JWOCN Editor comment
Absorbent Product Advice? Call the WOC Nurse
Our collective experiences with body worn absorbent product are complex. For example, I have observed many acute North American facilities publicizing themselves as "diaper free", and I personally remember making statements about their use as a stop-gap to more definitive (aggressive) care for most patients with incontinence. Despite these assertions, the vast majority of our patients with chronic incontinence use body worn absorbent products and only a tiny minority regularly prescription medications for incontinence and even fewer have undergone surgery. In an insightful study published in this issue of the Journal of Wound, Ostomy and Continence Nursing, Nicholas Smith and colleagues investigated the sources used by community dwelling women with incontinence. After reading this enlightening study, I strongly suggest looking for the article in next month's edition by the WOCNSociety's Body Worn Absorbent Product Use Task Force. In addition, I urge you to attend this year's conference (in person or via live streaming technology) to learn more about the launch of the Society's decision-making algorithm that will enable you to be the definitive resource for your patients with urinary and/or fecal incontinence.
Intraoperative Pressure Injuries
Despite a substantial and rapidly expanding body of evidence concerning prevention of pressure injuries (PIs) in critical, acute and chronic care settings, our knowledge of intraoperative PIs remains limited. Joseph Jain and colleagues present findings from a study that compares a mattress overlay to an historical comparison group. Is this prevention strategy right for your facility? Read this cutting-edge article from the January/February issue of JWOCN and judge for yourself. After reading this original study, read or review the original research report by Yan Chen and colleagues that identifies risk factors for intraoperative PI from a group of more than 800 surgical patients undergoing hepatobiliary surgery, and the systematic review by Aditi Rao and coworkers that identifies risk factors in cardiac surgery patients. Even in areas where evidence is limited, JWOCN is your best source for all the best evidence needed to inform your practice as a WOC nurse!
Mikel Gray, RN, PhD, FNP, PNP, CUNP, CCCN, FAANP FAAN