Senior Digestive Health

Fruit Salad

Many systems of the body change with age, including the digestive system. It’s estimated that 40% of seniors experience digestive changes. 1 Many factors impact bowel health and result in constipation including age, medical conditions, poor diet, medications, lack of fiber, inadequate exercise and frequent laxative use. Constipation or diarrhea, a common complaint for seniors, is a symptom the body sends indicating that something is not right.3

What is Constipation?  Simply stated, constipation is infrequent stool elimination. After eating, food is passed through the intestines by a rhythmic, wavelike movement called peristalsis. Intestinal contraction and rest allows food and liquid to be mixed together and propels fecal matter through the digestive tract for elimination. 4 Humans are creatures of habit, and bowel habits will vary. Bowel movements from 3 times per day to once every other day can be considered “normal”. Infrequent stools become hard, difficult to pass, and can cause damage to the nerves and muscles in the rectal area.4

Why are seniors more likely to suffer from constipation?  Aging can weaken muscles in the bowel and abdomen. Muscle contractions are necessary to move food and waste products through the digestive tract. When this process slows, more water is absorbed from the food waste resulting in hard, difficult to pass stool. 1 Nerves may function less effectively and bowel tissue can lose the ability to stretch also making stool more difficult to pass. 5 Seniors dealing with mobility issues or conditions requiring bedrest face changes in bowel habits resulting from inactivity. Disease processes such as Parkinson’s, endocrine disorders, diabetes mellitus, or stroke are also associated with constipation.7

Does diet play a role?  Poor diet or lack of adequate hydration and fiber can play a significant role in the development of constipation. Fiber is found in fruits, vegetables and whole grains. Adding fiber to your diet softens and adds weight to food waste, resulting in bulky, easy to pass stool. Consuming “fast” food or heavily processed food can lead to constipation since these foods are usually lacking in fiber, which is vital for bowel health.3 Healthy diets should contain about 25-30 grams of fiber daily. Adequate fluid intake keeps stool soft and easy to pass. Consuming 8 glasses of water per day can decrease the likelihood of constipation. 6 Adequate fiber and fluid intake may be difficult to achieve in the senior population without assistance from caregivers to promote a healthy diet.2

Do medications play a role?  Opioid pain medications, antacids with calcium, antidepressants, iron supplements, anti-parkinsonian drugs, diuretics and antispasmodics are some of the medications that can result in constipation. Many of these medications are necessary for the health of seniors and their use cannot be avoided.6

Won’t laxatives fix the problem? Laxatives may be used to relieve occasional constipation. Overuse of laxatives to treat constipation may result in poor tone in the intestinal muscles. These muscles become “lazy” and unable to function independently. 2 Americans spend nearly $22 million on laxatives each year. Overall cost to treat constipation is estimated to be $1 billion dollars annually.2

What is your normal?  Bowel movements give significant insight to overall health status. The Bristol Stool chart is an easy to use guide to determine how “normal” you are. Types 3, 4 or 5 are considered normal. Sudden changes in bowel habits not associated with factors known to cause constipation can be indicators of serious health concerns.4

DermaRite FiberHeal™ Liquid Fiber Supplement assists in maintaining good bowel health. It combines the stool-softening effects of fiber with all-natural sorbitol, which aids in gentle elimination without diarrhea. FiberHeal has the added benefit of FOS (fructooligosaccharides) to promote the growth of beneficial intestinal bacteria. As part of a healthy diet, FiberHeal helps maintain regularity, reducing dependence on harsh laxatives, and helps maintain lower cholesterol levels and supports blood sugar control. FiberHeal provides 15 grams of fiber in a great tasting one ounce dose. The sugar-, lactose- and gluten-free formula is compatible with most diets.

References

  1. Aging and Digestive Health. Retrieved January 18, 2017, from http://www.webmd.com/digestive-disorders/features/digestive-health-aging#1
  2. Evaluating and Managing Constipation in the Elderly, David A. Ginsberg, MD; Sidney F. Phillips, MD; Joyce Wallace, MSN, CRNP, APRN-BC; Karen L. Josephson, MD Urol Nurs. 2007;27(3):191-200, 212.
  3. Did everything come out okay? Senior bowel issues. Retrieved January 18, 2017, from http://www.eldercarelink.com/Other-Resources/Health/understanding-senior-bowel-issues.htm
  4. http://articles.mercola.com/sites/articles/archive/2014/03/10/bowel-movements-segmentation.aspx
  5. http://www.aboutincontinence.org/incontinence-and-aging.html
  6. Cashin-Garbutt, A. (2013, March 20). Drugs that Cause Constipation. Retrieved January 18, 2017, from http://www.news-medical.net/health/Drugs-that-Cause-Constipation.aspx
  7. Constipation in the Elderly. Retrieved January 18, 2017, from http://www.thedoctorwillseeyounow.com/content/aging/art2080.html

Deeper Dive

Want to learn more about this topic? In addition to the reference links above, here are some great articles and resources that you can explore.

  1. Gainer, C. Bowel Habits and Aging. Retrieved January 30, 2017, from http://www.muschealth.org/healthy-aging/august-2014/index.html
  2. Strategies for Establishing Bowel Control. Retrieved January 30, 2017, from http://www.aboutconstipation.org/bowel-retraining.html
  3. Constipation And Laxatives – Are You Aware of the Dangers? Retrieved January 30, 2017, from http://www.poopdoc.com/articles/constipation-and-laxatives-dangers.htm
  4. Bostock,N., Kelly, A., (2011) Help for people who care for someone with bladder or bowel problems. Retrieved January 20, 2017 Department of Health and Aging website: http://www.bladderbowel.gov.au/assets/doc/ContinenceCarers.html
Posted in Articles, Clinical Insights Newsletter

The Results Are In – Healing Never Tasted This Good!

An independent taste test conducted on November 8, 2016 revealed that over 70% of participants preferred the taste of ProHeal™ Liquid Protein Supplement when compared to the leading brand.

The blind taste test comparison occurred on 11/8/16 in a dining room of a post-acute care setting using a sample of convenience that included 20 residents and 5 staff members. The residents were from assisted living, long-term care and rehabilitation. All participants were informed of the taste trial for the 2 cherry flavored products (ProHeal™ and ProStat SF®). No food allergies were reported. The facility’s staff conducted the trial and no manufacturer representative was present during the taste test. The samples were unlabeled and the identities of the products were known only to the testers. The subjects reported their preference based on taste after sampling both products.

Results:  

Staff reported preference (n=5):  Prostat=1 (20%); ProHeal=4 (80%).

Residents reported preference (n=20):  Prostat=5 (25%); ProHeal=14 (70%); no preference=1 (5%). Statistical analysis using one sample t-test between the percents shows a statistically significant (p=.031) difference in test preference in favor of ProHeal.

Cumulative staff & residents (n=25):  Prostat=6 (24%); ProHeal=18 (72%); no preference=1 (4%). Statistical analysis using one sample t-test between the percents shows a statistically significant (p=.010) difference in test preference in favor of ProHeal.

This product has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Click here for more information

Posted in Press Release

Palliative Wound Care

Palliative Wound CarePalliative care is defined by the World Health Organization (WHO) as an “approach that improves quality of life in patients and their families facing the problems associated with life-threatening illnesses”. 1 Palliative care focuses on prevention and relief from suffering, providing pain control, spiritual support and symptom control, done with respect for cultural differences and individual needs. Care decisions should be made through a process that involves open dialogue between patient, family and caregivers. 1

What do we know about wounds that occur at end of life?     

The skin is the largest organ of the body and is vulnerable to wound development when the organs begin to fail. End of life wounds include pressure injury, ischemic wounds and Kennedy ulcers. 3 In 2009, Skin Changes at Life’s End (SCALE) was a concept introduced to describe end of life wounds. 4 These ulcers are considered unavoidable especially in immobile patients at the end of life. Management of wounds should focus on patient comfort and minimizing the impact of the wound on quality of life, not necessarily healing wounds. 2 However, palliative care does not imply less care or lack of care, but may change the focus to more emphasis on patient comfort and prevention of new ulceration formation. 2

Where does wound care begin?   

As for any patient, good skin and wound care begins with a comprehensive assessment including a risk assessment, and wound assessment. 2 These individuals will also require a comprehensive pain assessment and discussion of quality of life and personal choices. Care should be coordinated between the patient, family and caregivers with the patient’s comfort taking precedence.

How to manage pain and exudate?

Wound pain is often experienced during dressing changes.   The wound surface is fragile, and adherent dressings or crusted, dry exudate can be traumatic to the wound during dressing removal and result in significant pain for the patient. 3 Gauze dressings have been found to be more painful due to granulation tissue growing through the porous gauze material evoking pain and trauma with

dressing changes. 3 Careful selection of dressings and utilization of dressing material such as silicone, foam, alginate or hydrocolloid dressings will help to manage exudate and control pain.

Are there other concerns?

Odor from wounds can have a significant impact on the quality of life for the patient.  Odors can increase patient stress and embarrassment, resulting in depression and a decreased quality of life. 1 Odors are often a result of increased bacteria in the wound or wound dressing. When odor persists, antibiotic therapy or dressings designed to reduce microbial contamination may be needed. Dressings with silver have been found to be effective in reducing odor producing microbes in the wound environment. 3

How can DermaRite help?

DermaRite’s skin and wound care products help caregivers meet the needs of even the most challenging wound conditions. DermaGinate, our calcium alginate dressing line, is designed for moderate to highly exuding wounds.  DermaGinate conforms easily to the wound bed and acquires a soothing gel-like consistency when in contact with moisture and exudate, yet maintains its integrity for ease in dressing removal. DermaGinate AG contains silver to protect against microbial contamination of the dressing, minimizing odor. Both DermaGinate and DermaGinate AG are available in pad and rope forms.

Learn More About Calcium Alginate Dressings >

  1. Burt T. Palliative care of pressure ulcers in long-term care. Annals of Long-Term Care: Clinical Care and Aging. 2013; 21(3):20-28.
  2. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers:  Clinical Practice Guideline.  Emily Haesler (Ed.) Cambridge Media: Perth, Australia 2014
  3. Palliative wound care management strategies for palliative patients and their circles of care. Clinical Management, 283, 130-141.
  4. Krasner, D. (2015, 04). SCALE wounds: unavoidable pressure injury. medscape.com. Retrieved 10, 2016, from http://www.medscape.com/viewarticle/844514

Deep Dive

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Posted in Articles, Clinical Insights Newsletter

FDA Bans Antimicrobial Soaps – What Does It Mean For You?

The U.S. Food & Drug Administration (FDA) published a final ruling last week regarding Consumer Antiseptic (antimicrobial)Washes. As a manufacturer of antiseptic hand and body washes, DermaRite would like to address this ruling and assure you that you can continue to use any of our hand and body washes as usual.

Women washing hands in white sink good suds

THE RULING

The FDA presented a Proposed Rule on Consumer Antiseptic (Antimicrobial) Washes in December of 2013. Following several years of research and consultation with manufacturers and industry leaders, the FDA has concluded that “there isn’t enough science to show that over-the-counter (OTC) antibacterial soaps are better at preventing illness than washing with plain soap and water. To date, the benefits of using antibacterial hand soap haven’t been proven. In addition, the wide use of these products over a long time has raised the question of potential negative effects on your health.”[1]

As a result, the FDA is banning the use of 19 active ingredients commonly used as antibacterial agents in consumer hand and body washes that are used with water. Manufacturers have one year to remove these ingredients from their products.

WHAT YOU NEED TO KNOW

  • This final ruleapplies to consumer antiseptic wash products containing one or more of 19 specific active ingredients, including the most commonly used ingredients – triclosan and triclocarban. These products are intended for use with water, and are rinsed off after use.
  • This rule does not affectconsumer hand sanitizers or wipes intended to be used without water.
  • This rule does not affect antibacterial products used inhealth care settings.[2]
  • DermaRite hand and body washes do not contain the active ingredients banned by the FDA.

Hygiene. Cleaning Hands. Washing hands.
WHAT YOU SHOULD DO

  • If you are a DermaRite customer, you can continue to use any of our hand and body washes as usual as they do not contain the active ingredients banned by the FDA.
  • Furthermore, if you are using handwashes in a healthcare setting, continue to follow accepted guidelines for hand hygiene, as the FDA’s ruling only applies to consumer hand and body washes.
  • Hand sanitizers are also not included in the FDA’s final ruling and can be used as usual for the time being.
  • In consumer settings, the FDA currently recommends practicing good hygiene by using plain soap and water.

Hand hygiene is one of the most important and most effective ways to reduce the spread of infectious diseases. It is important that healthcare facility staff maintain the highest standards for hand hygiene in order  to protect the health and safety of those under their care.

DermaRite offers a full line of hand hygiene products, including alcohol-based and non-alcohol hand sanitizers, and a wide range of hand and body washes. These products are FDA approved. This wide variety of products ensures that your facility can find the products that fit your individual needs.

For the latest guidelines and information regarding proper hand hygiene, you can visit the Center for Disease Control’s website at www.cdc.gov/handhygiene.

For more information regarding DermaRite products, please visit DermaRite.com or email us at info@dermarite.com

To learn more about the FDA’s ruling you can select one of the links below:

[1] Antibacterial Soap? You Can Skip It — Use Plain Soap and Water  http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm378393.htm

[2] FDA issues final rule on safety and effectiveness of antibacterial soaps http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm517478.htm

Posted in Press Release

Managing Pain with Dressing Changes

F-Tag 309 is a government regulation that deals with pain stating: “Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care”.  (1)

How does this relate to wound pain?  Pain related to wounds can be a result of day-to-day activities or dressing changes and wound procedures such as debridement.  The presence of a wound may stimulate pain pathways and increase transmission of pain impulses, resulting in wound pain. (3)    For some people, dressing changes can be times of extreme pain;   a 2004 French study noted that pain was experienced by 87% of patients during the dressing removal process.  (4)   Techniques to reduce, prevent and manage pain are necessary to maintain the highest physical, mental and psychosocial well- being of the patient.  Strategies for pain management begin with:

  • recognizing and predicting the instances of pain and when it is likely to occur
  • proper evaluation of existing pain
  • implementing treatments and techniques to manage and prevent pain (2)

Managing wound pain includes an assessment rating the intensity, quality, and location of pain.  In addition, non-verbal cues such as facial grimacing, guarding the area, restricted movement, noting if the pain radiates to other areas and factors that may aggravate or relieve pain are critical to a complete pain assessment.  The nonverbal resident presents additional challenges in pain assessment, so include input from primary caregivers related to previous wound pain when needed.   Residents that have experienced wound pain previously with dressing changes may anticipate pain and become tense and anxious, resulting in more pain at dressing change.  (3)  Treatment interventions to minimize dressing change pain include:

  • Explaining prior to the dressing change, what can be expected, and the interventions that will be used to minimize pain.
  • Using music, deep breathing techniques and relaxation exercises to reduce anxiety prior to dressing changes.
  • Utilizing products such as skin prep before applying adhesive dressings and practicing gentle techniques to avoid trauma when removing adhesive dressings and tape.
  • Avoid using plain gauze dressings, which are known to cause pain due to adherence of the dressing to the wound bed.
  • Administering prescribed medications for pain control then allowing adequate time for the medications to be effective before beginning dressing changes.
  • Selecting a dressing that suits the drainage level of the wound: hydrogels, alginates, or silicone dressings can  promote moisture balance,  minimize adherence and adhesive related skin stripping, which can decrease the occurrence of pain during dressing changes. (3)

DermaRite’s ComfortFoam self-adherent silicone foam wound dressings minimize the wound trauma and pain associated with dressing changes.  ComfortFoam Border and ComfortFoam Border Lite dressings include an adhesive border for superior adhesion and gentle removal.  ComfiTel is a silicone contact layer wound dressing that permits wound exudate to pass through to a secondary absorptive dressing, protecting the wound bed from trauma while providing comfort.  The ComfortFoam line of silicone products support moist wound healing and provide protection to fragile periwound tissue.  The foam dressings absorb exudate and insulate the wound bed.  ComfortFoam dressings and ComfiTel are not made with natural rubber latex.  ComfortFoam and ComfiTel should be part of your solution to reduce painful dressing changes for your residents.

References

  1. “Pain F-Tag (309).” Pain F-Tag (309). 07 July 2016. http://www.geriatricpain.org/Content/Resources/Regulations/Pages/PainF-Tag(309).aspx
  2. Swezey, L. “How to Decrease Pain Associated with Dressing Changes.” Http://www.woundsource.com/blog/how-decrease-pain-associated-wound-dressing-changes. Woundsource.com, 06 June 2013. Web. 7 July 2016.
  3. Browning, A. “Strategies to Reduce or Eliminate Wound Pain.” NursingTimes 110.15 (2014): 12-
  4. Nursingtimes.net. Web. 7 July 2016.
  5. Romanelli, M., and V. Dini. “Chapter 5 Assessment of Wound Pain at Dressing Change.” Web. 7 July 2016.

Deep Dive

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Posted in Articles, Clinical Insights Newsletter

Nurses Week

Dear Nurses,

I write to you as someone who understands your role, and truly appreciates it. As someone who understands your pain, and truly empathizes with you. As someone who understands how underappreciated you are at times, and truly wants to educate the world to change that.

On behalf of myself and my Dermarite family, I would like to thank you, from the bottom of our collective heart. We are proud to interact with you on a daily basis, to provide you with the very best in education on products and on the latest advances in skin and wound treatment, and to bring to market the products that make it easier for you to provide the expert and warm care that you give to your patients. I am humbled by the letters and emails that many of you have sent, thanking us for a job well done. In celebration of Nurses Week, I’d like to return that sentiment, and thank you for a job well done. The best products in the world are worthless without you there to apply them. It is only through your tireless care and huge hearts that we have been able to provide the tools to create the quintessential skincare, woundcare, and nutritional supplement formularies that have come to be known as the Dermarite product line.

Dermarite would like to thank you all. In celebration of Nurses Week, I’d like to send a token of appreciation to each of you. I ask that you please send an email to nursesweek@dermarite.com telling us about your favorite Dermarite product, or what you love about Dermarite in general, and I will be happy to send you a gift in recognition of Nurses Week (don’t forget to give your mailing address).

Sincerely,
Naftali
Naftali T. Minzer
President
DermaRite Industries

Posted in Press Release

Impact of Dehydration on Wound Healing

What is the role of water?
Water plays a vital role in our overall health and may be the most important nutrient of life. Roughly two-thirds of our body is comprised of water. Since the body is not capable of storing water, daily replacement of lost fluids is needed for cellular functions such as delivering nutrients and oxygen to the cells, removing waste products and toxins, lubricating joints, protecting the central nervous system, retaining acid base balance and maintaining adequate tissue temperature. (3) Sufficient oral intake of water is vital to these functions.  

What is one of the most common, unrecognized obstacles impacting successful wound healing?
If you answered dehydration you would be correct. More than 1/3 of America’s seniors do not consume enough water. (8) The human body can survive for weeks without food but will only exist a few days without water.   Simply, dehydration occurs when more water (fluid volume) is lost than is replaced. (6)   Dehydrated skin is known to be more fragile, less elastic and susceptible to wound occurrence. (2)

How are seniors affected?
Water intake in the senior population can be impacted by decreased sensation of thirst, fear of incontinence,   diminishing cognitive skills,   or physical limitations that inhibit their ability to pour and drink water, even when placed nearby.  Also, disease processes, medications, heavily draining wounds, illness involving fever, vomiting or diarrhea or decreased kidney function can negatively impact hydration in the this population. (5) Additionally, highly specialized air fluidized therapy beds used for persons with serious wounds or surgical repairs may increase the evaporation of body fluids requiring additional fluid intake. (7)  Drops in fluid volume of 1-2 % can trigger fatigue, while drops of 10% or more may severely impact all areas of health. (7)   The ability to heal wounds suffers because of decreased oxygenation, cellular communication, or electrolyte functions that negatively impact the ability of the wound to progress through the stages of wound healing. (1)

How can we help?
We can’t ignore the impact of diminished thirst in the aging population. Thirst is the mechanism to tell us our body is in need of fluid. (6) Unfortunately, the body can be 1 or 2 percent dehydrated before the thirst mechanism becomes active. The average water requirement for an adult is about 1,500 ml daily or eight 8 ounce glasses. More accurately, fluid needs should be based on weight; adults should consume 30 ml/kg of fluids per day. (2) Keep in mind that some fluids hydrate better than others, for example, those containing caffeine may have a diuretic effect. (7)  Some simple hydration tips include:

  • Keep drinks accessible
  • Provide straws or easy to remove capped lids
  • Offer assistance frequently when needed
  • Encourage consumption of water packed foods, such as jello, soup, fruit
  • Note personal preferences, ice or no ice, types of liquids, and flavors to encourage intake
  • Offer meals at preferred eating times
  • Encourage fruits and vegetables;   they are an important food source for hydration.

When using air fluidized beds, mitigate the risk of dehydration by consulting with the bed provider for training and support.

Optimize topical wound care
Keep dry wound beds hydrated with products that provide additional moisture, such as DermaRite’s DermaSyn products. DermaSyn Gel, DermaSyn Ag and DermaGauze are excellent options for meeting the needs of dry wound beds. DermaSyn and DermaSyn Gauze are water based gel formulas, enriched with vitamin E to donate moisture to a dry or minimally draining wound bed. DermaSyn Ag contains ionic silver to minimize microorganism growth. DermaSyn products promote an optimal moist wound environment, facilitate autolytic debridement and support new tissue development. Visit our website at www.dermarite.com to learn more about DermaRite products.

References

  1. Today’s wound care: a review.. (n.d.) >The Free Library. (2014). Retrieved Feb 23 2016 from http://www.thefreelibrary.com/Today%27s+wound+care%3a+a+review.-a019446345
  2. Wotton, Karen; Crannitch, Karina et al., Prevalence, risk factors and strategies to prevent dehydration in older adults. Contemporary Nurse : a Journal for the Australian Nursing Profession, December 1, 2008
  3. Water: The essential nutrient. Retrieved Feb 23, 2016 from http://swine.missouri.edu/nutrition/water.htm
  4. Dorner B., Creative nutrition: Solutions for failure-to-thrive patients. Aging Well
    3 No. 4 P. 8
  5. Borreli, L., Lack of drinking water, Retrieved Feb 22, 2016 from http://www.medicaldaily.com/pulse/lack-drinking-water-deteriorates-human-body-adverse-effects-dehydration-329640
  6. Batmanghelidi F., Optimal hydration. (2011) Retrieved Feb 23, 2016 from http://www.realfoodwholehealth.com/2011/04/optimal-hydration/
  7. The role of nutrition in tissue viability. (2007) Retrieved Feb.23, 2016 from http://www.woundsinternational.com/media/issues/217/files/content_182.pdf
  8. Older Americans do not drink enough water. (2002) Retrieved Feb. 22, 2016 from http://www.cnpp.usda.gov/sites/default/files/nutrition_insights_uploads/Insight27.pdf

Deep Dive

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Posted in Articles, Clinical Insights Newsletter

DermaRite Releases New Interactive Catalog App

DermaRite Releases New Interactive Catalog App Designed To Help Caregivers Navigate The Ever-Expanding Wound Dressing Landscape

March 2, 2016 – DermaRite recently released its Interactive Wound Dressing Selection Guide, a unique interactive catalog app that allows users to input a series of wound characteristics that generates a list of DermaRite dressings appropriate for that presentation. Available for iPhone, iPad, and Android, the guide is great for on-the-job reference or simply to learn more about DermaRite’s wound dressings.

Prompted by the ongoing expansion of DermaRite’s wound dressings catalog, the app was designed to help caregivers narrow down their options. “Most wounds can be treated with any one of multiple dressing choices that we provide,” points out Dr. Holly Korzendorfer PT, PhD, CWS, FACCWS, DermaRite’s VP of Clinical Business Development. “The Dressing Selection Guide helps users by displaying a list of appropriate options in order to accommodate individual and institutional preferences.”

The app was developed to ensure that as many wound care scenarios as possible were addressed. “Our app will help caregivers navigate our growing wound dressings catalog, and in turn support them to provide better care for persons with wounds,” says Dr. Korzendorfer.

Designed as an educational resource tool, the app is part of Healing In D.E.P.T.H.™ , DermaRite’s holistic skin and wound care program for facilities. Created to address the primary areas of skin and wound care, each of the program’s four steps supports the next, giving caregivers the tools they need to support healing from without and within.

To download the app for iPhone or iPad, visit iTunes at https://geo.itunes.apple.com/us/app/dermarite/id1056301580?mt=8. For Android, visit the Google Play store at https://play.google.com/store/apps/details?id=com.dermarite.dermarite. To learn more about DermaRite and the Healing In D.E.P.T.H. program, please visit their website at DermaRite.com.

Posted in Press Release

DermaRite: Introducing ComfortFoam™ Border Lite Thin Silicone Foam Dressing

January 28, 2016. DermaRite®, manufacturers of cost-effective advanced wound care, skin care and nutritional supplements for health and senior care facilities, is proud to introduce their ComfortFoam™ Border Lite dressings.

A slimmer, more conformable addition to their best-selling ComfortFoam line of silicone foam dressings, ComfortFoam Border Lite is an absorbent, self-adherent silicone foam island dressing consisting of a soft silicone contact surface, a thin flexible polyurethane foam pad and a vapor-permeable, moisture-proof outer film. ComfortFoam Border Lite’s gentle silicone adhesive sticks to surrounding skin but not to the wound bed, minimizing pain and the risk of damage to the periwound area.

“ComfortFoam Border Lite expands our silicone product line to address wounds with lower levels of drainage, offering greater choice to better meet the needs of those with fragile skin” indicates Dr. Holly Korzendorfer, PT, PhD, CWS, FACCWS, DermaRite’s Vice President of Clinical Business Development.

ComfortFoam Border Lite is showerproof and can be worn for several days depending on wound condition and exudate levels. It is ideal for a wide variety of low-to-medium exudating partial and full thickness wounds, including pressure ulcers, diabetic ulcers, arterial ulcers, venous ulcers, and traumatic wounds.

“As part of our Healing in D.E.P.T.H. program, we are committed to providing caregivers complete, holistic solutions to skin and wound care”, says Udi Mantel, DermaRite’s Director of Marketing. “Expanding the ComfortFoam line in response to customer feedback is just one way that we ensure our customers have the tools they need to heal from without and within.”

For more information about ComfortFoam Border Lite and DermaRite’s extensive line of high quality, affordable skin, wound care and nutritional products, please contact DermaRite at 1-800-337-6296 or visit their website at www.dermarite.com.

Posted in Press Release

Obesity and Wound Healing

Obesity is a national health concern impacting over 35% of our adult population above the age of 60.1 Obesity can be directly related to heart disease, stroke, type 2 diabetes and some cancers, but did you know that obesity also affects our ability to heal wounds?3

Several things occur as we gain weight. First, the demands on the circulatory system are stressed due to the increased amount of adipose (fat) tissue. The vascular system becomes overwhelmed and can’t supply the required oxygen and nutrients,   resulting in chronic inflammation.4  Decreased tissue oxygenation also negatively affects the ability of fibroblasts to produce collagen, a vital component for healing and wound tensile strength. 5

Secondly, the production of an important protein (adiponectin) decreases as girth increases, negatively influencing two vital components of wound healing. Adiponectin aids in stimulating angiogenesis (new blood vessel formation) as well as promoting the proliferation and migration of keratinocytes to close wounds. 5

Finally, we cannot assume that an obese person is well nourished and must have consideration for the fact that high calorie diets may be very deficient in nutrients. It is well known that an adequate supply of vitamins, minerals and protein are necessary for wound healing. 2 A proper assessment of the obese individual’s dietary requirements may reveal the need for protein supplements.

References:

  1. Adult obesity facts. CDC, 2015. http://www.cdc.gov/obesity/data/adult.html
  2. DHHS, AIM for a Healthy Weight, page 5. Available online:
    http://www.nhlbi.nih.gov/health/public/heart/obesity/aim_hwt.pdf[PDF-2.17MB]
  3. Holcomb, Valerie B & Keck, Victoria A & Barrett, J Carl & Hong, Jina & Libutti, Steven K & Nunez, Nomeli P. (n.d.). Obesity impairs wound healing in ovariectomized female mice. In vivo (Athens, Greece), 23. Retrieved from http://www.biomedsearch.com/nih/Obesity-impairs-wound-healing-in/19567384.html
  4. Obesity and Inflammation,   https://www.ncsf.org/enew/articles/articles-obesityandinflammation.aspx
  5. Pierpont YN, Phoung Dinh T, Salas R, et al. (2014). Obesity and surgical wound healing: A current review. ISRN Obesity. 2014. doi:10.1155/2014/638936.

Deep Dive

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Posted in Articles, Clinical Insights Newsletter