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Attitude Isn't the Only Thing, It's Everything: Humanistic Care of the Bariatric Patient Using Donabedian's Perspective on Quality of Care.
Authors: Beitz JM Abstract Comprehensive care of bariatric patients is challenging. Although structural knowledge exists about safe care given correct equipment and supplies, care processes also must be humane. The literature suggests morbidly obese patients may fear the health system because of past negative experiences. The purpose of this literature review was to examine quality issues in the care of bariatric patients in light of Donabedian's structure-process-outcomes model, emphasizing process components. Using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and PsycINFO; the c...
Source: Ostomy Wound Management - February 8, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Qualitative Study to Explore the Impact of Simulating Extreme Obesity on Health Care Professionals' Attitudes and Perceptions.
Authors: Hales C, Gray L, Russell L, MacDonald C Abstract Extremely obese patients pose significant challenges for those who strive to provide care. The prevalence and consequences of weight bias and stigma in health care have been well documented, but research on how to reduce weight bias and stigma is limited. To assess the impact of simulating obesity on the attitudes and perceptions of health professionals toward extreme obesity, a qualitative study involving 6 registered nurses and 1 registered physiotherapist was conducted between November 2015 and May 2016. Health professionals who had regular contact with p...
Source: Ostomy Wound Management - February 8, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

An Overview of Clinical and Health Economic Evidence Regarding Porcine Small Intestine Submucosa Extracellular Matrix in the Management of Chronic Wounds and Burns.
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 - February 8, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Prospective, Multicenter Study to Compare a Disposable, High-fluid Capacity Underpad to Nonpermeable, Disposable, Reusable Containment Products on Incontinence-associated Dermatitis Rates Among Skilled Nursing Facility Residents.
Authors: Motta G, Milne CT Abstract Due to the high prevalence of incontinence among skilled nursing facility (SNF) residents, incontinence-associated derma- titis (IAD) is a common occurrence. In addition, facility staff may mistakenly identify IAD as a pressure injury. A prospective, descriptive, multicenter study was conducted in 3 Connecticut facilities to evaluate the effect of substituting a disposable, high- uid capacity underpad for nonpermeable disposable and reusable containment products on the rate of IADs. Residents with and without IAD but with high IAD risk scores who were bed- or chairbound or ambula...
Source: Ostomy Wound Management - January 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive, Qualitative Study to Assess Patient Experiences Following Stoma Reversal After Rectal Cancer Surgery.
Authors: Reinwalds M, Blixter A, Carlsson E Abstract Standard surgical treatment for patients operated for rectal cancer is abdominoperineal excision of the tumor result- ing in a permanent colostomy or an anterior resection, often with construction of a temporary loop ileostomy. Both options impact bowel function. Living with a permanent colostomy has been studied in depth, but knowledge is limited about patients' experiences living with a resected rectum after stoma reversal and how it affects daily life. A qualitative study was conducted to describe the rst 4 to 6 weeks after reversal of a temporary loop ileosto...
Source: Ostomy Wound Management - January 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

An Overview of Clinical and Health Economic Evidence Regarding Porcine Small Intestine Submucosa Extracellular Matrix in the Management of Chronic Wounds and Burns.
Authors: Nherera LM, Romanelli M, Trueman P, Dini V Abstract Small intestine submucosa (SIS) has been extensively evaluated in preclinical models and developed into commercially produced medical technologies intended for use in several different indications. The SIS extracellular matrix cellular and/or tissue-based product is a commercially available, porcine-derived SIS dressing. The purpose of this review was to consider the role of the SIS dressing in the management of chronic wounds and burns. Using a variety of search terms from the literature to describe the SIS dressing, the following databases were searched...
Source: Ostomy Wound Management - January 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Development and Content Validation of a Multidisciplinary, Evidence-based Wound Infection Prevention and Treatment Guideline.
Authors: Zakhary SA, Davey C, Bari R, Bean J, Reber T, Gallagher K, Couch K, Hurlow J, Laforet K, McIssac C, Napier K, Vilar-Compte D, Zakhary E, Hermans M, Bolton L Abstract Acute and chronic wound infections create clinical, economic, and patient-centered challenges best met by multidisciplinary wound care teams providing consistent, valid, clinically relevant, safe, evidence-based management across settings. To develop an evidence-based wound infection guideline, PubMed, Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature databases were searched from inception through August 1, 2017 us...
Source: Ostomy Wound Management - November 23, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Pressure Injury Risk Factors in Adult Critical Care Patients: A Review of the Literature.
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 - November 23, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Predicting the Likelihood of Delayed Venous Leg Ulcer Healing and Recurrence: Development and Reliability Testing of Risk Assessment Tools.
Authors: Parker CN, Finlayson KJ, Edwards HE Abstract Venous leg ulcers are characterized by a long healing process and repeated cycles of ulceration. A secondary analysis of data from multisite longitudinal studies was conducted to identify risk factors for delayed healing and recurrence of venous leg ulcers for development of risk assessment tools, and a single-site prospective study was performed to as- sess the new tools' interrater reliability (IRR). The development of the risk assessment tools was based on results from previous multivariate analyses combined with further risk factors documented in the literat...
Source: Ostomy Wound Management - November 3, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Prospective, Descriptive Study to Assess Nursing Staff Perceptions of and Interventions to Prevent Medical Device-related Pressure Injury.
Authors: Karadag A, Hanönü SC, Eyikara E Abstract Nurses play an important role in identifying patients at risk for medical device-related (MDR) pressure injuries and preventing their occurrence. A prospective, descriptive study was conducted across 6 hospitals in Ankara, Turkey between December 2014 and June 2015 to assess nursing perceptions about and interventions used for the pre- vention of MDR pressure ulcers. A questionnaire was used to collect demographic information and data on experience with MDR pressure ulcers; in addition, participants completed a Nursing Interventions Form that included 10 s...
Source: Ostomy Wound Management - November 3, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Quality Improvement Project: What First-year Nursing Students Include in Their Nursing Care Plans for Patients With Acute or Chronic Wounds.
Authors: Pieper B, Monahan J, Keves-Foster MK, Farner J, Alhasanat D, Albdour M Abstract Nursing education research is lacking with regard to nursing care plans for patients who have a wound and use of the nursing diagnosis impaired skin integrity. The purpose of this quality improvement project was to inform teaching about nursing care planning for patients with wounds by examining what rst-year nursing students attending a fundamentals of nursing course in a Bachelor of Science in Nursing program included in a nursing process assignment when caring for an assigned patient who had an acute or chronic wound. Becaus...
Source: Ostomy Wound Management - November 3, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Assessment of the Biomechanical Effects of Prophylactic Sacral Dressings on Tissue Loads: A Computational Modeling Analysis.
Authors: Levy A, Gefen A Abstract The sacrum is the most susceptible anatomical site for developing pressure injuries, including deep tissue injuries, during supine lying. Prophylactic dressings generally are designed to reduce friction, alleviate internal tissue shear, manage the microclimate, and overall cushion the soft tissues subjected to sustained deformations under the sacrum. Using computational modeling, the authors developed a set of 8 magnetic resonance imaging-based, 3-dimensional finite element models of the buttocks of a healthy 28-year-old woman for comparing the biomechanical effects of different pr...
Source: Ostomy Wound Management - November 3, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Secondary Analysis of Longitudinal Prevalence Data to Determine the Use of Pressure Ulcer Preventive Measures in Dutch Nursing Homes, 2005-2014.
Authors: van Leen MW, Schols JM, Hovius SE, Halfens RJ Abstract Pressure ulcers (PUs) are an important and distressing problem in Dutch nursing homes. A secondary analysis of longitudinal data from the Dutch National Prevalence Measurement of Care Problems (LPZ) - an annual, multicenter, point-prevalence survey - was conducted for the years 2005-2014 to determine the use of specific recommended PU preventive measures from the European Pressure Ulcer Advisory Panel 1998, the National Pressure Ulcer Advisory Panel/European Pressure Ulcer Advisory Panel 2009, and the 2002 and 2011 Dutch PU guidelines. Preventive care ...
Source: Ostomy Wound Management - September 23, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Cross-sectional, Descriptive Study of Medication Use Among Persons With a Gastrointestinal Stoma.
Authors: Pereira de Paula BA, da Silva Alves GC, PercÍnio Á, Pereira ML, Moraes JT, Sanches C Abstract Research on the use of medications in people with intestinal stomas is lacking, creating gaps in knowledge of pharmacoepidemiology in these patients. A cross-sectional, descriptive study was conducted over a period of 4 months in Divinópolis, Brazil to describe the profile of medication use among people enrolled in the Health Support Service for People with Stoma - Level II (SSPS II) of a municipality in the state of Minas Gerais, Brazil. All patients from SSPS II with a colostomy or ileostomy...
Source: Ostomy Wound Management - September 23, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Development and Preliminary Validity Testing of the Healing Progression Rate Tool.
Authors: Young DL, Estocado N, Feng D, Black J Abstract Accurate assessment and clear documentation are important aspects of wound care; they provide a basis for appropriate patient care decisions and reimbursement. A descriptive, qualitative study was conducted to develop and provide preliminary evidence of the validity of a new tool to measure wound healing (the Healing Progression Rate [HPR]), a modified version of the Pressure Ulcer Scale for Healing (PUSH). Three (3) groups of current and future practitioners participated in the instrument development and evaluation process: 1) 3 wound care experts/authors (2 ...
Source: Ostomy Wound Management - September 23, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Prospective, Randomized, Controlled Clinical Trial to Assess Use of 2% Lidocaine Irrigation to Prevent Abdominal Surgical Site Infection.
Authors: Quiroga-Garza A, Valdivia-Balderas JM, Trejo-Sánchez MÁ, Espinosa-Uribe AG, Reyes-Hernández CG, Elizondo-Omaña RE Abstract Surgical site infections (SSI) are the third most common nosocomial infection, increasing morbidity and mortality rates of patients as well as their costs of care, but longer-term follow up studies and data are limited. Lidocaine, in addition to being a readily available and accessible local anesthetic, is known to have bacteriostatic properties. A prospective, descriptive, controlled, randomized clinical trial was conducted among patients scheduled to under...
Source: Ostomy Wound Management - September 7, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive, Cross-sectional Study to Assess Quality of Life and Sexuality in Turkish Patients with a Colostomy.
Authors: Yilmaz E, Çelebi D, Kaya Y, Baydur H Abstract A stoma affects personality, self-esteem, and body image, inevitably impacting lifestyle and quality of life (QOL). A descriptive, cross-sectional study was conducted between May 1, 2015 and May 1, 2016 to evaluate the effect of a stoma on sexual function and QOL among patients receiving care in a general surgery clinic of a university hospital in the western region of Turkey.Eligibility requirements included patients willing to participate,>18 years of age, with a colostomy for at least 4 months, who were married and/or with a sexual partner and in o...
Source: Ostomy Wound Management - September 7, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Systematic Review and Meta-analysis of Exercise Intervention for the Treatment of Calf Muscle Pump Impairment in Individuals with Chronic Venous Insufficiency.
Authors: Orr L, Klement KA, McCrossin L, O'Sullivan Drombolis D, Houghton PE, Spaulding S, Burke S Abstract Exercise intervention for individuals with chronic venous insufficiency (CVI) and venous leg ulcers (VLUs) is recommended to improve function of the calf muscle pump (CMP). A systematic review with meta-analysis was conducted to measure the effects of exercise (including function of the CMP, ankle strength, range of motion [ROM], and healing rates) for VLUs. Four (4) databases (Cumulative Index to Nursing and Applied Health Literature, 1981; MEDLINE, 1964; Scopus, 1966; and EMBASE, 1947) were searched for rel...
Source: Ostomy Wound Management - September 7, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Point-Of-Care Ultrasound as an Adjunct in the Diagnosis of Neonatal and Pediatric Superficial Soft Tissue Infection: A Report of Two Cases.
Authors: Kurepa D, Galiczewski C, Civale A, Boyar V Abstract Considerable technological advances, good safety profile, and ease of use have converged to support the use of ultrasound (US) as an important adjunct in the evaluation of superficial soft tissue infections (SSTI) in general and the differential diagnosis of cellulitis and abscess in particular. However, its use in neonatal populations has not been described. Pediatric studies report clinical examination is not always a reliable method of distinguishing cellulitis from abscess. Two (2) case reports are presented to supplement the growing body of published...
Source: Ostomy Wound Management - August 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Treatment of Thromboangiitis Obliterans Using Smoking Cessation and Far-infrared Therapy: A Case Study.
Authors: Chiang IH, Chen SG, Tzeng YS Abstract Thromboangiitis obliterans (Buerger's disease) is a rare, nonatherosclerotic segmental inflammatory vasculitis that commonly involves small- and medium-sized vessels. Ischemic tenderness impairs patient quality of life and places patients at high risk for amputation. The only definitive known treatment is smoking cessation. Far-infrared (FIR) therapy has shown promising effects on blood flow and healing, but its use in patients with Buerger's disease has not been reported. A 31-year-old man with a 15-pack-year history of smoking, no drug abuse, and no other significant...
Source: Ostomy Wound Management - August 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Managing Cutaneous Tuberculosis: A Case Report.
Authors: Brown-Gallardo BM Abstract Tuberculosis (TB) continues to be a prevalent disease worldwide; an estimated one third of the world's population is infected and 2015 data from the World Health Organization show 10 million people had an active infection. Although TB often is cited as a disease that most commonly occurs in underdeveloped countries, the evolution of drug-resistant forms of TB and infection sensitivity of immunocompromised individuals have made this disease a focal point for indus- trialized countries as well. When TB is spread, it commonly affects the lungs, but it can infect any organ of the bod...
Source: Ostomy Wound Management - August 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive Study to Assess Quality of Life in Egyptian Patients With a Stoma.
Authors: Boraii S Abstract The creation of a stoma changes bodily appearance and function, which can affect quality of life (QOL). A descriptive study using the Short Form 36 (SF-36) questionnaire, an instrument that measures 8 physical and mental health concepts, was conducted to quantify QOL among patients with a stoma and to interpret how stoma creation affects their lives. Participants included a convenience sample of persons served by an outpatient surgery clinic in an Egyptian university hospital in Cairo between August 2013 and January 2015. Potential participants had to be 18 years of age or older, have und...
Source: Ostomy Wound Management - August 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Expert Recommendations for the Use of Hypochlorous Solution: Science and Clinical Application.
Authors: Armstrong DG, Bohn G, Glat P, Kavros SJ, Kirsner R, Snyder R, Tettelbach W Abstract Wound complications such as infection continue to in ict enormous nancial and patient quality-of-life burdens.The traditional practice of using antiseptics and antibiotics to prevent and/or treat infections has been questioned with increasing concerns about the cytoxitity of antiseptics and proliferation of antibiotic resistant bacteria. Solutions of sodium hypochlorite (NaOCl), commonly known as Dakin's solution, have been used in wound care for 100 years. In the last 15 years, more advanced hypochlorous acid (HOCl) soluti...
Source: Ostomy Wound Management - July 13, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Clinician Panel Recommendations for Use of Negative Pressure Wound Therapy with Instillation.
Authors: McKanna M, Geraci J, Hall K, Hauan B, Howell M, Huey T, Lucius A, Mendez-Eastman S, Purcell K, Raizman R, Shepherd D, Gabriel A Abstract Addition of an instilled topical wound solution to negative pressure wound therapy (NPWT) is designed to facilitate regular wound cleansing to help improve outcomes of some complex wounds, but the addition of instillation to NPWT adds a level of complexity to the wound care process. The paucity of knowledge and experience with instillation may affect optimal use of this treatment modality. In an effort to address this knowledge gap, a 2-day panel meeting of nurses (N = 11...
Source: Ostomy Wound Management - June 30, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Effect of a Patient Education Intervention on Knowledge and Venous Ulcer Recurrence: Results of a Prospective Intervention and Retrospective Analysis.
Authors: Gonzalez A Abstract Patient education may help reduce the recurrence of venous ulcers. To examine the effectiveness of a home-based patient education program on disease and self-care knowledge and ulcer recurrence rates, a prospective study and retrospective analysis of patient outcomes was conducted among 3 groups of patients. Group A (n = 28) had received the education intervention and assessments as part of an earlier study and were recruited to participate in a 36-week follow-up.Group B patients (n = 22) participated in the prospective component of this study and were assessed after 2, 9, and 36 weeks....
Source: Ostomy Wound Management - June 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective Review of Adverse Events Related to Diabetic Foot Ulcers.
Authors: Allen L, Powell-Cope G, Mbah A, Bulat T, Njoh E Abstract The risk of adverse events (AEs) such as infection and amputation related to diabetic foot ulcers (DFUs) has been studied, but less is known about rate of other AEs such as falls. As part of a quality improvement project, AEs in veterans with diabetes mellitus (DM) with and without a DFU were examined. Demographic data including ICD-9 codes, AEs, and comorbidities for all patients with a diagnosis of DM and/or DFU treated between 2009 and 2014 at the James A. Haley Veterans' Hospital, Tampa, FL, were reviewed retrospectively utilizing the Corporate D...
Source: Ostomy Wound Management - June 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Negative Pressure Wound Therapy for a Complicated Abdominal Laparotomy in Neonatal Necrotizing Enterocolitis: A Case Report.
Authors: García Gonzalez M, Casal Beloy I, Gómez Dovigo A, Miguez Fortes L, Dargallo Carbonell T, Pita-Fernández S, Caramés Bouzán J Abstract Necrotizing enterocolitis (NEC) is the most common surgical emergency in neonatal intensive care units, and patients who require surgery have high mortality and morbidity rates. The utility of negative pressure in the management of adults with complicated abdominal wounds has been documented, but there are few reports describing the use of negative pressure wound therapy (NPWT) in children or following neonatal surgery. The case of a 6 day o...
Source: Ostomy Wound Management - June 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive, Cross-sectional Survey of Turkish Nurses' Knowledge of Pressure Ulcer Risk, Prevention, and Staging.
Authors: Gul A, Andsoy II, Ozkaya B, Zeydan A Abstract Nurses' knowledge of pressure ulcer (PU) prevention and management is an important first step in the provision of optimal care. To evaluate PU prevention/risk, staging, and wound description knowledge, a descriptive, cross-sectional survey was conducted among nurses working in an acute care Turkish hospital. The survey instrument was a modified and translated version of the Pieper Pressure Ulcer Knowledge Test (PUKT), and its validity and reliability were established. Nurses completed a Personal Characteristics Form, including sociodemographic information and e...
Source: Ostomy Wound Management - June 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive Study to Explore the Effect of Peristomal Skin Complications on Quality of Life of Adults With a Permanent Ostomy.
In this study, allergic contact dermatitis was the most common peristomal complication reported. Irritant contact dermatitis negatively affected QoL, and almost half of the participants sought the help of an ostomy care nurse. The results of this study suggest patients may benefit from more education about peristomal complications and the reporting of appliance-related contact dermatitis. Studies examining the presence of peristomal skin complications and their influence on QoL, as well as availability of and access to follow-up care with qualified ostomy nurses, are needed. PMID: 28570245 [PubMed - in process] (Source...
Source: Ostomy Wound Management - June 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective Study of the Impact of Pressure Ulcers on Survival in Elderly Persons With Chronic Diseases.
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 - June 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Cross-cultural Adaptation and Validation of the Stoma Quality of Life Questionnaire for Patients With a Colostomy or Ileostomy in Brazil: A Cross-sectional Study.
Authors: Lívia de Oliveira A, Loures Mendes L, Pereira Netto M, Gonçalves Leite IC Abstract Many studies examining the quality of life of stoma patients utilize questionnaires that have not been validated specifically for these patients in their native language. Owing to the large and increasing prevalence of intestinal stomas, a cross-sectional study was conducted among patients of a stoma patient health care service in Juiz de Fora, Brazil between September 2014 and August 2015 to validate the Stoma Quality of Life (Stoma-QoL) questionnaire in Portuguese (Brazilian variant). In addition, the effect ...
Source: Ostomy Wound Management - June 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The International Consolidated Venous Ulcer Guideline Update 2015: Process Improvement, Evidence Analysis, and Future Goals.
Authors: Couch KS, Corbett L, Gould L, Girolami S, Bolton L Abstract In 2015, members of the Association for the Advancement of Wound Care (AAWC), Wound Healing Society, and the Canadian Association for Enterostomal Therapy formed the International Consolidated Guidelines Taskforce to update the AAWC Venous Ulcer Guidelines to the collaborative, intersociety, endorsed International Consolidated Venous Ulcer Guideline. This "guideline of guidelines" integrates recommendations from all relevant, published evidence-based guidelines on venous ulcer care and prevention. The update process was conducted in acco...
Source: Ostomy Wound Management - June 2, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Prospective, Randomized, Blinded, Controlled Trial Comparing Transdermal Continuous Oxygen Delivery to Moist Wound Therapy for the Treatment of Diabetic Foot Ulcers.
Authors: Driver VR, Reyzelman A, Kawalec J, French M Abstract Worldwide, diabetic foot ulcers (DFUs) continue to exact a major burden on patients and health care providers. Although hyperbaric oxygen therapy is well-known as an adjunct option, less is known about the efficacy of transdermal continuous oxygen therapy (TCOT). A prospective, randomized, blinded, multicenter, parallel study was conducted from October 2009 to November 2012 to evaluate healing time and the proportion of DFUs healed after 12 weeks of moist wound therapy (MWT) with or without TCOT. Study participants (persons with type 1 or type 2 diabetes...
Source: Ostomy Wound Management - April 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Endogenous Thymosin β4 Expression in Sacrococcygeal Pilonidal Sinus Disease: A Retrospective, Immunohistochemical Analysis of Excisional Skin Biopsy Samples.
Endogenous Thymosin β4 Expression in Sacrococcygeal Pilonidal Sinus Disease: A Retrospective, Immunohistochemical Analysis of Excisional Skin Biopsy Samples. Ostomy Wound Manage. 2017 Apr;63(4):30-40 Authors: Sahin S Abstract Thymosin beta 4 (Tβ4) is a peptide that has been shown in dermal, corneal, and cardiac preclinical injury models to potentially affect tissue protection, regeneration, and repair. Sacrococcygeal pilonidal sinus disease (SPSD) is a chronic inflammatory disorder associated with a high incidence of recurrence, chronic fistulation, and a challenging postoperative surgical wo...
Source: Ostomy Wound Management - April 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Effect of Pycnogenol on Wound Healing in Diabetic Rats.
Authors: Dogan E, Yanmaz L, Gedikli S, Ersoz U, Okumus Z Abstract Pycnogenol (PYC), an extract of pine bark, is known to have photoprotective, antimicrobial, antioxidant, and anti-inflammatory properties. An in vivo study was conducted to evaluate the effects of PYC treatment on wound healing in 48 adult male Sprague-Dawley rats, of which 24 were injected with a single dose of alloxan to induce diabetes. Three (3) excisional skin wounds (1.3 cm x 1.3 cm x 2 mm) were created in each healthy and diabetic animal. One (1) wound in each animal was left untreated, 1 was treated daily with a cleanser (ethacridine lactate)...
Source: Ostomy Wound Management - April 29, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Pharmacologic Impact (aka "Breaking Bad") of Medications on Wound Healing and Wound Development: A Literature-based Overview.
Pharmacologic Impact (aka "Breaking Bad") of Medications on Wound Healing and Wound Development: A Literature-based Overview. Ostomy Wound Manage. 2017 Mar;63(3):18-35 Authors: Beitz JM Abstract Patients with wounds often are provided pharmacologic interventions for their wounds as well as for their acute or chronic illnesses. Drugs can promote wound healing or substantively hinder it; some medications cause wound or skin reactions. A comprehensive review of extant literature was conducted to examine the impact of drug therapy on wound healing and skin health. MEDLINE and the Cumulative Index...
Source: Ostomy Wound Management - March 31, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective Study of Pilonidal Sinus Healing by Secondary Intention Using Negative Pressure Wound Therapy Versus Alginate or Gauze Dressings.
Authors: Danne J, Gwini S, McKenzie D, Danne P Abstract Pilonidal sinus (PS) disease is an inflammatory skin and subcutaneous tissue condition that presents with infection, acute abscess, chronic discharging wounds, and/or pain. Surgery with open healing by secondary intention typically is used to achieve the fastest healing time with minimal recurrence rates. A retrospective analysis was conducted of data extracted from the medical records of 73 consecutive patients who had symptomatic natal cleft PS over a 10-year period to compare use of NPWT to alginate-based/gauze daily dressing (DD) changes in terms of healin...
Source: Ostomy Wound Management - March 31, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Ultrasound to Detect Pressure-related Deep Tissue Injuries in Adults Admitted via the Emergency Department: A Prospective, Descriptive, Pilot Study.
Authors: Scheiner J, Farid K, Raden M, Demisse S Abstract Stage 4 pressure ulcers (PUs) start with tissue death at the level of the bone, also known as deep tissue injury (DTI). Studies have shown the appearance of DTI on the skin is delayed for several days after the original pressure-related injury to the deep soft tissues. Studies also suggest DTI can be seen using ultrasound (US) technology. A prospective, descriptive, correlational pilot study was conducted to evaluate the use of US technology to detect DTI in the soft tissues that are not visible on the skin upon hospital admission. Study participants include...
Source: Ostomy Wound Management - March 31, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Pressure Ulcer Prevalence and Care in Indonesian Hospitals: A Multicenter, Cross-sectional Evaluation Using an Extended Donabedian Model.
Authors: Amir Y, Tan FE, Halfens R, Lohrmann C, Schols J Abstract Although the number of studies on pressure ulcer (PU) occurrence continues to grow, research regarding the quality of PU care and its effect on outcomes is limited. Using an extended Donabedian model, a 1-day, multicenter, cross-sectional evaluation of the quality of PU care was conducted in a convenience sample of Indonesian hospitals among patients ≥18 years of age in the medical, surgical, and intensive care units. Structure (ie, hospital attributes), process (recommended PU preventive measures), and outcome indicators (nosocomial PU prevalence...
Source: Ostomy Wound Management - March 9, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Pressure Ulcer Risk and Prevention Practices in Pediatric Patients: A Secondary Analysis of Data from the National Database of Nursing Quality Indicators ®.
Pressure Ulcer Risk and Prevention Practices in Pediatric Patients: A Secondary Analysis of Data from the National Database of Nursing Quality Indicators®. Ostomy Wound Manage. 2017 Jan;63(2):28-32 Authors: Razmus I, Bergquist-Beringer S Abstract Little is known about pressure ulcer prevention practice among pediatric patients. To describe the frequency of pressure ulcer risk assessment in pediatric patients and pressure ulcer prevention intervention use overall and by hospital unit type, a descriptive secondary analysis was performed of data submitted to the National Database for Nursing Quality I...
Source: Ostomy Wound Management - March 9, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective, Descriptive, Comparative Study to Identify Patient Variables That Contribute to the Development of Deep Tissue Injury Among Patients in Intensive Care Units.
Authors: Kirkland-Kyhn H, Teleten O, Wilson M Abstract Deep tissue injury (DTI) may develop in critically ill patients despite implementation of preventive interventions. A retrospective, descriptive study was conducted in a 620-bed, level 1 trauma, academic medical center with 7 adult intensive care units ([ICUs] cardiac surgery, trauma surgery, burn surgery, med-surgery, neurosurgery, medical, and transfer) among patients treated from January 1, 2010 to January 1, 2015. All patients 18 years of age or older that developed a sacral DTI that evolved into a Stage 3, Stage 4, or unstageable hospital-acquired pressure...
Source: Ostomy Wound Management - March 9, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Construct Validity of the Braden Scale for Pressure Ulcer Assessment in Acute Care: A Structural Equation Modeling Approach.
Authors: Chen HL, Cao YJ, Shen WQ, Zhu B Abstract The Braden Scale is the most widely used pressure ulcer risk assessment system in the world. To investigate its construct validity using structural equation modeling (SEM), a secondary analysis of retrospective data of patients admitted to an acute care facility was conducted using the records of 2588 patients who were at risk for pressure ulcers and admitted between January 2013 and December 2013. Data were extracted to an Excel sheet and analyzed, including demographic characteristics (ie, patients age, gender, weight, and disease spectrum), as well as total Brade...
Source: Ostomy Wound Management - March 9, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Ostomy-Q: Development and Psychometric Validation of an Instrument to Evaluate Outcomes Associated with Ostomy Appliances.
Authors: Nafees B, Rasmussen M, LLoyd A Abstract Using an ostomy appliance can affect many aspects of a person's health-related quality of life (HRQL). A 2-part, descrip- tive study was designed to develop and validate an instrument to assess quality-of-life outcomes related to ostomy ap- pliance use. Study inclusion/exclusion criteria stipulated participants should be 18 to 85 years of age, have an ileostomy or colostomy, used an appliance for a minimum of 3 months without assistance, and able to complete an online survey. All participants provided sociodemographic and clinical information. In phase 1, a literatur...
Source: Ostomy Wound Management - January 26, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective Analysis of Factors Affecting Early Stoma Complications.
Authors: Koc U, Karaman K, Gomceli I, Dalgic T, Ozer I, Ulas M, Ercan M, Bostanci E, Akoglu M Abstract Despite advances in surgical techniques and products for stoma care, stoma-related complications are still common. A retrospective analysis was performed of the medical records of 462 consecutive patients (295 [63.9%] female, 167 [36.1 %] male, mean age 55.5 ± 15.1 years, mean body mass index [BMI] 25.1 ± 5.2) who had undergone stoma creation at the Gastroenterological Surgery Clinic of Turkiye Yuksek İhtisas Teaching and Research Hospital between January 2008 and December 2012 to examine the incide...
Source: Ostomy Wound Management - January 26, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Qualitative Exploration of the Lived Experiences of Patients Before and After Ileostomy Creation as a Result of Surgical Management for Crohn's Disease.
Authors: Morris A, Leach B Abstract Patient experiences pre- and post-ileostomy creation as a result of severe Crohn's Disease are underresearched. A qualitative phenomenological design involving a purposeful sampling approach was used to capture the lived physical and psychosocial transition of patients with Crohn's Disease before and after ileostomy formation. Patients were recruited from the membership of the United Kingdom Ileostomy Association; inclusion criteria stipulated participants must speak English and have a diagnosis of Crohn's Disease and subsequent stoma formation. Ten (10) patients (6 women, 4 men,...
Source: Ostomy Wound Management - January 26, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Facts, Fiction, Publications, and Quality of Care: Are You Paying Attention?
Authors: van Rijswijk L PMID: 28112649 [PubMed - in process] (Source: Ostomy Wound Management)
Source: Ostomy Wound Management - January 26, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Descriptive, Longitudinal Study Results Applied to Statistical Models to Assess the Impact of Early Microbiological Cultures on the Economic Burden of Treatment for Infected Diabetic Foot Ulcers at a Mexican Public Health Facility.
Authors: Balderas-Peña LM, Sat-Muñoz D, Ramírez-Conchas RE, Alvarado-Iñiguez MR, García-de-Alba-García JE, Cruz-Corona E, Chávez-Hurtado JL, Chagollán-Ramírez JM Abstract Infection plays a critical role in health care and impacts the cost of the treatment of diabetic foot ulcers (DFU). To examine the cost reduction associated with the multidisciplinary treatment of infected DFU (IDFU) by obtaining early (ie, within 48 hours of admission) microbiological culture results, a descriptive, longitudinal study was conducted. Data were collected prospectively f...
Source: Ostomy Wound Management - January 6, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Mixed-methods Study to Assess Interrater Reliability and Nurse Perception of the Braden Scale in a Tertiary Acute Care Setting.
Authors: Ho CH, Cheung A, Southern D, Ocampo W, Kaufman J, Hogan DB, Baylis B, Conly JM, Stelfox HT, Ghali WA Abstract Research regarding the reliability of the Braden Scale and nurses' perspectives on the instrument for predicting pressure ulcer (PU) risk in acute care settings is limited. A mixed-methods study was conducted in a tertiary acute care facility to examine interrater reliability (IRR) of the Braden Scale and its subscales, and a qualitative survey using semi-structured interviews was conducted among nurses caring for patients in acute care units to gain nurse perspective regarding scale usability. Dat...
Source: Ostomy Wound Management - January 6, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Wound Trend Scale: A Retrospective Review of Utility and Predictive Value in the Assessment and Documentation of Lower Leg Ulcers.
Authors: Campbell NA, Campbell DL, Turner A Abstract 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. Patients had 1 leg or foot ulcer, 3 consecutiv...
Source: Ostomy Wound Management - January 6, 2017 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Pressure Ulcers in the United States' Inpatient Population From 2008 to 2012: Results of a Retrospective Nationwide Study.
Authors: Bauer K, Rock K, Nazzal M, Jones O, Qu W Abstract Pressure ulcers are common, increase patient morbidity and mortality, and costly for patients, their families, and the health care system. A retrospective study was conducted to evaluate the impact of pressure ulcers on short-term outcomes in United States inpatient populations and to identify patient characteristics associated with having 1 or more pressure ulcers. The US Nationwide Inpatient Sample (NIS) database was analyzed using the International Classification of Disease, 9th Revision, Clinical Modification (ICD-9 CM) diagnosis codes as the screening ...
Source: Ostomy Wound Management - November 20, 2016 Category: Surgery Tags: Ostomy Wound Manage Source Type: research