Our understanding of the clinical relevance of the microclimate between the skin and underlying support surface, underpad, body worn absorbent product or other device is slowly increasing. While significant gaps in evidence still exist, Falloon, and colleagues (including Professor Allen Cottenden) provide a masterful and in-depth review of microclimate related to use of body worn absorbent products. Click here to read this timely and clinically relevant review article; I also encourage you to click here re-read the NPUAP’s report on Standardizing Support Surface Testing and Reporting by a list of world class, blue ribbon researchers and clinicians including Art Stone, David Brienza, Evan Call and colleagues.
Turning and repositioning is a cornerstone of the evidence-based bundle of interventions we employ for persons at risk for pressure injury. Jitendra Bharucha and colleagues report research into a novel device they describe as an infusion enhancement system. They also provide an extensive discussion of ischemia-reperfusion injury as contributing to pressure injury and ulceration. Click here and read this article along with the author’s provocative and well referenced discussion closely and form your own opinion regarding this cutting edge issue in pressure injury prevention.
In addition to these articles I have called out for extended discussion, your will want to click here and read the latest from Fareed Iqbal’s group who report their experiences with ostomy creation in persons with chronic and severe constipation. You will also want to click here and pay particular heed to Flavio Tirelli’s group who report a case of fata metformin related lactic acidosis in a patient with a temporary ileostomy, and click here to read the innovative article by Lisa Owens and colleagues who describe use of an alternate light source to improve inspection of suspected deep tissue pressure injuries.
JWOCN Editor-in-Chief: Mikel L. Gray, PhD, FNP, PNP, CUNP, CCCN, FAANP, FAAN