Telemedicine Program for Chronic Wound Management

Chronic wounds (pressure ulcers, diabetic, arterial, and venous ulcers) have a slow healing process and therefore require frequent monitoring of wound progress by certified wound clinicians. The Agency for Healthcare Research and Quality national guideline recommends a weekly assessment of all chronic wounds which can be difficult for older adults residing in assisted living and extended care facilities with limited access to wound certified clinicians. Studies show that telemedicine wound assessment is a viable alternative to on-site wound assessment of patients with chronic wounds.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Research Source Type: research

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This article summarizes the updated literature and best practices related to this topic.
Source: Clinics in Podiatric Medicine and Surgery - Category: Podiatry Authors: Source Type: research
Authors: Chen HL, Zhu B, Wei R, Zhou ZY Abstract Patients with a hip fracture are at high risk for pressure injury. A retrospective review of the electronic medical records of consecutive patients with a hip fracture treated in 2016 in a single tertiary hospital in east China were examined to investigate whether time of year affected the incidence of hospital-acquired pressure injury. Data collected included demographic characteristics (patient name, hospital number, age, gender, and body mass index); possible risk factors for pressure injury, such as presence of diabetes mellitus, admission hemoglobin, admission a...
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research
Authors: Polak A, Kucio C, Kloth LC, Paczula M, Hordynska E, Ickowicz T, Blaszczak E, Kucio E, Oleszczyk K, Ficek K, Franek A Abstract The use of electrical stimulation (ES) should be considered for treating nonhealing pressure ulcers (PUs), but optimal ES wound treatment protocols have yet to be established. A randomized, controlled, double-blind clinical study was conducted to evaluate the effects of cathodal and anodal high-voltage monophasic pulsed current (HVMPC) on periwound skin blood flow (PSBF) and size reduction of Stage 2 to Stage 4 PUs of at least 4 weeks' duration. Persons>18 years of age, hospitali...
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research
Authors: Delhougne G, Hogan C, Tarka K, Nair S Abstract Traditional negative pressure wound therapy (NPWT) systems are considered durable. The pump is designed for use by numerous patients over a period of several years. Recently developed smaller, disposable devices are designed for single-patient use. A retrospective analysis of 2012-2014 national Medicare claims data was used to examine payments associated with the use of traditional and disposable NPWT systems. Data extracted included NPWT episodes from the Limited Data Set Standard Analytic Files including the 5% sample for traditional NPWT and 100% sample for...
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research
Authors: Cox J Abstract Critically ill patients require complex care in a technologically sophisticated environment where they are highly vulnerable to pressure-related injuries. However, pressure injury (PI) development remains a multifactorial phenomenon in critically ill persons; true risk is both pervasive and elusive. The purpose of this comprehensive review of the empirical literature was to examine the risk factors associated with PIs among adult patients admitted to contemporary intensive care units (ICUs). Inclusion criteria stipulated publications were to be peer-reviewed, quantitative studies with a focu...
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research
This study aimed to achieve consensus on a set of evidence-based statements on these issues from a range of clinical experts.
Source: Value in Health - Category: International Medicine & Public Health Authors: Source Type: research
Authors: Jaul E, Rosenzweig JP Abstract Medical advancements are extending the lives of persons with chronic diseases, increasing their risk for pressure ulcer (PU) development. A retrospective chart review of 192 patients (49.48% male, mean age 9.7 ± 10.9 years) admitted to a skilled nursing department between 2008 and 2013 was performed to determine whether PUs and comorbidities, singly and combined, affect patient survival. Characteristics abstracted and assessed included sociodemographic factors (age, gender), diseases/comorbidities (eg, chronic renal failure, dementia, Parkinson's disease [PD], ischemic...
Source: Ostomy Wound Management - Category: Surgery Tags: Ostomy Wound Manage Source Type: research
1000 ml Canister (with Gel) for InfoV.A.C. and V.A.C.ULTA Therapy Systems (Part Number M8275093/5). The InfoV.A.C. and V.A.C.ULTA Negative Pressure Wound Therapy Systems are integrated wound management systems for use in acute, and extended and care settings. They are intended to create an environment that promotes wound healing by secondary or tertiary (delayed primary) intention by preparing the wound bed for closure, reducing edema, promoting granulation tissue formation and perfusion, and by removing exudate and infectious material. Open wound types include chronic, acute, traumatic, subacute, and dehisced wounds, part...
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
Parable is a software platform that allows doctors and home health workers to collaboratively monitor wound healing and to flag any issues. The technology has been designed by Parable Health and allows doctors to assess wound parameters and healing p...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Medicine Plastic Surgery Vascular Surgery Source Type: blogs
ConclusionsThe present meta‐analysis shows that the evidence base for silver in wound management is significantly better than perceived in the current scientific debate. Thus, if used selectively and for a limited period of time, silver not only has antimicrobial effects but is also characterized by an improvement in quality of life and good cost‐effectiveness.
Source: JDDG - Category: Dermatology Authors: Tags: Original Article Source Type: research
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