Objective:
To provide a synthesis of the best available, recent primary or secondary research evidence on early preventative activities taken to increase skin health, and reduce the incidence of facility-acquired skin tears and pressure ulcers (PUs) in community, residential and health-care institutions. To read the full article, log in using your MPFT NHS OpenAthens details.
It may be a fallacy to state that most pressure ulcers are preventable, as research typically fails to recognise that most NHS nurses do not work in a well-staffed and well-equipped work environment 24 hours a day, 7 days a week. This article acknowledges this and proposes disrupting the current workflow with a default intervention that reduces the risk of pressure ulcers forming, without creating more work for under-resourced staff. To read the full article, log in using your MPFT NHS OpenAthens details.
Almost one adult in 20 in the UK has a wound, while the NHS cares for 2.2 million people with wounds annually. Most of the people in the UK with a wound are managed in primary care by nurses (Guest et al, 2015). Some wounds, such as minor burns, cuts, abrasions and surgical wounds, heal quickly and with minimal intervention. However, over half of all wounds go on to become chronic, with approximately 39% of these failing to heal after 12 months (Vowden and Vowden, 2009). One of the basic tenets of evidence-based wound care is choosing the correct dressing. This article discusses the management of chronic wounds in the community and provides guidance for community nurses on choosing appropriate dressings. To read the full article, log in using your NHS OpenAthens details.
Hospital-acquired pressure ulcers (PU) continue to occur despite an ongoing focus on prevention. The aim of this review was to identify and evaluate primary research which links pressure ulcer risk assessment with prescription and implementation of preventative interventions for hospitalised adults. To read the full article, log in using your MPFT NHS OpenAthens details.
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
Why you should read this article:
To enable you to outline the various types and characteristics of moisture-associated skin damage
To understand the importance of preventing contact between the skin and excessive moisture
To identify the role of optimal skin care in the prevention and management of moisture-associated skin damage
To read the full article, log in using your MPFT NHS OpenAthens details.
In July 2018, the authors of this document met in the Royal Borough of Windsor to discus hard-to-heal wounds. The two-day meeting resulted in this consensus document....Over the two days, these questions and many others were examined at length. Here we are going to try and summarise the main points of this consensus. To read the full article, log in using your MPFT NHS OpenAthens details.
Products that provide a protective skin barrier play a vital role in defending the skin against the corrosive effect of bodily fluids, including wound exudate, urine, liquid faeces, stoma output and sweat. There are many products to choose from, which can be broadly categorised by ingredients. This article describes the differences in mechanisms of action between barrier products comprising petrolatum and/or zinc oxide, silicone film-forming polymers and cyanoacrylates, and compares the evidence on them. To read the full article, log in using your MPFT NHS OpenAthens details.
A nurse-led national wound care strategy aims to banish assumptions about ‘chronic’ wounds. To read the full article, log in using your MPFT NHS OpenAthens details.
A 48-year-old man suffered a cardiac event and was successfully resuscitated at home. He remained in vegetative state. During a lengthy hospital stay, he was weaned from mechanical ventilation and treated for urinary and pulmonary infections. On admission for aftercare, there were pressure ulcers in the presacral area and next to the scapula. A stage 3, right calf ulcer had a peripheral rim of new epithelium. A left ….... To read the full article, log in using your NHS OpenAthens details.
A new team from Shropshire Community Health NHS Trust has celebrated a successful first year by being shortlisted in the prestigious Nursing Times Awards.
Telford Wound Healing Service was established in April 2018 to improve the quality of life for patients living with chronic wounds.
‘Diabetic foot’ is a term used to describe a group of syndromes in which neuropathy and/or ischaemia lead to tissue breakdown and reduced resistance to infection in a patient with diabetes mellitus. Foot ulceration is a serious and potentially limb-threatening complication of diabetes that can lead to pain, tissue necrosis and amputation, and may significantly affect an individual’s well-being and mobility. To read the full article, log in using your MPFT NHS OpenAthens details.
The article discusses various issues related to wound debridement, and it mentions how to select the most suitable type of debridement for a patient, as well as wound healing and information about the removal of devitalised human tissue and slough. To read the full article, log in using your NHS OpenAthens details.
There is growing evidence that medical device-related pressure ulcers (MDRPUs) are an increasing healthcare concern. Prevention and management is complicated, as they are caused by devices that are often an essential part of treatment. All clinical staff have a duty of care to do no harm. Damage caused by medical devices is iatrogenic, that is, caused through treatment, and may be exacerbated by a lack of assessment and care. To read the full article, log in using your NHS OpenAthens details.
Understanding the differential diagnosis between moisture-associated skin damage (MASD) and pressure ulcers (PU) ensures appropriate management and interventions are instigated at the earliest opportunity.
To read the full article, log in using your NHS OpenAthens details.
Objective To explore pressure area related pain as a predictor of category ≥2 pressure ulcer (PU) development.
Conclusions This is the first study to assess pain as a predictor of category ≥2 PU development. In all 4 models, pain emerged as a risk factor associated with an increased probability of category ≥2 PU development. Open Access Article
J. Humrich, C. Bermel, M. Bunemann, L. Harmark, R. Frost, U. Quitterer, и M. Lohse. J Biol Chem, 280 (20):
20042-50(мая 2005)Humrich, Jan Bermel, Christina Bunemann, Moritz Harmark, Linda Frost,
Robert Quitterer, Ursula Lohse, Martin J In Vitro United States The
Journal of biological chemistry J Biol Chem. 2005 May 20;280(20):20042-50.
Epub 2005 Mar 2..
J. Humrich, C. Bermel, T. Grubel, U. Quitterer, и M. Lohse. J Biol Chem, 278 (7):
4474-81(февраля 2003)Humrich, Jan Bermel, Christina Grubel, Tobias Quitterer, Ursula Lohse,
Martin J United States The Journal of biological chemistry J Biol
Chem. 2003 Feb 14;278(7):4474-81. Epub 2002 Dec 3..
P. Jayakumar, и L. Di Silvio. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 224 (12):
1415-1440(2010)
C. Klenk, J. Humrich, U. Quitterer, и M. Lohse. J Biol Chem, 281 (13):
8357-64(марта 2006)Klenk, Christoph Humrich, Jan Quitterer, Ursula Lohse, Martin J Comparative
Study Research Support, Non-U.S. Gov't United States The Journal
of biological chemistry J Biol Chem. 2006 Mar 31;281(13):8357-64.
Epub 2006 Jan 18..