Welcome to JWOCNOnline.com. By visiting JWOCNonline, you are ready to access the Journal's exclusive Published Ahead of Print (PAP) early edition feature. PAP allows the Journal to bring you the latest information before it appears in the print edition. These sneak peaks constitute the same must read information you have come to expect in the printed edition of the Journal of Wound, Ostomy and Continence Nursing, available only to the sophisticated user of jwocnonline.
PAP features a must read article by author Vivian Wong titled Heel Response to External Pressure: Is It the Same in Healthy Community-Dwelling Adults and in Hip Surgery Patients? The author shares the results of her comparative study measuring oxygen and temperature of the heel in various positions in an attempt to explore the effects of pressure. This is a must read article for all clinicians looking to educate staff on the importance of off-loading the heel in one particular high-risk patient population.
The print edition features a continuing education article by Jodi McDaniel and Kristine Browning titled Smoking, Chronic Wound Healing, and Implications for Evidence-Based Practice. This is a must read for all clinicians caring for patients with chronic wounds who smoke cigarettes. An important component of any wound treatment plan includes systemic support, including smoking cessation. Smoking is a modifiable risk factor for delayed wound healing and the WOC nurse clinician can play an important role in in motivating behavior change in smoking cessation. Follow this link to read the state of the evidence.
Indwelling fecal management devices can positively impact the prevention of incontinence-associated dermatitis and pressure ulcers in selected patient populations with fecal incontinence. The article titled Stool Management Systems for Preventing Environmental Spread of Clostridium difficile: A Comparative Review focuses on the use of this medical device to prevent the environmental spread of a virulent and prevalent pathogen.
Mikel Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN