN, RNC-NIC, WCC, CWOCN As wound care clinicians, we are trained—and expected—to help heal wounds in patients of any age and to achieve positive outcomes. Basic wound-healing principles apply to all patients, whatever their age or size.… Read more…

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