Volume 43 Number 4

WCET®: Global connectedness – common issues and proposed solutions

Jenny Prentice

For referencing Prentice J. WCET®: Global connectedness – common issues and proposed solutions. WCET® Journal 2023;43(4):7.

DOI 10.33235/wcet.43.4.7

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Author(s)

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中文

Another year is concluding. Another year in which the goals and global outreach of the WCET® have touched many in need and inspired others to investigate, advocate or share solutions to common problems associated with the provision of ostomy, wound or continence care.

The WCET® epitomises connectedness on a global scale as evidenced by past, current and proposed future activities and reciprocal relationships with many individuals and organisations aligned with the specialties of ostomy, wound and continence care.

The connectedness of “being or feeling socially, emotionally, spiritually or professionally linked with others or with another”. It is the “robustness of such relationships” and shared experiences that assists with building “trust and reciprocity” which provides the foundation for “collective action”1.

The President and President Elect’s message highlight this with many examples, particularly that of assistance provided to a person with an ostomy moving to Thailand and the need to know from where they obtain their ostomy supplies. Similarly, the results of the Membership Survey show the many services that WCET® provide – one example being to ensure we all remain connected and can maintain currency of practice through education.

Collective action is demonstrated through collegial interactions with numerous like-minded professional organisations, such as the European Pressure Ulcer Advisory Panel and International Skin Tear Advisory Panel. Further, collaboration with The Association of Stoma Care Nurses (ASCN), United Kingdom in hosting the WCET® ASCN UK Joint Congress in 2024 will enhance that global connectedness through the sharing of clinical, research and educational expertise.

Articles within this issue of the journal all identify common problems experienced by clinicians or patients worldwide. The use of a simple device to prevent kinking within percutaneous tubes combined with staff education and a refined protocol of care for managing the percutaneous tube that reduced the incidence of tube kinking and replacement is described by Maniya et al.

The lived experience of patients in hospital who were unnecessarily provided with continence aides, as an alternative to assistive toileting, and the resultant effect on their physical, mental and social well-being is discussed by Gamboa and Garzón. The management of parastomal ulceration is a frequent and often challenging chronic complication of ostomy surgery.

There has long been an awareness that immunosuppressant therapy has the potential to delay wound healing and thus increase the risk of wound infection. Administration of immunosuppressants modulates the immune system. Different classes of immunosuppressants such as Calcineurin Inhibitors, Glucocorticoids, Monoclonal Antibodies, mTOR Inhibitors, have different actions and effects on wound healing. Appoo et al conclude further research is required to clearly identify those agents that pose the highest risk to wound healing.

As the year ends there is much positivity to reflect on, especially the achievements of the WCET® which have been acknowledged by their peers with the bestowing of several wards in recognition of work undertaken. I wish to thank all those authors, reviewers, Editorial Board members and our publishing team who have collectively contributed to the ongoing success of the WCET® Journal through the year.

Equanimity, unfortunately however, is not always universal. Our thoughts are with those around the world who are less fortunate.

John Lennon left us with a legacy of intergenerational and social connection through his many songs; one of which was ‘Imagine’ within which he says, “You may say I’m a dreamer but I’m not the only one. I hope someday you’ll join us. And the world will be as one” (John Lennon, Imagine:1971)2.

Wishing you all connectedness through peace and goodwill.

Best wishes to you all, Jenny.


WCET®:全球连通性-常见问题和拟定解决方案

Jenny Prentice

DOI: 10.33235/wcet.43.4.7

Author(s)

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又一年即将结束。在这一年中,WCET®追求的目标和全球拓展造福了许多亟需帮助的人群,并激励了更多人研究、推广或分享与提供造口、伤口或失禁护理相关的常见问题的解决方案。

WCET®是全球连通性的典范,不仅体现在过去、当前和未来拟开展的各项活动之中,更通过与造口、伤口和失禁护理专业的许多个人和组织之间形成的互惠关系得以彰显。

连通性是指Åg在社会、情感、精神或专业层面与他人或其他群体存在相互联系或感觉有此类联系Åh。正是
Åg此类关系的稳健性Åh和共同经验,有助于建立Åg信任和互惠Åh,为Åg集体行动Åh打下了基础1

主席和候任主席的寄语通过许多示例对此加以强调,特别提到了向一例移居泰国的造口患者提供帮助对案例,以及了解他们从何处获得造口用品的必要性。同样,会员调查结果显示,WCET®通过一系列服务发挥着关键作用,例如,确保会员间持续沟通交流,并可通过教育活动保持实践与时俱进。

集体行动体现在与许多志同道合的专业组织(如欧洲压疮咨询委员会和国际皮肤撕裂伤专家咨询组)进行合议互动。此外,与英国造口护理护士协会(ASCN)合作举办的2024年WCET® ASCN UK联合大会将通过分享临床、研究和教育专业知识来増强全球连通性。

本期杂志的所有文章均指出了全球临床医生或患者经历的常见问题。Maniya等人描述了一种简单装置的应用,其目的是防止经皮管路内扭结,并将该装置与工作人员教育和用于经皮管路管理的优化护理方案相结合,以降低管路扭结和更换的发生率。

Gamboa和Garzón讨论了在非必要情况下提供失禁辅助工具(作为辅助如厕的替代方法)为住院患者带来的生活体验,以及对其身体、心理和社会福利造成的影响。造口旁溃疡的治疗是一种常见且通常极具挑战性的慢性造口术并发症。

研究人员早就意识到免疫抑制剂治疗有可能延迟伤口愈合,从而増加伤口感染的风险。给予免疫抑制剂可调节免疫系统。钙调磷酸酶抑制剂、糖皮质激素、单克隆抗体、mTOR抑制剂等不同类别的免疫抑制剂对伤口愈合有不同的作用和影响。Appoo等人得出结论,需进行进一步研究来明确对伤口愈合带来最大风险的药物。

年终岁尾,我们拥有许多积极成果值得回顾,特别是WCET®取得的成就获得了同行认可,并因开展的工作荣获了多个奖项。在此,我特别向所有作者、审稿人、编辑委员会成员和出版团队致以诚挚的感谢,WCET®杂志在本年度持续取得成功离不开他们的付出与贡献。

尽管并非人人面对困境都能处之泰然,但我们依然与世界各地那些遭遇不幸的人们心心相连。

约翰·列侬为我们留下了许多歌曲,这些歌曲也成为与代际间联系和社会联系相关的文化遗产;其中一首名为ÅgImagine[想象]Åh,歌词写道Åg也许你会说我在做梦,但我不是唯一的一个。我希望有一天你能加入我们。到那时世界就会大同Åh(约翰·列侬,Imagine:1971)2

期盼所有人都能以和平与善意的纽带相互维系,紧密相连。

谨致问候,Jenny。


Author(s)

Jenny Prentice
PhD BN RN STN FAWMA

References

  1. https://www.dictionary.com/browse/connectedness
  2. John Lennon. Imagine: 1971.