Plastic and aesthetic nursing最新文献

The scarring that occurs following a burn injury can have devastating physical and emotional consequences for the patient. Scar revision surgery can be very effective, but when surgical options are exhausted or the patient declines, camouflage is an alternative. A 43-year-old woman with mid-deep dermal flame burns sustained in a house fire in August 2020, comprising 6% total body surface area, underwent chemical debridement followed by allograft application. One month later, the patient underwent surgical debridement with a split-thickness skin graft to an unhealed area on her left posterior shoulder. This procedure was successful, with 100% graft take. During her follow-up visits, she developed hypertrophic scarring in this region, which shifted the focus of her care to scar management. We developed a custom-made silicone gel prosthesis to camouflage the scar, help the patient regain confidence, and also provide therapeutic benefit by sealing in hydration. The prosthesis was matched to the patient's normal skin tone and texture, featuring a soft and flexible outer surface with a smooth inner surface for adherence. The patient found the prosthesis easy to apply and inconspicuous, yet effective at concealing the scarred area. The prosthesis also offered protection from external sources of irritation. Both the Patient and Observer Scar Assessment Scale and the Modified Vancouver Scar Scale showed marked improvement when the prosthesis was used.

PPediatric patient safety is a public health concern. Implementing unsafe practices, taking unnecessary risks, and making nursing practice errors can contribute to pediatric patient injury, disability, poor prognosis, or even death. Our study aimed to investigate the effect of implementing a safety program to improve nurses' performance in pediatric health care settings. Our study had a quasi-experimental design and was conducted at the National Cancer Institute, Cairo University, Cairo, Egypt. Our sample population included a convenience sample of 36 pediatric nurses and 36 pediatric patients. We used three tools to collect data. The first tool was a structured interview questionnaire we administered before and after implementing a safety program for pediatric nurses at the health care setting. The second tool was an observational checklist to assess the nurses' practices related to pediatric patient safety. The third tool was an assessment sheet to determine the effectiveness of the safety program. We found there was a statistically significant correlation between the knowledge and practice competency of the nurses before and after implementing the safety program (r = 0.76, p < .000). We also found that after implementing the safety program, the length of the patients' hospital stay, number of unscheduled hospitalizations, need for additional medications, and number of complications decreased among the pediatric patient participants. We recommend implementing similar safety education and training programs for nurses in other facilities to update their knowledge and improve their practices related to pediatric patient safety.

This study aimed to assess the burden and economic impact of disease associated with plastic and reconstructive surgery in the United Kingdom. We calculated a value per statistical life year of £60,000 per person in the United Kingdom ($75,510 in U.S. dollars). We found that in 2019, the estimated age-standardized incident rates, age-standardized death rates, and age-standardized disability-adjusted life years of plastic surgery-related conditions were 361.47 per 100,000, 19.5 per 100,000 and 551.0 per 100,000, respectively. Burn emerged as the leading contributor to the overall disease burden, accounting for 32%, followed by decubitus ulcer (21%) and breast cancer (17%). The economic burden of plastic surgery-related diseases in the United Kingdom amounted to £34.3 billion (43.2 billion in U.S. dollars) in 2019, exhibiting a steady increase from £19.6 billion (24.7 billion in U.S. dollars) in 1990. Plastic and reconstructive surgery-related diseases, primarily breast cancer, thermal burns, and malignant melanoma, impose a substantial burden on the U.K. health care system. These findings hold significant implications for national health care policy, funding allocation, and research prioritization.