JWOCN Editor comment
Pressure Injuries in the Neonatal and Pediatric Populations
While the bulk of research on pressure injury care focuses on adults, key researchers and clinical experts in neonatal and pediatric care continue to seek out the Journal of Wound, Ostomy and Continence to publish cutting edge information and original data focusing on pressure injury care in infants and children. For example, the January/February issue of JWOCN includes three articles focusing on pressure injury care in neonates and children. In the first, Charleen Singh and Noordeen Shoqirat describes their experiences with a novel and sorely needed pressure redistributing mattress in critically ill children who are too large for a crib but too small for a hospital bed. In the second, Deanna Johnson presents a highly original and lucid argument for the existence of congenital pressure injuries in some neonates, along with a discussion of the implications of classifying this uncommon form of pressure injury in a world of "facility-acquired" versus "present on admission" categorization of such injuries. I found this discussion so significant that I asked Dr. Charleen Singh, a doctoral prepared WOC nurse with more than 20 years of experience caring for critically ill neonates to share her thoughts concerning the bold proposal put forward by Johnson.
Though clearly cutting edge, these articles are not unique, JWOCN has a tradition of publishing key research in the area of pediatric pressure injuries. In our March/April 2018 issue Ivy Razmus (recently appointed as an Editorial Advisor for JWOCN) analyzed data from more than 39,000 children and identified patient, unit-based, and facility-wide characteristics associated with an increased likelihood of pressure injury development. This article flows yet another landmark work from Ivy Razmus and Sandra Bergquist-Beringer who reported prevalence of pressure injuries in children cared for in more than 678 acute care units. Whether you care for neonates at the beginning of their lives, critically ill children and adults, or aged adults at end of life, JWOCN is your best resource for all things related to wound, ostomy and continence care, including assessment, prevention and treatment of pressure injuries.
Mikel Gray, RN, PhD, FNP, PNP, CUNP, CCCN, FAANP FAAN