Outcomes of a Quality Improvement Program to Reduce Hospital-acquired Pressure Ulcers in Pediatric Patients.
CONCLUSION: The debriefing process, debriefing tool, educational programs, and prevention bundle reduced the rate of hospital-acquired PIs in pediatric patients and propagated a culture of safety. PMID: 30412054 [PubMed - in process] (Source: Ostomy Wound Management)
Source: Ostomy Wound Management - November 10, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective, Descriptive Analysis of Hospital-acquired Deep Tissue Injuries.
Authors: Tescher AN, Thompson SL, McCormack HE, Bearden BA, Christopherson MW, Mielke CL, Sievers BA Abstract Preventing, identifying, and treating deep tissue injury (DTI) remains a challenge. PURPOSE: The purpose of the current research was to describe the characteristics of DTIs and patient/care variables that may affect their development and outcomes at the time of hospital discharge. METHODS: A retrospective, descriptive, single-site cohort study of electronic medical records was conducted between October 1, 2010, and September 30, 2012, to identify common demographic, intrinsic (eg, mobility status, m...
Source: Ostomy Wound Management - November 10, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Prospective, Experimental Study to Assess the Effectiveness of Home Care Nursing on the Healing of Peristomal Skin Complications and Quality of Life.
CONCLUSION: Home nursing care was found to be effective in treating peristomal skin complications. The QOL scores achieved at the final assessment were significantly improved compared with the initial assessment. The results demonstrated the importance of follow-up after stoma surgery. PMID: 30312155 [PubMed - in process] (Source: Ostomy Wound Management)
Source: Ostomy Wound Management - October 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Sequential Organ Failure Assessment (SOFA) to Predict Pressure Ulcer Risk in Intensive Care Patients: A Retrospective Cohort Study.
Authors: Ahtiala M, Soppi E, Saari T Abstract Pressure ulcer (PU) risk assessment practices in adult intensive care unit (ICU) patients remain varied. PURPOSE: The authors assessed the performance of the Sequential Organ Failure Assessment (SOFA) scale and its subcategories in predicting the development of PUs. METHODS: A retrospective cohort study was conducted of all adult patients admitted to the mixed medical-surgical ICU of a Finnish tertiary referral hospital between January 2010 and December 2012. Data (diagnoses, demographics, clinical information, treatments, and instrument scores) were retrieved f...
Source: Ostomy Wound Management - October 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Effect of Music Therapy on Pain Perception, Anxiety, and Opioid Use During Dressing Change Among Patients With Burns in India: A Quasi-experimental, Cross-over Pilot Study.
This study was conducted to assess the effect of music therapy on pain, anxiety, opioid use, and hemodynamic variables during burn dressing change. METHODS: Patients in a tertiary care burn unit who were>10 years old, conscious, able to respond, and oriented to time, place, and person participated in a 2-month, quasi-experimental, cross-over pilot study. Each served as his/her own control. Dressings were changed every other day alternating between the control (standard pain management) and experimental (control plus patient-selected music) intervention. Pain was assessed using a numerical rating scale, anxiety was s...
Source: Ostomy Wound Management - October 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

An Observational, Prospective Cohort Pilot Study to Compare the Use of Subepidermal Moisture Measurements Versus Ultrasound and Visual Skin Assessments for Early Detection of Pressure Injury.
CONCLUSION: US and SEM results were similar, and in an evolving sDTI case, SEM detected a lesion earlier than US. PMID: 30256748 [PubMed - in process] (Source: Ostomy Wound Management)
Source: Ostomy Wound Management - September 27, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Burn Wound Bacteriological Profiles, Patient Outcomes, and Tangential Excision Timing: A Prospective, Observational Study.
Authors: Shao F, Ren WJ, Meng WZ, Wang GZ, Wang TY Abstract PURPOSE: Because infection can thwart burn healing, microorganisms, their susceptibility patterns, and the effect of tangential excision timing on outcomes of burn patients were examined. METHODS: A prospective, observational study was conducted that involved 318 patients with deep second-degree burns from a gas explosion treated in Xinxiang, Henan, China between January 2009 and December 2016. Patient demographic data, culture and antimicrobial susceptibility test results, and outcome variables (resuscitation fluid volume, signs of shock, body tempera...
Source: Ostomy Wound Management - September 27, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Systematic Review to Compare the Effect of Low-frequency Ultrasonic Versus Nonsurgical Sharp Debridement on the Healing Rate of Chronic Diabetes-related Foot Ulcers.
CONCLUSION: No difference in healing outcomes between NSSD and LFUD debridement of diabetic foot ulcers was found. Well-designed, controlled clinical studies are needed to address the current paucity of studies examining the efficacy and comparative effectiveness of debridement methods. PMID: 30256750 [PubMed - in process] (Source: Ostomy Wound Management)
Source: Ostomy Wound Management - September 27, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Using Bacterial Fluorescence Imaging and Antimicrobial Stewardship to Guide Wound Management Practices: A Case Series.
Authors: Hill R, Rennie MY, Douglas J Abstract The urgent need to eliminate unnecessary use of antibiotics in wound patients has been hampered by diagnostic uncertainty and the time required to obtain culture results. The authors evaluated bedside use of a handheld bacterial fluorescence imaging device for real-time visualization of bacteria within and around wounds, used in addition to monitoring of clinical signs and symptoms of infection, in a series of 7 patients (5 women, 2 men; age range 57-93 years) with varying comorbidities who were referred to the wound ostomy continence clinician for wound assessment. Wh...
Source: Ostomy Wound Management - September 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

The Role of Topical Estrogen, Phenytoin, and Silver Sulfadiazine in Time to Wound Healing in Rats.
Authors: Mirnezami M, Rahimi H, Fakhar HE, Rezaei K Abstract Many recent studies have focused on the potential role of topical agents in the wound healing process. To compare the time to healing of full-thickness wounds treated with topical estrogen, phenytoin, or silver sulfadiazine (SSD), an in vivo study was conducted using 32 male Wistar rats. Animals were housed individually in standard cages in similar environmental conditions, and a single, circular (4 mm in diameter), full-thickness skin wound was created on the dorsum of each rat. Animals were randomly divided into 4 groups of 8 rats each and treated with ...
Source: Ostomy Wound Management - September 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Assessment of Prelicensure Undergraduate Baccalaureate Nursing Students: Ostomy Knowledge, Skill Experiences, and Confidence in Care.
Authors: Zimnicki K, Pieper B Abstract Care of the patient with an ostomy is included in the curriculum of prelicensure nursing programs, but no studies examining student nurses' knowledge about stoma care have been published. The purpose of this project was to examine the ostomy knowledge, experiences, and confidence of nursing students in order to assess and improve the curriculum. At the end of the fall 2016 semester, students enrolled in 3 separate nursing courses in an undergraduate program were asked to participate in a project to examine students' ostomy knowledge, their experiences, and their confidence in ...
Source: Ostomy Wound Management - September 14, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive, Cross-sectional Study Among Chinese Patients to Identify Factors that Affect Psychosocial Adjustment to an Enterostomy.
Authors: Xian H, Zhang Y, Yang Y, Zhang X, Wang X Abstract Physiological, psychological, and social problems may affect adaptation to living with a stoma. A descriptive, cross-sectional study was conducted between March 2017 and June 2017 among patients culled from a manufacturer's database to identify factors that influence psychosocial adjustment in Chinese patients with an enterostoma. Patients with a history of ostomy surgery ≥1 month prior and who were ≥18 years of age, completed a primary school education, and able to communicate in Chinese were eligible to participate unless they had a history of psych...
Source: Ostomy Wound Management - August 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Computer Modeling Study to Assess the Durability of Prophylactic Dressings Subjected to Moisture in Biomechanical Pressure Injury Prevention.
This study provides additional important insights regarding the optimal design of prophylactic dressings, especially when exposed to moisture. A next step in research would be to optimize the extent of the anisotropy, particularly the property ratio of stiffnesses (elastic moduli). PMID: 30059336 [PubMed - in process] (Source: Ostomy Wound Management)
Source: Ostomy Wound Management - August 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Printing a 3-dimensional, Patient-specific Splint for Wound Immobilization: A Case Demonstration.
Authors: Wu PK, Shih YC, Chen CM, Chen G, Chen WM, Huang LY, Hung YC, Wang TH, Yu WC, Chang CK, Chang BC, Lin PH, Wang SJ Abstract Three-dimensional (3D) printing technology can generate objects in almost any shape and geometry. This technique also has clinical applications, such as the fabrication of specific devices based on a patient's anatomy. A demonstration study is presented of a 54-year-old man who needed a thermoplastic splint to limit arm movement while a dehisced left shoulder wound healed. The patient's upper extremity was scanned using the appropriate noncontact scanner and 3D technology software, and ...
Source: Ostomy Wound Management - August 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Prospective, Explorative Study to Assess Adjustment 1 Year After Ostomy Surgery Among Swedish Patients.
Authors: Fingren J, Lindholm E, Petersén C, Hallén AM, Carlsson E Abstract Having ostomy surgery changes a person's life. To assess adjustment to life with an ostomy and quality of life (QOL) 1 year after ostomy surgery, a prospective, explorative study was conducted among patients of a stoma clinic at a university hospital in Sweden. All consecutive patients who had undergone nonemergent or emergency surgery involving formation of an ostomy and who received regular follow-up at the ward and at the outpatient clinic during the first year by an enterostomal therapist (ET) were prospectively included in...
Source: Ostomy Wound Management - August 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive, Cross-sectional Study to Assess Pressure Ulcer Knowledge and Pressure Ulcer Prevention Attitudes of Nurses in a Tertiary Health Institution in Nigeria.
Authors: Tolulope Esan D, Akinwande Fasoro A, Funmilayo Ojo E, Obialor B Abstract Globally, higher-than-expected pressure ulcer rates generally are considered a quality-of-care indicator. Nigeria currently has no national guidelines for pressure ulcer risk assessment, prevention, and treatment. A descriptive cross-sectional study was conducted to assess the pressure ulcer knowledge and the attitude of nurses regarding pressure ulcer prevention in a tertiary health institution in Nigeria. During a period of 2 months, nurses were recruited to complete a 25-item paper/pencil survey that included participant demographi...
Source: Ostomy Wound Management - August 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Adenocarcinoma at the Ileostomy Site After a Proctocolectomy for Ulcerative Colitis and/or Familial Adenomatous Polyposis: An Overview.
Authors: James SD, Hawkins AT, M'Koma AE Abstract Adenocarcinoma that occurs at the ileostomy site after proctocolectomy (TPC) with an end ileostomy for ulcerative colitis (UC) and/or familial adenomatous polyposis (FAP) is a late and uncommon complication. To ascertain the rate of adenocarcinoma at the empirical ileostomy site following TPC, a review of the literature was conducted. PubMed, MEDLINE, the Cumulative Index of Nursing and Allied Health Literature, EMBASE, Google search engine, and the Cochrane Database were investigated for research published between January 1975 and December 2016. Search criteria inc...
Source: Ostomy Wound Management - August 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Cross-sectional Study of Nutritional Status, Diet, and Dietary Restrictions Among Persons With an Ileostomy or Colostomy.
Authors: de Oliveira AL, Boroni Moreira AP, Pereira Netto M, Gonçalves Leite IC Abstract Little is known about the nutritional status and dietary habits of persons with an intestinal stoma, and no specific dietary guidelines have been established. A cross-sectional study was conducted among patients of a Stoma Patient Health Care Service in Juiz de Fora, Brazil, to compare the nutritional status of persons with an ileostomy or colostomy and to evaluate which foods are avoided most frequently and why. Anthropometric measurements (weight, height, arm circumference, and triceps and subscapular skinfold thicknes...
Source: Ostomy Wound Management - June 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Meta-analysis to Compare Four-layer to Short-stretch Compression Bandaging for Venous Leg Ulcer Healing.
Authors: De Carvalho MR, Peixoto BU, Silveira IA, Oliveria BGRB Abstract Compression therapy is the standard of care for venous leg ulcers (VLUs), and some evidence suggests 4-layer compression is more effective than short-stretch bandages. A meta-analysis was conducted to compare the effectiveness of these 2 compression bandages for venous ulcer healing. In March 2016, a systematic review of the literature was conducted to identify randomized controlled trials. Databases used included Pubmed/MEDLINE, EMBASE, Cochrane Central, the Cumulative Index of Nursing and Allied Health Literature, and the Latin American and ...
Source: Ostomy Wound Management - June 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Translation and Validation of a Wound-specific, Quality-of-life Instrument (The Wound-QoL) in a Swedish Population.
Authors: Fagerdahl AM, Bergström G Abstract Hard-to-heal wounds can compromise patient quality of life (QoL); thus, assessing QoL is an important aspect of wound management. The aim of this study, conducted from August 2015 to July 2016, was to translate a wound-specific instrument, the Wound-QoL, into the Swedish language and context and validate its ability to assess QoL in a population of patients with wounds of various etiologies. The Wound-QoL, derived from 3 existing wound care QoL instruments, is a paper-and-pencil tool comprised of 17 Likert-style questions addressing 3 categories (Body, Psyche, and Ev...
Source: Ostomy Wound Management - June 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Management of a Complex Lower Limb Open Fracture in a Teenage Patient: A Case Report.
Authors: Mijatović D, Orehovec SS, Đapić T, Vrbanović Mijatović V, Mance M Abstract The challenges of managing Gustilo IIIB tibial fractures (ie, high energy trauma with a contaminated wound>10 cm in length, severe comminution ["crumbling"] or segmental fractures, and periosteal stripping) in children are unique in part because no clear guidelines exist and the injuries may cause short-term and long-term complications. Repeated wound debridement and secondary reconstruction are required in approximately 20% of these cases in both adults and children. A 13-year-old girl presented with severe polytr...
Source: Ostomy Wound Management - June 1, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective Cohort Study to Determine Predictive Factors for Abdominal Wound Disruption Following Colorectal Surgery.
Authors: Gachabayov M, You K, Sullivan R, Bergamaschi R Abstract Abdominal wound disruption (AWD) is a postoperative complication that increases length of hospital stay, mortality, and cost. A retrospective cohort study was conducted to identify predictors of AWD, defined in the National Surgical Quality Improvement Program User Guide as a spontaneous reopening of a previously surgically closed (midline) wound that occurs within 30 days after index elective surgery in patients undergoing colorectal surgery. Data from the American College of Surgeons National Surgical Quality Improvement Program (2006-2012) were sea...
Source: Ostomy Wound Management - May 3, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Prevalence of Skin Tears in Elderly Patients: A Retrospective Chart Review of Incidence Reports in 6 Long-term Care Facilities.
Authors: Hawk J, Shannon M Abstract The incidence and prevalence of skin tears in long-term care (LTC) facilities has not been well established. To ascertain the point prevalence of reported skin tears, a retrospective review of incident reports was performed in 6 LTC facilities in western Pennsylvania from November 1, 2016 through December 31, 2016. Report data, including resident age; gender; mobility limitations; skin tear location, number, and cause (if known); occurrence time (7 am to 3 pm, 3 pm to 11 pm, or 11 pm to 7 am nursing shift); and history of previous skin tears, were abstracted. All data were entere...
Source: Ostomy Wound Management - May 3, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Post-marketing Surveillance Study of Chronic Wounds Treated With a Native Collagen Calcium Alginate Dressing.
Authors: Sabo M, Le L, Yaakov RA, Carter M, Serena TE Abstract Chronic wounds (ie, wounds that fail to progress through a normal, orderly, timely sequence of repair) continue to pose significant clinical and economic burdens. A prospective, descriptive, 3-week post-marketing surveillance study was conducted across 3 wound care centers in the United States to evaluate the effectiveness of a collagen calcium alginate dressing on chronic wounds in conjunction with standard care (SC) practices (eg, offloading, debridement, compression) to support healing. Eligible participants had to be>18 years of age, have at leas...
Source: Ostomy Wound Management - May 3, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Rare Case of Cutaneous Diffuse Large B-cell Lymphoma Presenting as a Chronic "Infectious" Skin Ulcer.
A Rare Case of Cutaneous Diffuse Large B-cell Lymphoma Presenting as a Chronic "Infectious" Skin Ulcer. Ostomy Wound Manage. 2018 Apr;64(4):44-47 Authors: Song H, Gong Y, Yan X, Zhang J Abstract Cutaneous diffuse large B-cell lymphoma (DLBCL) usually manifests as papules, nodules, or plaques. A rare case of a patient with a chronic skin ulcer and signs and symptoms of infection, including fever and large amounts of yellow wound exudate, is presented. Fifteen (15) months before diagnosis, a 43-year-old otherwise healthy man noted soreness without apparent cause in his upper chest and a palpabl...
Source: Ostomy Wound Management - May 3, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Scoping Review of the Use of Silver-impregnated Dressings for the Treatment of Chronic Wounds.
Authors: Rodriguez-Arguello J, Lienhard K, Patel P, Geransar R, Somayaji R, Parsons L, Conly J, Ho C Abstract Topical silver agents and dressings are used to control infection and promote healing in chronic wounds, but reviews published from 2006 to 2011 found heterogeneous results regarding their effectiveness. A scoping review was conducted to examine the extent, range, and nature of research activity surrounding chronic wound care that employed silver-impregnated dressings; identify research gaps in the existing literature; and summarize the evidence to provide recommendations for future clinical studies. Ten (1...
Source: Ostomy Wound Management - March 29, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Quasi-experimental Study to Explore the Effect of Barrier Cream on the Peristomal Skin of Patients With a Tracheostomy.
Authors: Karaca T, Korkmaz F Abstract Peristomal skin problems represent one of the most common complications of a tracheostomy. A quasi-experimental study was conducted among patients ages 18 to 65 years hospitalized in a Turkish university hospital ear-nose-throat clinic between August 15, 2013, and December 15, 2013, to compare the effect of using or not using a barrier cream on the peristomal skin with regard to pH, moisture, temperature, color, odor, turgor, infections, and lesions after tracheostomy surgery. Patients were selected using a purposeful sampling method and included if they had not undergone anoth...
Source: Ostomy Wound Management - March 29, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Descriptive, Retrospective Study of Using an Oblique Downward-design Gluteus Maximus Myocutaneous Flap for Reconstruction of Ischial Pressure Ulcers.
Authors: Chou CY, Sun YS, Shih YJ, Tzeng YS, Chang SC, Dai NT, Lin CT Abstract Despite advances in reconstruction techniques, ischial pressure ulcers continue to present a challenge for the plastic surgeon. The purpose of this retrospective study was to evaluate outcomes of using an oblique downward gluteus maximus myocutaneous (GMM) flap for coverage of grade IV ischial ulcers. Data regarding defect size, flap size, operation time, duration of wound healing, and surgical outcome were abstracted from the medical records of patients whose ischial pressure ulcers had been reconstructed using GMM island flaps between ...
Source: Ostomy Wound Management - March 29, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Randomized, Controlled Clinical Study to Assess the Effect of Anodal and Cathodal Electrical Stimulation on Periwound Skin Blood Flow and Pressure Ulcer Size Reduction in Persons with Neurological Injuries.
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 - February 28, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Factors Affecting Wound Healing in Individuals With Pressure Ulcers: A Retrospective Study.
Authors: Karahan A, AAbbasoğlu A, Işık SA, Çevik B, Saltan Ç, Elbaş NÖ, Yalılı A Abstract Owing to the number and severity of concomitant factors, pressure ulcers remain a significant problem. A retrospective study of data from adult patients with a pressure ulcer was conducted to identify factors that may affect their healing. Data from patients who were hospitalized between January 1, 2011, and December 31, 2015, in a private Turkish university hospital who had a Stage 2, Stage 3, Stage 4, or unstageable pressure ulcer that was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) ...
Source: Ostomy Wound Management - February 28, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

A Retrospective Analysis to Evaluate Seasonal Pressure Injury Incidence Differences Among Hip Fracture Patients in a Tertiary Hospital in East China.
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 - February 28, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

Reconstruction of a Sacral Pressure Ulcer With an Inferior Gluteal Artery Perforator Flap After Failed Reconstruction Using Bilateral V-Y Advancement Flaps.
Authors: Wang CY, Wu CJ, Chu TS, Chen CY, Chou CY, Chiao HY, Chang CK, Dai NT Abstract Many types of flaps are available if surgical reconstruction of a pressure ulcer is indicated, including a gluteus maximus flap, V-Y advancement flap, and superior gluteal artery perforator flap. Regional flap failure can complicate treatment, requiring additional flap surgery. An 80-year old woman with a 2-year history of being unconscious following a cerebrovascular accident presented with a Stage 4 sacral pressure ulcer of 2 months' duration with eschar and abscess formation. Because the wound measured 15 × 10 cm2, bilat...
Source: Ostomy Wound Management - February 28, 2018 Category: Surgery Tags: Ostomy Wound Manage Source Type: research

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