COVID-19: Relativity to wound skin and ostomy care
For referencing For referencing Prentice J. COVID-19: Relativity to wound skin and ostomy care. WCET® Journal 2020;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.
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。
PhD, BN, RN, STN, FAWMA