Journal of the American College of Certified Wound Specialists RSS feed: Current Issue. The Journal of the American College of Certified Wound Specialists is a multidisciplinary, peer-reviewed educational resource for wound care professionals espousing the principles of evidence-based medicine.http://www.jaccws.org/?rss=yesElsevier Inc.en © 2010 Published by Elsevier Inc. All rights reserved. Journal of the American College of Certified Wound Specialists1876-498321March 2010 © 2010 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.jaccws.org/article/PIIS1876498310000135/abstract?rss=yesEditorial Board10.1016/S1876-4983(10)00013-5Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9iihttp://www.jaccws.org/article/PIIS1876498310000147/abstract?rss=yesTable of Contents10.1016/S1876-4983(10)00014-7Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9iiiihttp://www.jaccws.org/article/PIIS1876498310000056/abstract?rss=yesDear Fellows of the College I am pleased to take over the reins of the College from the able leadership of Richard Simman. I know we all thank him for the past 2 years of advancement, including especially this journal. He will remain as editor-in-chief and on the board of directors as immediate past chair. I think the journal is off to a grand start and encourage all of you to submit articles to help make it the premier journal of evidence-based wound care.Letter from the ChairWayne Stuart10.1016/j.jcws.2010.04.002Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Editorial11http://www.jaccws.org/article/PIIS1876498310000068/abstract?rss=yesAs the year 2010 continues to progress, there undoubtedly will be many changes in the medical arena. Only time will tell what the health care reform bill holds in store for the medical profession. For those of us who work in an inpatient setting, change began in October 2008, when the Centers for Medicare and Medicaid Services (CMS) implemented its policy of nonpayment for hospital-acquired conditions. For those of us in wound care, the ruling on hospital-acquired pressure ulcers was of particular concern. I understand why CMS has shifted its focus from a passive payer to an active purchaser of value-based health services. This change was imperative to avoid procurement of unnecessary costs in a system that is already fiscally stressed, as well as to promote quality medical care. No patient deserves to be admitted to the hospital for a total knee replacement and leave with a preventable stage 4 sacral ulcer.Letter from the EditorKari Bechert10.1016/j.jcws.2010.04.003Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Editorial22http://www.jaccws.org/article/PIIS1876498310000081/abstract?rss=yesThe National Lymphedema Network (NLN) is proud to announce collaboration with the American College of Certified Wound Specialists (ACCWS) to cosponsor the 2010 Wound Care Preconference, which will be held during the NLN conference, September 21-26, 2010, in Orlando, Florida.The National Lymphedema Network Is Joining Forces With the American College of Certified Wound Specialists10.1016/j.jcws.2010.04.005Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Brief Communication33http://www.jaccws.org/article/PIIS1876498310000032/abstract?rss=yesAbstract: Air-fluidized support surface therapy has many drawbacks, such as dehydration, in an already difficult recovery for those wound patients who have undergone flap and graft surgery. In addition, patient care and handling are also problematic. Patients complain of discomfort, and the instability of the surface interferes with patient stability in side lying and semi-Fowler's positions. Alternative support surfaces can be considered for postflap or postgraft patients. Such technologies as alternating pressure, low-air-loss, and therapeutic nonpowered, advanced, and lateral rotation surfaces are widely used for pressure management in high-risk patients and those with existing pressure ulcers. These surfaces must be used within a total pressure ulcer management program that includes frequent turning and repositioning, skin and ulcer care according to evidence-based protocols, patient and caregiver instruction, nutrition, and offloading and positioning. The proposed recommendations require more research on the relative effectiveness of less expensive and more user-friendly support surfaces such as low-air-loss and nonpowered advanced support surfaces and is necessary in order to conclusively recommend one type of surface over another. However, at this time the available clinical studies and opinions remain positive.Use of Alternatives to Air-Fluidized Support Surfaces in the Care of Complex Wounds in Postflap and Postgraft PatientsCynthia A. Fleck, Laurie M. Rappl, Richard Simman, Virginia Titterington, Jill Conwill, Cathy Koerner, Pam Locke, Dawn Bechtold, Cathie Papantonio, Deborah P. Gray, Kathleen Lawrence10.1016/j.jcws.2010.02.002Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Review Article48http://www.jaccws.org/article/PIIS1876498310000044/abstract?rss=yesAbstract: Hyperbaric oxygen is a treatment in which a patient breathes 100% oxygen intermittently while inside a treatment chamber at a pressure higher than at sea level pressure (ie, >1 atm). In certain circumstances, it represents the primary treatment modality, whereas in others it is an adjunct to surgical or pharmacologic interventions. After reviewing all the scientific evidence available to date, the Undersea and Hyperbaric Medical Society, in its latest publication, Hyperbaric Oxygen Therapy Indications (12th ed.), recommends 13 indications for hyperbaric oxygen therapy. Several of these indications are related to our practice of wound care. The article discusses these indications in detail.Hyperbaric Oxygen TherapyJayesh Shah10.1016/j.jcws.2010.04.001Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Review Article913http://www.jaccws.org/article/PIIS187649831000007X/abstract?rss=yesAbstract: This article focuses on the pathophysiology of phlebolymphedema, as well as proper diagnosis and treatment. It is hoped that this article will improve care of patients in wound care clinics and motivate wound care physicians to consider adding care of lymphedema patients to their clinical practice.Phlebolymphedema–A Common Underdiagnosed and Undertreated Problem in the Wound Care ClinicWade Farrow10.1016/j.jcws.2010.04.004Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Review Article1423http://www.jaccws.org/article/PIIS1876498310000020/abstract?rss=yesMany patients have asked me about topical oxygen therapy and its indications, especially as opposed to standard hyperbaric oxygen therapy. What are the indications for this therapy, and is there good scientific evidence for its clinical use?Letters to the Editor10.1016/j.jcws.2010.02.001Journal of the American College of Certified Wound Specialists 2, 1 (2010)2010-03-01Journal of the American College of Certified Wound Specialists2010-03-0121S1876-4983(10)X0002-9Letters to the Editor2425