From the Editor: Controversy and Creativity at the Cutting Edge of Clinical Practice
The Journal of Wound, Ostomy and Continence Nursing (JWOCN) continuously seeks to publish articles that announce the latest research findings, find new ways of interpreting evidence, and challenge the status quo. Two articles in the September/October issue of JWOCN challenge current best practice in the area of wound odor and bioburden. Villela-Castro, Santos and Woo report on findings of a study that used a polyhexanide solution for odor management in a group of patients with malignant fungating wounds. Borges, Frison, Honorato-Sampaio and colleagues report a study of the effect of a polyhexanide solution on bacterial bioburden and biofilm in patients with venous leg ulcers. In both cases, these authors challenge current practice by demonstrating non-inferiority of an over-the-counter, affordable, and antiseptic solution versus current use of antibiotic based therapies. I personally congratulate both groups on their innovation, and their courage in taking on current practice.
Peko Cohen, Levy, Nogah, Ziv and Gefen provide an insightful look into the effects of soft tissue deformations when patients wearing a prophylactic multilayer dressing, with or without a positioning system, are placed on various surfaces ( some designed to redistribute pressures, while others are decidedly not). I recommend reading this article with special care, particularly given the increasing amounts of time our patients spend lying on surfaces with little to no pressure redistributing properties as they undergo increasingly sophisticated procedures such as computerized tomographic scans, magnetic resonance imaging, and a variety of diagnostic and interventional radiologic procedures.
JWOCN Editor: Mikel Gray PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN