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https://www.readbyqxmd.com/read/28210817/-compression-therapy-of-chronic-leg-ulcers-practical-aspects
#1
J Dissemond, K Protz, J Hug, S Reich-Schupke, K Kröger
Compression therapy, together with modern moist wound treatment, is the basis for a successful conservative treatment of patients with chronic leg ulcers. In clinical practice, it is often the patients themselves who apply compression therapies. Many of the mostly elderly patients, however, are not able to reach their legs and feet due to movement restrictions, such as arthritis, arthrosis and even obesity. An adequate compression therapy also requires extensive experience and regular training. In practice only the minority of patients can perform bandaging well and therefore this should not be recommended...
February 16, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28198745/the-effect-of-oral-medication-on-wound-healing
#2
Jeffrey M Levine
GENERAL PURPOSE: The purpose of this learning activity is to provide information about the effects of oral medications on wound healing. 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. Identify oral medications that aid in wound healing...
March 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/28182536/prevalence-of-skin-tears-in-the-extremities-among-elderly-residents-at-a-nursing-home-in-denmark
#3
J Skiveren, B Wahlers, S Bermark
OBJECTIVE: The aim of the study was to determine the prevalence of skin tears in the extremities and explore factors in relation to skin tears in elderly residents at a Danish nursing home. METHOD: The study was designed as a point prevalence survey and conducted at a nursing home with 140 residents >65 years of age. The residents were assessed for presence, number and location of skin tears. Data were collected using a data collection sheet developed for this study...
February 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28177585/hospital-acquired-pressure-injuries-the-significance-of-the-advanced-practice-registered-nurse-s-role-in-a-community-hospital
#4
Candice Irvin, Elizabeth Sedlak, Christine Walton, Susan Collier, Esther I Bernhofer
BACKGROUND AND PURPOSE: Hospital-acquired pressure injuries (HAPIs) continue to be a persistent problem in the acute care arena. The purpose of this retrospective quality improvement study was to examine if the introduction of nurse practitioners (NPs), as wound care consultants (WCCs), without other interventions, impacted the HAPI rates in a community hospital. METHODS: A retrospective, comparison design was used; 48 months of HAPI data (May 2010-2014) reported on the monthly National Database for Nursing Quality Indicators (NDNQI) survey was abstracted from hospital records...
February 8, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28174666/erratum-to-education-in-wound-care-curricula-for-doctors-and-nurses-and-experiences-from-the-german-wound-healing-society-icw
#5
Karl-Christian Münter
[This corrects the article DOI: 10.1186/s40779-016-0094-1.].
2017: Military Medical Research
https://www.readbyqxmd.com/read/28160959/wound-infections-in-critical-care
#6
REVIEW
Jean E Cefalu, Kendra M Barrier, Alison H Davis
Patients admitted to critical care units are at high risk for increased morbidity and mortality from skin and deep wound infections. Despite considerable progress, wound healing remains a challenge to many clinicians. Nurses working in critical care environments need to understand the anatomic and physiologic basis for wound healing, distinguish wound inflammation from wound infection, recognize the presence of biofilms, and implement evidence-based wound care in order to promote successful outcomes in this patient population...
March 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28157774/a-home-care-practice-scenario-using-clinical-dashboards
#7
Seonah Lee, Trish Huebner
Portable electronic medical records used by home care nurses do not provide well-organized displays of previous documentation regarding patient care. The retrieved information is in a disorderly format; therefore, clinicians have to manually organize necessary information from multiple screens. This article describes the development of clinical dashboards to present key information necessary for individual patient care; a scenario using the clinical dashboards; and home care nurses' perceptions of the clinical dashboards...
February 2017: Home Healthcare Now
https://www.readbyqxmd.com/read/28153055/high-prevalence-of-skin-and-wound-care-of-hospitalized-elderly-in-brazil-a-prospective-observational-study
#8
Carleara Ferreira da Rosa Silva, Rosimere Ferreira Santana, Beatriz Guitton Renaud Baptista de Oliveira, Thalita Gomes do Carmo
BACKGROUND: Skin changes caused by aging increase the risk of skin damages, such as pressure ulcers, during hospitalization of elderly patients. There is few information about the cost of wound treatment in Brazil. Conversely, skin and wound problems are highly reported among hospitalized elderly patients and caregivers. The purpose is to analyze the socio-demographic and clinical profile associated with skin and wound care in hospitalized elderly. METHODS: This is a prospective observational study...
February 2, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28148442/-a-telemedicine-consultation-in-the-framework-of-a-wound-and-wound-healing-network
#9
REVIEW
Sabine Perrier-Bonnet
I: n Languedoc-Roussillon, the Domoplaies telemedicine project provides support to nurses experiencing difficulties with the treatment of a wound at home or in a health institute. Thanks to new communication and information technologies, doctors and nurses with expertise in wounds and wound healing can offer individualised care management.
August 2016: Revue de L'infirmière
https://www.readbyqxmd.com/read/28148421/-e-health-benefiting-wounds-and-healing
#10
REVIEW
Laurent Klein
The treatment of wounds forms a major part of nurses' practice in patients' homes. The choice of dressing requires real expertise drawing notably on collaborative approaches and the sharing of the patient's records. Based on this observation, Laurent Klein, a private practice nurse, designed and developed an e-health tool aimed specifically at the treatment of wounds. A real nursing success story which has helped to improve the quality of care.
October 2016: Revue de L'infirmière
https://www.readbyqxmd.com/read/28116797/a-multidisciplinary-infection-control-bundle-to-reduce-the-number-of-spinal-cord-stimulator-infections
#11
Erlangga Yusuf, Sven Bamps, Bénédicte Thüer, Jan Mattheussen, Jean-Paul Ursi, Elke Del Biondo, Kris de Smedt, Raf Van Paesschen, Dirk Berghmans, Kaat Hofkens, Jef Van Schaeren, Tony van Havenbergh, Bruno Van Herendael
OBJECTIVE: To investigate the effect of a quality improvement project that resulted in an infection control bundle to reduce the number of spinal cord stimulator (SCS) infections. MATERIALS AND METHODS: The study was performed in a single center for neuromodulation from January 1, 2014, through May 31, 2016. In response to a high number of surgical site infections (SSIs) after SCS surgery, a multidisciplinary team analyzed the surgical process and developed an infection prevention bundle consisting of five items: 1) showering and decolonization for five days prior to surgery and showering in the hospital on the morning of surgery; 2) performing the SCS implantation as the first in the daily operating room (OR) program; 3) maintaining a minimal number of people in the OR; 4) providing home care nurses with a folder with SCS wound care instructions including pictures; 5) giving oral specific wound care instructions to patients...
January 24, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/28106637/educating-nurses-in-the-united-states-about-pressure-injuries
#12
Elizabeth A Ayello, Karen Zulkowski, Elizabeth Capezuti, Wendy Harris Jicman, R Gary Sibbald
GENERAL PURPOSE: To provide information about the current state of educating nurses about wound care and pressure injuries with recommendations for the future. 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...
February 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/28103161/nurses-practice-in-preventing-postoperative-wound-infections-an-observational-study
#13
S Ding, F Lin, A P Marshall, B M Gillespie
OBJECTIVE: Surgical site infections (SSIs) are serious postoperative complications that may lead to undesired patient outcomes. Previous research has used survey and chart audit methods to describe wound care practices. However, little research has been published using contemporaneous observations to describe the surgical wound management practices of nurses. The aim of this study was to prospectively describe surgical nurses' postoperative wound care practices and the extent to which observed surgical wound practices aligned with evidence-based guideline recommendations...
January 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28074757/advanced-practice-nurse-transitional-care-model-promotes-healing-in-wound-care
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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