The Microbiome and Metabolome of Malignant Fungating Wounds: A Systematic Review of the Literature From 1995 to 2020
CONCLUSIONS: Seven studies were included; the overall quality of the included 7 studies was ranked as adequate. Findings from the studies provided an incomplete characterization of the microbiome and metabolome of MFW; none included modern genomic technologies. Twenty different species of aerobes and 14 species of anaerobes were identified, with inconsistent identification of biofilms and multi-drug-resistant bacteria. Symptom occurrence increased with the number of bacteria species (P = .0003) and the presence of at least 1 anaerobe (P = .0006) in malignant wound beds. Cancer wound-derived odor was associated with dim...
Source: Journal of Wound, Ostomy and Continence Nursing - March 1, 2021 Category: Nursing Tags: Wound Care: EVIDENCE-BASED REPORT CARD Source Type: research

A Fully Automated Pulsating Support System for Pressure Injury Prevention and Treatment in 10 Belgium Nursing Homes: An Observational Study
CONCLUSIONS: Low cumulative PI incidence findings were observed with use of the mattress for the prevention of PIs and resulted in improvements in existing PIs, results which are consistent with several existing studies. The majority of the caregivers, residents, and family members evaluated the mattress as comfortable. Future research is needed to corroborate findings in larger randomized clinical trials. (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - March 1, 2021 Category: Nursing Tags: Wound Care Source Type: research

Reducing the Incidence of Medical Device–Related Pressure Injuries From Use of CPAP/BiPAP Masks: A Quality Improvement Project
PURPOSE: The purpose of this work was to reduce the number of hospital-acquired pressure injuries on the nasal bridge resulting from the use of continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) therapy. PARTICIPANTS AND SETTING: Patients with medical device–related pressure injuries (MDRPI) receiving continuous/intermittent CPAP/BiPAP in a 12-bed critical care unit in a Magnet-designated, 182-bed community hospital in the mid-Atlantic region of the United States. APPROACH: An interprofessional team collaborated to assess factors contributing to an increase in MDRPI ...
Source: Journal of Wound, Ostomy and Continence Nursing - March 1, 2021 Category: Nursing Tags: Wound Care Source Type: research

Sustained Reduction of Nasal Pressure Injuries in the Neonatal Intensive Care Unit With the Use of Bubble Continuous Positive Airway Pressure: A Quality Improvement Project
PURPOSE: The purpose of this interprofessional team–driven quality improvement project was to implement a Bubble continuous positive airway pressure (CPAP) Skincare Protocol proactively to prevent potential device-related pressure injuries. PARTICIPANTS AND SETTING: The setting was a level 3, 60-bed single patient room neonatal intensive care unit (NICU) located within a Midwest urban academic medical center with more than 200 healthcare providers. Prior to the beginning of this project, the NICU had been using the CPAP apparatus that had documented 6 nasal pressure injuries over a 6-month period. Because of e...
Source: Journal of Wound, Ostomy and Continence Nursing - March 1, 2021 Category: Nursing Tags: Wound Care Source Type: research

Context for Practice: Medical Device–Related Pressure Injuries, Neurogenic Bowel Management, Risk Factors for Lower Extremity Amputation, and Innovative Approach to Ostomy Accessory Product
No abstract available (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - March 1, 2021 Category: Nursing Tags: Editorial Source Type: research

WOCN®-Accredited Professional Education Programs
No abstract available (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: WOCN Links Source Type: research

Getting Ready for Ostomy Certification: Assessing and Managing the Colostomy
No abstract available (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Getting Ready for Certification Source Type: research

Successful Treatment of a Venous Leg Ulcer With Manuka Honey: A Case Study
CONCLUSION: The use of Manuka honey proved effective in this patient with a VLU refractory to other treatment strategies. (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Challenges in Practice Source Type: research

Management of a Complex Peristomal Fistula: A Case Study
CONCLUSION: Peristomal fistula management should include anatomical assessment, incision and drainage of the abscess, diversion to control effluent, and skin protection. For complex cases, the coordinated efforts of the interdisciplinary team are imperative. (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Challenges in Practice Source Type: research

Commentary: Social Determinants of Health and Its Impact on Wound, Ostomy, Continence, and Foot and Nail Care
No abstract available (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Foot and Nail Care Source Type: research

Wound and Foot Care Nursing on the Streets of the City: A View From Here
No abstract available (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Foot and Nail Care Source Type: research

Elevated Skin pH Is Associated With an Increased Permeability to Synthetic Urine
CONCLUSION: Permeability of the skin to irritants is influenced by the status of the skin and its acid mantle. These highlight the need to reevaluate the frequency of cleansing activities, along with the choice of product in clinical settings, favoring the use of pH-balanced cleansers. (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Continence Care Source Type: research

Constipation in Hospitalized Patients: A Study of Prevalence and Associated Factors
CONCLUSION: The prevalence of constipation in hospitalized adult patients was lower than that in previous studies. Patients using laxatives were more likely to experience constipation. (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Continence Care Source Type: research

Adaptation of the City of Hope-Quality of Life-Ostomy Questionnaire From English to Brazilian Portuguese: A Validation Study
CONCLUSIONS: The adapted version of COH-QOL-OQ demonstrates construct (convergent and discriminant) validity, concurrent criterion validity, and internal consistency (a measure of reliability) for evaluating health-related quality of life of persons with ostomies living in Brazil. (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: Ostomy Care Source Type: research

INSTRUCTIONS: The Use of a Stoma Rod/Bridge to Prevent Retraction: A Systematic Review
No abstract available (Source: Journal of Wound, Ostomy and Continence Nursing)
Source: Journal of Wound, Ostomy and Continence Nursing - January 1, 2021 Category: Nursing Tags: NCPD test Source Type: research