IN THIS ISSUE OF JWOCN
Like all issues of the Journal of Wound, Ostomy and Continence Nursing (JWOCN), November/December 2018 covers multiple topics essential for evidence-based WOC nursing specialty practice. This issue also adheres to our tradition of publishing clinicians and researchers practicing in various areas of WOC care across the globe. Authors in this issue practice in the United States, Canada, Brazil, Germany, Norway, Belgium, and Kuwait. This kind of global authorship is not only desirable but also essential as JWOCN continues to function as the premiere journal for WOC care and the official journal for the Wound, Ostomy and Continence Nurses Society.
Your Wound Care section opens with a report of a quality improvement project from Chelsea Kriesberg (Lange), Jeanne Marie Little, Lynn Mohr, and Kimberly Kato who describe experiences with the ongoing challenge of preventing pressure injuries in the pediatric cardiac care unit. This article not only builds on past landmark research reports focusing on pressure injury prevalence and prevention in the pediatric population1,2, it also serves as a logical extension of these findings into this innovative application of evidence-based pressure injury principles into daily practice. Can point-of-care (bedside) ultrasonography be used to develop a staging system for peripheral intravenous extravasation injuries (PIVEs)? Vita Boyar, Colleen Galiczewski, and Dalibor Kurepa describe use of point-of-care ultrasonography in evaluation of neonates with PIVEs before and after topical treatment with hyaluronidase. You will want to read this cutting-edge study to learn more about this rational and attractive adaptation of ultrasonic imaging to the assessment and management of PIVEs in the frail neonatal population.
Your Ostomy Care section opens with an article authored by Mohammed Iyoob Mohammed Ilyas, David Haggstrom, Melinda Maggard-Gibbons, Christopher Wendel, Susan Rawl, Christian Max Schmidt, Clifford Ko, and Robert Krouse that reports on clinical outcomes among veterans from 3 Veterans Administrative healthcare centers in the United States. You will want to read this article to gain insights into the long-term fate of ostomies created with "temporary intention" and the factors associated with nonreversal of these ostomies.
Your Continence Care section opens with a report of a quality improvement project authored by Daniel Glass, David Huang, Mohannad Dugum, Preethi Chintamaneni, Sarah Cua, Melissa Saul, Wallis Marsh, and Ali Al-Khafaji that estimated the incidence of significant hemorrhage associated with use of rectal trumpets for containment of liquid stool in critically ill patients. You will want to read this article to gain further insight into this uncommon but far from rare complication of the use of a nasopharyngeal airway device when placed in the rectal vault in patients with fecal incontinence. Fabiana Faleiros, Christoph Kappler, Talita Rosa, and Fernanda Gimenes report findings from an important study in an area of care supported by sparse evidence, intermittent catheterization. This report qualifies as must read for every WOC nurse because it speaks to the heart of WOC-centric practice, catheterization as a method for managing incomplete bladder emptying with or without urinary incontinence.
This issue's Challenges in Practice section features paired case studies that focus on the topic of calciphylaxis. Dr Richard Masoetsa describes a case of calciphylaxis affecting the lower extremities in a late-middle aged man with stage 5 chronic kidney disease. You will want to read this article not only to learn more about their interdisciplinary management of this complex case but also to determine how they handled the life-threatening complications often seen with calciphylaxis. Dr Jacqueline Zillioux, Alexander Geisenhoff, and I describe management of a case of penile calciphylaxis, a particularly rare manifestation of this wound. This article qualifies as must read because it reviews management of this condition in a person who elects palliative care. You also should read this article to review more aggressive interventions for penile calciphylaxis, including surgical management.
What is NSWOCC and what is ISTAP? Like all cutting-edge specialty practices, WOC nursing is awash with abbreviations and acronyms. The abbreviation NSWOCC stands for Nurses Specialized in Wound, Ostomy and Continence Canada; the WOCN Society's special relationships with colleagues and neighbors to our North incudes subscriptions to JWOCN and recognition of this as an official publication for both professional associations. This NSWOCC feature focuses on best practice recommendations promulgated by ISTAP, the International Skin Tear Advisory Panel. Read on to find out more about this international advisory panel and their stellar work in the area of prevention, assessment, and management of skin tears.
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