Pub Date : 2022-12-01DOI: 10.33235/wpr.30.4.207-215
M. Bone, S. Latimer, R. Walker, B. Gillespie
{"title":"Moisture accumulation detection technologies for identifying pressure injuries: a literature review","authors":"M. Bone, S. Latimer, R. Walker, B. Gillespie","doi":"10.33235/wpr.30.4.207-215","DOIUrl":"https://doi.org/10.33235/wpr.30.4.207-215","url":null,"abstract":"","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44967736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.33235/wpr.30.4.196-206
K. Carville, J. Alan, Joanna Smith
{"title":"Best practice, best products, best outcomes in community wound care: three descriptive cohorts","authors":"K. Carville, J. Alan, Joanna Smith","doi":"10.33235/wpr.30.4.196-206","DOIUrl":"https://doi.org/10.33235/wpr.30.4.196-206","url":null,"abstract":"","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49144798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.169-174
C. Young, Harriet K Semple, G. Kode
Cutaneous vasculitis presents a significant challenge to wound care specialists with the potential to result in large areas of dermal necrosis complicated by multisystem pathology leading to poor physiological reserve and treatment options that arrest normal healing. Both surgical and conservative management needs to be flexible as plans can be derailed by the fluctuating course of disease. In this case the application of a synthetic dermal substitute, NovoSorb ® Biodegradable Temporizing Matrix (BTM), and ongoing structured assessment using TIMERS and wound standards of care achieved unexpected positive results.
{"title":"Complex wound healing in a complex patient","authors":"C. Young, Harriet K Semple, G. Kode","doi":"10.33235/wpr.30.3.169-174","DOIUrl":"https://doi.org/10.33235/wpr.30.3.169-174","url":null,"abstract":"Cutaneous vasculitis presents a significant challenge to wound care specialists with the potential to result in large areas of dermal necrosis complicated by multisystem pathology leading to poor physiological reserve and treatment options that arrest normal healing. Both surgical and conservative management needs to be flexible as plans can be derailed by the fluctuating course of disease. In this case the application of a synthetic dermal substitute, NovoSorb ® Biodegradable Temporizing Matrix (BTM), and ongoing structured assessment using TIMERS and wound standards of care achieved unexpected positive results.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45310822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.175-178
S. Hall, D. August, F. Coyer, N. Marsh
Background Mechanical skin injuries have been a neonatal complication since the 1980s but a number of factors affect their assessment, particularly the assessment of injury severity. Whilst there is a single severity and classification system used to assess adult pressure injuries within Australia, there are no neonatal-specific standards for injury assessment. Unfortunately, neonates sustain skin injuries frequently and, whilst there are some similarities to adult injuries, the maturity of neonatal skin puts the application of adult injury scales into question. In addition, several severity systems are currently utilised, thus outcomes for skin injury prevention or management strategies are difficult to compare. Aims This review will investigate severity scales used for neonatal skin injury. Secondly, this review will determine the (i) characteristics of severity scales such as ordinal or categorical groupings and (ii) assessment of scale validation for population. Methods This scoping review will utilise the PRISMA-ScR framework and the 2015 Joanna Briggs Institute methodology. The electronic medical databases chosen are PubMed, CINAHL, COCHRANE Central and Scopus. Publications from within the last 20 years will be included to ensure the scales and the neonatal population reflect the timepoint when neonatal skin care became a safety and quality outcome as recognised by international seminal works.
{"title":"Neonatal skin injury scales: a scoping review with narrative synthesis protocol","authors":"S. Hall, D. August, F. Coyer, N. Marsh","doi":"10.33235/wpr.30.3.175-178","DOIUrl":"https://doi.org/10.33235/wpr.30.3.175-178","url":null,"abstract":"Background Mechanical skin injuries have been a neonatal complication since the 1980s but a number of factors affect their assessment, particularly the assessment of injury severity. Whilst there is a single severity and classification system used to assess adult pressure injuries within Australia, there are no neonatal-specific standards for injury assessment. Unfortunately, neonates sustain skin injuries frequently and, whilst there are some similarities to adult injuries, the maturity of neonatal skin puts the application of adult injury scales into question. In addition, several severity systems are currently utilised, thus outcomes for skin injury prevention or management strategies are difficult to compare. Aims This review will investigate severity scales used for neonatal skin injury. Secondly, this review will determine the (i) characteristics of severity scales such as ordinal or categorical groupings and (ii) assessment of scale validation for population. Methods This scoping review will utilise the PRISMA-ScR framework and the 2015 Joanna Briggs Institute methodology. The electronic medical databases chosen are PubMed, CINAHL, COCHRANE Central and Scopus. Publications from within the last 20 years will be included to ensure the scales and the neonatal population reflect the timepoint when neonatal skin care became a safety and quality outcome as recognised by international seminal works.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41598932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.150-157
Davidc . White, Sampath Kondasinghe
Malignant wounds cause significant suffering for patients with advanced cancer. These wounds are often non-healing, and the burden of wound-related symptoms is associated with declining physical function, social isolation and a sense of loss of control among patients. Holistic multidisciplinary support and specialised wound care are key to caring for patients with malignant wounds; however, this area remains under-researched and evidence-based management remains challenging. This paper reviews the existing evidence for management of malignant wounds and highlights the role of palliative care in supporting patients and caregivers.
{"title":"Managing a malignant wound in palliative care","authors":"Davidc . White, Sampath Kondasinghe","doi":"10.33235/wpr.30.3.150-157","DOIUrl":"https://doi.org/10.33235/wpr.30.3.150-157","url":null,"abstract":"Malignant wounds cause significant suffering for patients with advanced cancer. These wounds are often non-healing, and the burden of wound-related symptoms is associated with declining physical function, social isolation and a sense of loss of control among patients. Holistic multidisciplinary support and specialised wound care are key to caring for patients with malignant wounds; however, this area remains under-researched and evidence-based management remains challenging. This paper reviews the existing evidence for management of malignant wounds and highlights the role of palliative care in supporting patients and caregivers.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44153578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.163-168
Alexander Savage, Lisa J Ellis, P. Terrill
Chronic leg ulcers are frustrating wounds to heal. Successful treatment relies on effective diagnosis and management of the underlying aetiology of the chronic leg ulcer as well as appropriate local wound treatment. Extensive knowledge of the range of dressing products is essential to be able to source the most appropriate dressing for your patient. We present here examples of our early positive experience with a newly introduced product to Australia and its use in difficult to heal wounds. The product is gentian violet and methylene blue (GVMB) impregnated into a polyvinyl alcohol foam (Hydrofera Blue CLASSIC ® , AinsCorp Pty Ltd). It has many advantages including an antibacterial effect with negative pressure wicking of bacteria, exudate and debris, long wear time and pain free removal and it is cost effective. These case reports illustrate three cases where GVMB dressings have been used successfully in chronic leg ulcer management.
慢性腿部溃疡是令人沮丧的伤口愈合。成功的治疗依赖于对慢性腿部溃疡潜在病因的有效诊断和管理，以及适当的局部伤口治疗。广泛的知识范围的敷料产品是必不可少的，能够为您的病人来源最合适的敷料。我们在这里提出的例子，我们早期的积极经验与新推出的产品，以澳大利亚和它的使用在难以愈合的伤口。该产品是龙胆紫和亚甲基蓝(GVMB)浸渍在聚乙烯醇泡沫(Hydrofera blue CLASSIC®，AinsCorp Pty Ltd)。它有许多优点，包括抗菌效果与负压吸细菌，渗出液和碎片，长时间的磨损和无痛去除，是具有成本效益的。这些病例报告说明了三个案例，其中GVMB敷料已成功地用于慢性腿部溃疡的管理。
{"title":"The use of gentian violet and methylene blue impregnated foam for treatment of chronic leg ulcers","authors":"Alexander Savage, Lisa J Ellis, P. Terrill","doi":"10.33235/wpr.30.3.163-168","DOIUrl":"https://doi.org/10.33235/wpr.30.3.163-168","url":null,"abstract":"Chronic leg ulcers are frustrating wounds to heal. Successful treatment relies on effective diagnosis and management of the underlying aetiology of the chronic leg ulcer as well as appropriate local wound treatment. Extensive knowledge of the range of dressing products is essential to be able to source the most appropriate dressing for your patient. We present here examples of our early positive experience with a newly introduced product to Australia and its use in difficult to heal wounds. The product is gentian violet and methylene blue (GVMB) impregnated into a polyvinyl alcohol foam (Hydrofera Blue CLASSIC ® , AinsCorp Pty Ltd). It has many advantages including an antibacterial effect with negative pressure wicking of bacteria, exudate and debris, long wear time and pain free removal and it is cost effective. These case reports illustrate three cases where GVMB dressings have been used successfully in chronic leg ulcer management.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45480527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.139-142
Jonathan Quinn, W. Fairbairn, Gayle H. Silveira, S. Platt
surgical wounds to seawater. Anecdotally, this resulted in delayed wound healing or postoperative infection in many patients. However, informal discussion with patients demonstrated a commonly held Abstract Background There is a wealth of microorganisms that are causative for bone and soft tissue infections. Wounds sustained in, or exposed to, marine environments are unique in regards to the spectrum of bacteria encountered in these environments. The senior author observed a high rate of patient-reported exposure of postoperative surgical wounds to seawater. Anecdotally, this resulted in delayed wound healing or postoperative infection in many patients. Methods A prospective patient questionnaire was designed to assess the attitudes and beliefs of Gold Coast residents presenting to orthopaedic outpatient clinic towards seawater exposure of surgical wounds. Data was collected over a 3-month period from August–October 2018; 1,000 competent adult patients completed the questionnaire. Results A total of 29% of the respondents reported to have put their surgical wound in seawater, and 95% of these patients believed that placing their wound in seawater was beneficial to wound healing. Conclusion This study highlights that, in this population of patients, the overwhelming majority believe that seawater is beneficial to them and to their surgical wounds; we therefore need to be more diligent as healthcare providers about educating our patients in regards to proper wound care.
{"title":"Seawater exposure to surgical wounds: an alarming patient perspective","authors":"Jonathan Quinn, W. Fairbairn, Gayle H. Silveira, S. Platt","doi":"10.33235/wpr.30.3.139-142","DOIUrl":"https://doi.org/10.33235/wpr.30.3.139-142","url":null,"abstract":"surgical wounds to seawater. Anecdotally, this resulted in delayed wound healing or postoperative infection in many patients. However, informal discussion with patients demonstrated a commonly held Abstract Background There is a wealth of microorganisms that are causative for bone and soft tissue infections. Wounds sustained in, or exposed to, marine environments are unique in regards to the spectrum of bacteria encountered in these environments. The senior author observed a high rate of patient-reported exposure of postoperative surgical wounds to seawater. Anecdotally, this resulted in delayed wound healing or postoperative infection in many patients. Methods A prospective patient questionnaire was designed to assess the attitudes and beliefs of Gold Coast residents presenting to orthopaedic outpatient clinic towards seawater exposure of surgical wounds. Data was collected over a 3-month period from August–October 2018; 1,000 competent adult patients completed the questionnaire. Results A total of 29% of the respondents reported to have put their surgical wound in seawater, and 95% of these patients believed that placing their wound in seawater was beneficial to wound healing. Conclusion This study highlights that, in this population of patients, the overwhelming majority believe that seawater is beneficial to them and to their surgical wounds; we therefore need to be more diligent as healthcare providers about educating our patients in regards to proper wound care.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43192683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.158-162
A. Kitamura, G. Nakagami, Miho Okabe, Shinsuke Muto, Tomomi Abe, A. Doorenbos, H. Sanada
Background Real-time remote consultations could be a way for wound, ostomy and continence nurses (WOCNs) to provide wound care alongside visiting nurses. We developed an application (app) for remote wound care consultations that facilitated high quality video calling and patient data sharing which was specifically designed for Japanese home care settings. In this report, we discuss the case of a patient who received real-time remote consultations through the app. Case A woman aged in her 90s had a wound on the posterior aspect of her left lower leg. The wound did not show any healing progress for 3 weeks. A WOCN obtained the patient’s information through the app which was uploaded by a visiting nurse before the first consultation. Weekly real-time remote consultations were conducted through the app using video calls. The WOCN could observe the wound in detail, and communicate with both the visiting nurse and the patient. The WOCN assessed that a factor of delayed wound healing was venous insufficiency, and then gave care recommendations. The wound healed within 6 weeks. and and
{"title":"An application for real-time, remote consultations for wound care at home with wound, ostomy and continence nurses: a case study","authors":"A. Kitamura, G. Nakagami, Miho Okabe, Shinsuke Muto, Tomomi Abe, A. Doorenbos, H. Sanada","doi":"10.33235/wpr.30.3.158-162","DOIUrl":"https://doi.org/10.33235/wpr.30.3.158-162","url":null,"abstract":"Background Real-time remote consultations could be a way for wound, ostomy and continence nurses (WOCNs) to provide wound care alongside visiting nurses. We developed an application (app) for remote wound care consultations that facilitated high quality video calling and patient data sharing which was specifically designed for Japanese home care settings. In this report, we discuss the case of a patient who received real-time remote consultations through the app. Case A woman aged in her 90s had a wound on the posterior aspect of her left lower leg. The wound did not show any healing progress for 3 weeks. A WOCN obtained the patient’s information through the app which was uploaded by a visiting nurse before the first consultation. Weekly real-time remote consultations were conducted through the app using video calls. The WOCN could observe the wound in detail, and communicate with both the visiting nurse and the patient. The WOCN assessed that a factor of delayed wound healing was venous insufficiency, and then gave care recommendations. The wound healed within 6 weeks. and and","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42868611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.33235/wpr.30.3.179-184
Anna Rose, A. Kamil, Elysa Roberts, Alexandra Hopson, P. Tehan
Background Pressure injuries (PI) are an important quality and safety issue in healthcare, with an annual cost of treating PI in Australia estimated to exceed $A983 million. Electronic health (eHealth) interventions are increasingly being used to assist consumers and services in the prevention and management of PI. Digital health or eHealth involves health services and information delivered or enhanced through the internet and related technologies. This scoping review aims to: identify and map existing eHealth interventions for the prevention of PI; map learnings from these studies related to the non-adoption, abandonment and challenges to the scale-up, spread and sustainability of these devices; and determine gaps in research related to the use of eHealth interventions in the prevention of PI. Method A scoping review will be guided by the methodology outlined by Arksey and O’Malley and the PRISMA-ScR framework. MEDLINE, CINAHL, ScienceDirect and the Cochrane library databases will be systematically searched using a piloted search strategy. Two reviewers will independently screen all titles, abstracts and full text articles. Any conflicts will be resolved by a third author. Consultations with authors holding clinical expertise in PI prevention and wound care will further inform the synthesis and reporting of findings. Findings will be presented in tabular and narrative format. Results This scoping review will assist in the translation of existing clinical practice guidelines into practice. By harnessing the power of technology and data, effective eHealth solutions will facilitate greater client and carer involvement and earlier intervention in PI by supporting clinicians to tailor care to an individual’s needs and preferences and providing the right intervention at the right time.
{"title":"eHealth interventions for the prevention of pressure injuries: a scoping review protocol","authors":"Anna Rose, A. Kamil, Elysa Roberts, Alexandra Hopson, P. Tehan","doi":"10.33235/wpr.30.3.179-184","DOIUrl":"https://doi.org/10.33235/wpr.30.3.179-184","url":null,"abstract":"Background Pressure injuries (PI) are an important quality and safety issue in healthcare, with an annual cost of treating PI in Australia estimated to exceed $A983 million. Electronic health (eHealth) interventions are increasingly being used to assist consumers and services in the prevention and management of PI. Digital health or eHealth involves health services and information delivered or enhanced through the internet and related technologies. This scoping review aims to: identify and map existing eHealth interventions for the prevention of PI; map learnings from these studies related to the non-adoption, abandonment and challenges to the scale-up, spread and sustainability of these devices; and determine gaps in research related to the use of eHealth interventions in the prevention of PI. Method A scoping review will be guided by the methodology outlined by Arksey and O’Malley and the PRISMA-ScR framework. MEDLINE, CINAHL, ScienceDirect and the Cochrane library databases will be systematically searched using a piloted search strategy. Two reviewers will independently screen all titles, abstracts and full text articles. Any conflicts will be resolved by a third author. Consultations with authors holding clinical expertise in PI prevention and wound care will further inform the synthesis and reporting of findings. Findings will be presented in tabular and narrative format. Results This scoping review will assist in the translation of existing clinical practice guidelines into practice. By harnessing the power of technology and data, effective eHealth solutions will facilitate greater client and carer involvement and earlier intervention in PI by supporting clinicians to tailor care to an individual’s needs and preferences and providing the right intervention at the right time.","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44453827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Accelerating wound research through Diamond Open Access","authors":"","doi":"10.33235/wpr.30.3.132","DOIUrl":"https://doi.org/10.33235/wpr.30.3.132","url":null,"abstract":"","PeriodicalId":44572,"journal":{"name":"Wound Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45572915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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