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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.
Management of patients with VLUs can be cyclical and lifelong, which highlights the importance of helping patients to understand the rationale for management strategies so that cooperation in self-care is achieved. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
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The second in this four-part series exploring leg ulcer management and understanding compression therapy examines the role of assessment as the basis for optimal clinical practice. The authors explore how the findings of thorough assessment can influence treatment choice. 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.
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The aim of this study is to: (a) develop and evaluate a model to predict severe pain during wound care procedures (WCPs) so that high‐risk patients can be targeted for specialized dressings and preventive pain control; and (b) identify biological factors associated with severe pain during WCPs so that novel pain control strategies can be developed.. To read the full article, log in using your MPFT NHS OpenAthens details. SSOTP (legacy account) - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Objectives
To assess the effects of (1) dressings and (2) topical agents for healing venous leg ulcers in any care setting and to rank treatments in order of effectiveness, with assessment of uncertainty and evidence quality.
Smoking is known to have a deleterious effect on health in general and on wound healing in particular. Poor oxygenation and the impact of the impurities contained in cigarette smoke interfere with wound healing. It is the role of the nurse when caring for a person with a wound to treat them in a holistic manner, which includes encouraging and supporting patients who smoke to stop doing so. This paper looks at the evidence surrounding disrupted wound healing in patients who smoke and identifies why nurses should help them quit. It also identifies some of the strategies nurses might employ to aid smoking cessation.
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The article discusses prevention and management strategies for the treatment of pressure ulcers that occur in the heel of the foot. It provides information on offloading methods of preventing pressure on the Achilles tendon, pressure redistribution surfaces, and prophylactic treatments such as dressings, creams, and barriers.
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The author reflects on research and focus dedicated to improving the diagnosis and treatment of leg ulcers. She discusses the need for attention on leg ulceration both at a national and local level in England's medical services sector in order to provide the most effective treatment for patients.
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Lower limb cellulitis is a common acute medical condition that results in a large number of hospital admissions
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This article discusses the assessment and treatment of non-healing chronic wounds. It examines the normal wound-healing process and the management of chronic wounds, including advanced interventions such as electrical stimulation therapy, negative pressure wound therapy and various dressings.
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To read the full article, log in using your SSSFT NHS OpenAthens details. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
This study aims to assess whether a clinician reviewing photographs of a wound was an acceptable substitute for clinical review in order to identify or exclude surgical site infection (SSI).
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This article, the first of two, summarises a study that explored the lived experiences of patients with leg ulcers and the impact of this condition on their quality of life. The study had four study phases; phases 1 and 2 employed qualitative methods and are reported here. Initially, unstructured interviews were held; these revealed significant issues for the patients including the dominance of pain, issues relating to exudate and odour, social isolation and psychological effects.
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Identifying wound infection can be challenging for clinicians, particularly in the chronic wound where infection may not always present itself as it does in acute wounds. The management of infected wounds can be complicated. Managing multiple symptoms and recognising these as being due to infection is not always straightforward and relies on the practitioner's knowledge and skills.
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Open access. Pressure injuries are problematic to health systems throughout the world, significantly harming over 7 million patients and adding extraordinary costs. The USA, for instance, experiences more than 2.5 million pressure injury cases per year which cause over 60 000 deaths—that is more than car accident fatalities in the USA—and cost the health system at least $9–$11 billion.1 The UK is no less affected by 700 000 cases per year that result in 27 000 deaths and cost the National Health Service (NHS) an estimated £1.4–£2.1 billion.2
R. Frotscher, and M. Staat. 4th International Conference on Computational and Mathematical Biomedical Engineering - CMBE2015, 29 June - 1 July 2015, Cachan (Paris), France, CMBE Zeta Computational Resources Ltd., Swansea, UK, (2015)