Volume 40 Number 2
COVID-19: Relativity to wound skin and ostomy care
Jenny Prentice
For referencing For referencing Prentice J. COVID-19: Relativity to wound skin and ostomy care. WCET® Journal 2020;40(2):6
DOI https://doi.org/10.33235/wcet.40.2.6
The front cover of this edition of the WCET® Journal is headlined ‘Special COVID-19’ edition. The rationale being the Guest Editorial and several articles featured portray the clinical effect the COVID-19 virus has had on affected patients, health professionals and health service providers. The sheer volume of patients adversely affected or who succumbed to this deadly virus within a short time span is astronomical.
Our Guest Editorial on ‘Medical device-related pressure injury in health care professionals in times of pandemic’ by Aline de Oliveira Ramalho and colleagues in Brazil graphically demonstrates the side effects of wearing personal protective equipment such as respiratory protection masks on the facial skin integrity of health professionals in the form of pressure injuries. The discomfort and pain caused by these wounds should not go unrecognised as staff provided care to others.
The diversity of challenges faced, and actions to address these, are clearly and poignantly articulated by our WCET® International Delegate (ID) colleagues worldwide who have generously made time to respond to Brenda Christiansen’s request to share their COVID-19 experiences. Brenda, we thank you for initiative in reaching out to support your colleagues in this manner. For those of us a step removed from the frontline of acute care and emergent management of COVID-19 cases, our IDs’ personal and clinical observations provide greater insight into the harsh reality of managing this virus under burgeoning constraints.
The White Paper on ‘Skin manifestations with COVID-19: the purple skin and toes that you are seeing may not be deep tissue pressure injury,’ provides detailed discussion on the morphological and clinical manifestation of these wounds, which will assist clinicians better discern what is a COVID-19 related skin condition versus a pressure injury.
Purcell and colleagues present the results of their systematic review of topical analgesic and local anaesthetic agents to manage often underestimated chronic leg ulcer pain.
Patient education is a high priority for wound ostomy and continence nurses. Lataillade and Chabal relay how therapeutic patient education can be a useful clinical tool in engaging patients to adjust to loving with an ostomy through the development of mutual trust and collaborative care.
There is much to reflect on within our changing world because of COVID-19. It is clear, however, the constraints of COVID-19 have not suppressed the humanity and caring nature of health professionals worldwide. Your selflessness at this time is acknowledged and appreciated.
Best Wishes
Jenny
Editor
COVID-19：与伤口皮肤和造口术护理的相关性
Jenny Prentice
DOI: https://doi.org/10.33235/wcet.40.2.6
本版WCET®杂志的封面标题为“非同寻常的COVID-19”专版。原因是特邀社论和几篇专题论文均描述了COVID-19病毒对受感染患者、专业医护人员和医疗服务提供者的临床影响。在短时间内，受到这种致命病毒不良影响抑或因之死亡的患者绝对人数就达到了天文数字。
本刊中由巴西的Aline de Oliveira Ramalho及其同事发表的《疫情期间专业医护人员的医疗器械相关压力性损伤》特邀社论以图形方式展示了佩戴呼吸防护口罩等个人防护装备对专业医护人员面部皮肤完整性造成的压力性损伤副作用。在医护人员为他人提供护理时，不应忽视这些伤口造成的不适和疼痛。
我们在世界各地的WCET®国际代表（ID）同事们，慷慨地响应了Brenda Christiansen的请求，分享了他们对抗COVID-19的经验，清楚而深刻地阐述了所面临的挑战的多样性和应对这些挑战所采取的行动。Brenda，感谢你主动伸出援手，以这种方式支持你同事们。对于我们这些距离COVID-19患者的紧急护理与诊疗一线尚有一步之遥的人员而言， ID同事们的个人和临床观察为我们提供了更深刻的认识，让我们得以了解在制约因素日益严峻的情况下诊疗这一病毒的艰难现实。
在有关《COVID-19的皮肤表现：肉眼可见的紫色皮肤和脚趾可能不是深部组织压力性损伤》的白皮书中，详细讨论了这些伤口的形态和临床表现，这将帮助临床医生更好地辨别COVID-19相关性皮肤病症与压力性损伤。
Purcell及其同事对外用镇痛药和局部麻醉药用于治疗经常被低估的慢性下肢溃疡疼痛进行了系统综述并介绍了其结果。
对于伤口造口术和失禁护士而言，患者教育是当务之急。Lataillade和Chabal表达了如何将患者治疗教育作为一种有效的临床工具，通过建立相互信任和发展协作护理，使得患者积极参与适应造口术。
COVID-19的发生让我们对这个不断变化的世界有了很多反思之处。但是很明显，COVID-19造成的制约并没有压制世界各地专业医护人员的人道关怀本性。诚挚地感谢您在这个特殊时期的无私奉献。
顺颂时祺
Jenny
编辑
Author(s)
Jenny Prentice
PhD, BN, RN, STN, FAWMA
