Press Release
Best in Class: Scottsdale Wound Management Guide
Comprehensive pocket handbook offers differential diagnosis and treatment options at your fingertips
Malvern, PA (June 8, 2009) – Proper wound care management has become one of the top concerns for many clinicians across various medical specialties. Treatment is specific to the wound type, the patient and the long-term care plan and requires ongoing assessment. Read More
2009 Author Index
Non-Accredited Education
On-Demand! Wound Healing in Today’s Healthcare Environment – How Advanced Dressing Technology Can Help Ease the Strain
Non-Accredited
Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited
Head Over Heels and Butts 2.0
Complimentary Archived Webcast
Non-Accredited
Emerging Concepts in Treating Pressure Ulcers
Complimentary Archived Webcast
Non-Accredited
Understanding Collagen Dressings and their Benefit in Wound Care
Complimentary Archived Webcast
Non-Accredited
Feature
External Stoma and Peristomal Complications following Radical Cystectomy and Ileal Conduit Diversion: A Systematic Review
Abstract: An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996–2008) of English-language literature was conducted to: 1) describe and compare external stoma and peristomal complications and complication rates among outpatients with ileal conduit diversion following radical cystectomy, and 2) summarize commonly used prevention and management strategies.
Heel Pressure Ulcers in Orthopedic Patients: A Prospective Study of Incidence and Risk Factors in an Acute Care Hospital
Abstract: Heel pressure ulcers (PU) are a major concern in orthopedic patients. A prospective 6-month study was conducted in an acute care hospital in Canada to determine the incidence of heel PU in an orthopedic population, evaluate the effect of patient and care variables on heel PU incidence, and describe the natural history/sequelae of Stage I heel PU. One hundred and fifty (150) patients (average age 70.6 years) admitted for elective orthopedic surgery or treatment of a fractured hip participated in the study.
A Cross-sectional Descriptive Study of Pressure Ulcer Prevalence in a Teaching Hospital in China
Abstract: Surveying pressure ulcer (PU) prevalence is a common practice in some western countries and has served as a tool to improve prevention policies and procedures. Although attention on PU prevention has increased in China, no PU prevalence baseline information is available to help guide care. To obtain this baseline information, a cross-sectional descriptive study was conducted in a 3,000-bed teaching hospital in Wuhan.
A Prospective, Multicenter Study to Validate Use of the PUSH© in Patients with Diabetic, Venous, and Pressure Ulcers
Abstract: Monitoring wound progress is essential for evaluating and documenting treatment outcomes. The Pressure Ulcer Scale for Healing (PUSH) was developed to track pressure ulcer (PU) progress but information about its utility for other types of chronic wounds is limited. A 10-month, descriptive, multicenter study was conducted to examine the responsiveness and concurrent validity of the PUSH when used to monitor wound changes in diabetic foot (DFU), venous leg (VLU), and PU.
Primary Adenocarcinoma in Peristomal Skin: A Case Study
Abstract: Primary adenocarcinoma at an ileostomy site is an exceedingly rare occurrence but has been documented at the peristomal skin of patients with a long-standing ileostomy. Chronic irritation and resultant metaplasia is thought to be a key underlying mechanism for this phenomenon. Biopsy of newly developing lesions in the peristomal area of long-standing stomas is essential in order to avoid delayed diagnosis and limit complications.
“Measurement Monday”: One Facility’s Approach to Standardizing Skin Impairment Documentation
Abstract: Accurate, timely wound assessment and documentation is fundamental to nursing practice. A 2005 retrospective chart audit (N = 54) at a rural, 238-bed tertiary care facility in Northeastern Pennsylvania (average daily census 175 to 180) found that complete wound assessment documentation (including measurements) was lacking in 59% of patient charts. The purpose of this quality improvement initiative, led by the Wound Ostomy Continence Nurse (WOCN), was to evaluate and improve nursing assessment and documentation of impaired skin (pressure ulcers, skin tears, open surgical wounds
Framework for Planning and Conducting Pilot Studies
Abstract: Researchers working with partners in home care to plan a pragmatic multicenter community-based, randomized, controlled trial for leg ulcer compression treatment realized a smaller pilot study would be necessary. Because no framework for conducting pilot studies could be found, the authors developed a framework for pilot study methodology to inform the planning of such research. To this end, an integrative literature review was conducted, guided by an explicit search strategy, retrieval procedures, and appraisal process, to identify recognized pilot study aims, processes, and m
The Yellow-Red-Black Bladder Diary: Red-Yellow-Black is Not Just for Wounds
Abstract: The Red-Yellow-Black (RYB) wound classification system was introduced to the US in the late 1980s for the purpose of simplifying wound assessment and guiding treatment. Although the color system was found to have limitations for wound care, the colors (in revised order) may be useful for a bladder diary. Colored pencils are used to record fluid intake and voided output. For fluid intake, yellow signifies nonirritants (water); red, low bladder irritants (alcoholic, artificially sweetened, carbonated, or citrus beverages); and black, high bladder irritants (caffeinated beverages
Results of the 2008 – 2009 International Pressure Ulcer Prevalence™ Survey and a 3-Year, Acute Care, Unit-Specific Analysis
Abstract: The National Quality Forum has identified a pressure ulcer as a hospital-acquired condition (HAC) that is high-cost and high-volume and may be preventable with implementation of evidence-based guidelines. The Center for Medicare and Medicaid Services no longer reimburses acute care facilities for the ancillary cost of facility-acquired (FA) ulcers. Benchmarking patient safety indicators, such as FA, may help facilities reduce pressure ulcer rates. The purpose of this observational, cross-sectional cohort study was to report the International Pressure Ulcer Prevalence Survey™
Managing Complex, High-Output, Enterocutaneous Fistulas: A Case Study
Abstract: Gastrointestinal (GI) fistulas are an uncommon but serious complication. Following diagnosis, management strategies may have to be adapted frequently to address changes in fistula output, surrounding skin or wound condition, overall patient clinical and nutritional status, mobility level, and body contours. Following a motor vehicle accident, a 49-year-old man with a body mass index of 36.8 and a history of multiple previous surgeries, including gastric bypass, experienced excessive output from a fistula within a large open abdominal wound measuring 45 cm x 40 cm x 5 cm. Abdominal
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