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https://www.readbyqxmd.com/read/28074757/advanced-practice-nurse-transitional-care-model-promotes-healing-in-wound-care
#1
Carole Mackavey
: Optimally, transition in health care should be seamless and incorporate a well-thought-out patient-centered discharge plan; yet, many hospitalized patients are unprepared for discharge, thereby compromising patient safety and quality of care. Transition of care should include a broad range of time-limited services designed to ensure health care continuity to avoid poor outcomes among at-risk populations. This case study demonstrates that advanced practice nurses (APNs) are in the perfect position to bridge the existing gap, reduce readmissions, and improve patient health...
September 1, 2016: Care Management Journals: Journal of Case Management ; the Journal of Long Term Home Health Care
https://www.readbyqxmd.com/read/28072636/accelerated-discharge-protocol-for-posterior-spinal-fusion-patients-with-adolescent-idiopathic-scoliosis-decreases-hospital-postoperative-charges-22
#2
Austin E Sanders, Lindsay M Andras, Ted Sousa, Cathy Kissinger, Giovanni Cucchiaro, David L Skaggs
STUDY DESIGN: A retrospective study of consecutive patients. OBJECTIVE: The purpose of this study was to determine implementing an accelerated protocol could decrease our average hospital stay and what impact this had on postoperative pain management. SUMMARY OF BACKGROUND DATA: To our knowledge, no prior studies have reviewed the effect of an accelerated discharge protocol on postoperative pain control for adolescent idiopathic scoliosis (AIS) following posterior spinal fusion...
January 15, 2017: Spine
https://www.readbyqxmd.com/read/28060000/embracing-the-concept-defining-the-practice-and-changing-the-outcome-setting-the-standard-for-medical-adhesive-related-skin-injury-interventions-in-woc-nursing-practice
#3
Stephanie Yates, Laurie McNichol, Steven B Heinecke, Mikel Gray
Medical adhesive-related skin injury (MARSI) is a comparatively new category of skin damage. Our current understanding of MARSI originates from an interdisciplinary consensus conference held in 2012 that generated and disseminated 25 statements pertaining to the assessment, prevention, and management of MARSI, along with gaps in research and knowledge related to this area. The 2012 MARSI Consensus Group also challenged each organization to refine the original statements to make them more relevant to their particular area of practice...
January 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28054925/the-wound-trend-scale-a-retrospective-review-of-utility-and-predictive-value-in-the-assessment-and-documentation-of-lower-leg-ulcers
#4
Noreen A Campbell, Donna L Campbell, Andrea Turner
Wound assessment is essential to manage wound care. The Wound Trend Scale (WTS) is a paper-and-pen instrument comprised of 14 parameters designed to guide assessment of findings relevant to lower leg ulcer management and includes an infection screen and cues for physician consultation. To determine its clinical utility, predictive value, and reliability, data were retrospectively analyzed from a random sampling of medical records of patients seen at a Foot and Leg Clinic between January 1, 2007 and December 31, 2008...
December 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27984273/older-adults-falls-and-skin-integrity
#5
Catherine Cheung
GENERAL PURPOSE: To provide an overview of the assessment and management of risk factors for falls in older adults. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant should be better able to:1. Outline the components of an evidence-based falls assessment and identify risk factors for falls...
January 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27984272/association-of-sociodemographic-factors-with-spirituality-and-hope-in-patients-with-diabetic-foot-ulcers
#6
Geraldo Magela Salomé, Sergio Aguinaldo de Almeida, Bruno Mendes, Maiume Roana Ferreira de Carvalho, José Carlos Bueno, Marcelo Renato Massahud, Lydia Masako Ferreira
OBJECTIVE: To evaluate levels of spirituality and hope in patients with diabetic foot ulcers (DFUs) according to sociodemographic factors. DESIGN: This was a primary, prospective, descriptive, analytical, and clinical study. Questionnaires assessing sociodemographic and clinical characteristics of the patients, the Spirituality Self-rating Scale (SSRS), and the Herth Hope Index (HHI) were administered to all participants. SETTING: University-affiliated skilled nursing center and outpatient wound care clinic in Pouso Alegre, Brazil...
January 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27982488/effects-of-a-surgical-ward-care-protocol-following-open-colon-surgery-as-part-of-an-enhanced-recovery-after-surgery-programme
#7
BoYeoul Kim, SungHee Park, KyuJoo Park, SeungBum Ryoo
AIMS AND OBJECTIVES: To investigate the effects of a standardised care protocol as part of an enhanced recovery after surgery programme on the management of patients who underwent open colon surgery at the University Hospital, South Korea. BACKGROUND: Patients who undergo open colon surgery often have concerns about their care as they prepare for hospitalisation. By shortening hospital stay lengths, enhanced recovery after surgery programmes could reduce the number of opportunities for patient education and communication with nurses...
December 16, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27956892/differences-in-the-working-pattern-among-wound-ostomy-and-continence-nurses-with-and-without-conducting-the-specified-medical-act-a-multicenter-time-and-motion-study
#8
Yukie Sakai, Tomoe Yokono, Yuko Mizokami, Hiromi Sanada, Mayumi Okuwa, Toshio Nakatani, Junko Sugama
BACKGROUND: To overcome the shortage of medical care delivery in the rapidly aging Japanese society, the Ministry of Health, Labour and Welfare in 2010 started to train the nurses to be able to conduct the specified medical acts. The Japanese Nursing Association conducted the educational program to train the wound, ostomy, and continence nurses for the specified medical act of wound care. However, the difference between wound, ostomy, and continence nurses who conducted the medical act and those who did not was not clear...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27922784/venous-leg-ulcers-appropriate-diagnosis-and-evidence-based-treatment
#9
Linda Nazarko
Each year around £3.3 billion is spent on wound care in the community. Community nurses care for around 730 000 with leg ulcers each year and around 284 000 people still have a leg ulcer after a year. This article explores the issue of hard to heal leg ulcers and what community nurses can do to improve healing rates and improve quality of life for people with leg ulcers.
December 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27897731/crosses-laid-at-field-of-remembrance-to-honour-nurses-sacrifice-in-conflict
#10
(no author information available yet)
RCN president Cecilia Anim and council member Gordon Lees, pictured, honoured nurses killed in conflicts around the world, or who cared for the wounded, by laying crosses at the Field of Remembrance at Westminster Abbey.
November 16, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27893508/best-practices-for-pressure-ulcer-prevention-in-the-burn-center
#11
Julia Warner, Mary Ann Raible, Gina Hajduk, Jacqueline Collavo
The State of Pennsylvania Hospital Engagement Network, in collaboration with a hospital system in Southwestern Pennsylvania, established a goal of reducing hospital-acquired pressure ulcers by 20%. A 6-month unfavorable trend of nurse-sensitive clinical indicators called for immediate process improvement. A retrospective chart review resulted in identification of predominant risk factors placing the burn patient at high risk for pressure ulcer formation. Implementations of pressure ulcer prevention measures were inconsistent...
January 2017: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/27889623/training-needs-of-clinical-nurses-at-an-university-hospital-in-turkey
#12
Emine Kol, Emine İlaslan, Mehtap Turkay
The learning needs of clinical nurses should be determined and evaluated at regular intervals for evaluate the continuity and the efficiency of education. The descriptive study was conducted to determine the training needs of nurses working in an educational hospital between February 1st 2012 and May 1st 2012. It was determined that, among the training topics related to patient care, those demanded the most were cardio-pulmonary resuscitation, fluid-electrolyte balance, safe drug administration and wound Care...
November 16, 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27881691/a-mobile-application-for-wound-assessment-and-treatment-findings-of-a-user-trial
#13
Young Joon Jun, Donghyeok Shin, Whan Jun Choi, Ji Hyeon Hwang, Hoon Kim, Tae Gon Kim, Hyo Bo Lee, Tae Suk Oh, Hyun Woo Shin, Hyun Suk Suh, A-Young Lee, Joon Pio Jp Hong
The D+Wound Solution is a mobile phone application (app) that assists users in the assessment and treatment of the wound. The app has 6 components for assessment: need for debridement, infection control, revascularization, and exudate control; whether it is chronic; and finally, the top surface of the skin. These components are named D.I.R.E.C.T. The app makes you review these components as an algorithm to provide a reasonable solution for dressing. It is designed to understand the status of the wound and provide a practical treatment idea for wound care providers...
November 23, 2016: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/27878785/lesions-requiring-wound-management-in-a-central-tertiary-neonatal-intensive-care-unit
#14
Angéla Meszes, Gyula Tálosi, Krisztina Máder, Hajnalka Orvos, Lajos Kemény, Zsanett Renáta Csoma
BACKGROUND: Most of the skin disorders that occur in neonatal intensive care units are due in part to the immaturity and vulnerability of the neonatal skin. Various iatrogenic diagnostic and therapeutic procedures are also conducive to iatrogenic damage. This study was to review the neonates admitted to our neonatal intensive care unit who needed wound management, and to assess the most common skin injuries and wounds, and their aetiology. METHODS: Data were extracted from medical records of neonates who needed wound management in our Neonatal Intensive Care Unit between January 31, 2012 and January 31, 2013...
November 23, 2016: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/27849283/social-repercussions-experienced-by-elderly-with-venous-ulcer
#15
Aline Cristiane de Sousa Azevedo Aguiar, Dora Sadigursky, Lucas Amaral Martins, Tânia Maria de Oliva Menezes, Alana Libânia de Souza Santos, Luana Araújo Dos Reis
Objective: Understand the social consequences experienced by elderly affected by venous ulcers. Methodology: descriptive and exploratory study with a qualitative approach carried out in 2012 with eight participants at a physiotherapy clinic in the state of Bahia. Data was collected through semi-structured interviews and analyzed through Bardin's thematic content analysis. Results: They showed that elderly patients with venous leg ulcers have become victims of prejudice, discrimination and have experienced embarrassment and shame in their daily routines because of the chronic wounds in their bodies, which makes than different from other people...
October 31, 2016: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/27846030/efficacy-of-monitoring-devices-in-support-of-prevention-of-pressure-injuries-systematic-review-and-meta-analysis
#16
Gurjot S Walia, Alison L Wong, Andrea Y Lo, Gina A Mackert, Hannah M Carl, Rachel A Pedreira, Ricardo Bello, Carla S Aquino, William V Padula, Justin M Sacks
GENERAL PURPOSE: To present a systematic review of the literature assessing the efficacy of monitoring devices for reducing the risk of developing pressure injuries. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After participating in this educational activity, the participant should be better able to:1...
December 2016: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27827283/evaluation-of-the-assessment-and-documentation-of-chronic-wounds-in-residential-social-care-in-the-czech-republic
#17
S Saibertová, A Pokorná
OBJECTIVE: Accurate evaluation of non-healing, chronic wounds followed by the selection of an appropriate therapeutic strategy is a must for the foundation of health-care management. Assessment of non-healing chronic wounds in clinical practice in the Czech Republic is not standardised in acute care settings or in residential social care facilities. The aim of the study was to analyse the methods being used to assess non-healing, chronic wounds in residential social services in the Czech Republic, where more patients with chronic wounds are present because of the increasing incidence of wounds in old age...
November 2, 2016: Journal of Wound Care
https://www.readbyqxmd.com/read/27811584/get-the-picture-a-pilot-feasibility-study-of-telemedical-wound-assessment-using-a-mobile-phone-in-cardiology-patients
#18
John de Heide, C J Vroegh, T Szili Torok, R J J Gobbens, F Zijlstra, M Takens-Lameijer, M J Lenzen, S C Yap, W J M Scholte Op Reimer
BACKGROUND: Postprocedural complications after elective cardiac interventions include hematomas and infections. Telemedical wound assessment using mobile phones with integrated cameras may improve quality of care and help reduce costs. AIMS: We aimed to study the feasibility of telemedical wound assessment using a mobile phone. The primary aim was the number of patients who were able to upload their pictures. Secondary aims were image interpretability, agreement between nurse practitioners, and patient evaluation of the intervention...
November 2, 2016: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/27808608/assessment-and-management-of-patients-with-minor-traumatic-wounds
#19
Joseph Bonham
Patients with minor traumatic wounds are a common and universal presentation to emergency departments, and their assessment and management requires the use of cognitive and motor skills. Knowledge of anatomy and physiology, combined with decision-making skills, are essential for clinicians to undertake a thorough assessment, develop a care plan and provide effective wound management. This article discusses the importance of wound irrigation and debridement, as well as different methods available for wound closure...
October 19, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27799445/the-case-for-end-user-involvement-in-design-of-health-technologies
#20
Léonie Walker, Jill Clendon
This paper reports a subset of data from a mixed methods project interviewing community nurses and nurse leaders/managers to explore the views, expectations, practice and attitudes of registered nurses working in the community concerning electronic health records and the use of mobile devices. Nurses displayed excellent understanding of privacy and consent concerning electronic patient records and health information technology (e-health). With targeted, individualised education, nurses use e-health and telehealth effectively...
December 2016: Journal of Telemedicine and Telecare
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