RESUMO
OBJECTIVE: To evaluate the impact of using knowledge mobilisation interventions to alter and enhance mindlines and improve childhood eczema care. DESIGN: The eczema mindlines study involved three stages: (1) mapping and confirming eczema mindlines, (2) intervention development and delivery and (3) analysis of intervention impact. The focus of this paper is on stage 3. Data analysis was guided by the Social Impact Framework to address the questions: (1) what is the impact of this study on individuals and groups? (2) what changes in behaviour and practice have occurred due to their involvement? (3) what mechanisms have enabled these impacts or changes to occur? and (4) what are the recommendations and questions arising from this research? SETTINGS: A deprived inner-city neighbourhood in central England and national/international settings. PARTICIPANTS: Patients, practitioners and wider community members exposed to the interventions locally, nationally and internationally. RESULTS: Data revealed tangible multi-level, relational and intellectual impacts. Mechanisms supporting impact included: simplicity and consistency of messages adapted to audience, flexibility, opportunism and perseverance, personal interconnectivity and acknowledgement of emotion. Co-created knowledge mobilisation strategies to alter and enhance mindlines mediated through knowledge brokering were effective in producing tangible changes in eczema care practice and self-management and in 'mainstreaming' childhood eczema in positive way across communities. These changes cannot be directly attributed to the knowledge mobilisation interventions, however, the evidence points to the significant contribution made. CONCLUSION: Co-created knowledge mobilisation interventions offer a valuable method of altering and enhancing eczema mindlines across lay-practitioner-wider society boundaries. The Social Impact Framework provides comprehensive method of understanding and documenting the complex web of impact occurring as a result of knowledge mobilisation. This approach is transferable to managing other long-term conditions.
Assuntos
Dermatite Atópica , Eczema , Autogestão , Humanos , Criança , Mudança Social , Eczema/terapia , Eczema/psicologia , Inglaterra , Autogestão/psicologiaRESUMO
Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit transepidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal transepidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.
Assuntos
Tecnologia Biomédica , Silicones , Estomas Cirúrgicos , Humanos , Silicones/uso terapêuticoRESUMO
Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit transepidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal transepidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.
RESUMO
Soft silicone's flexibility, adhesive capacity and non-toxic, non-odourous and hypoallergenic nature have made it an established material for adhesive and protective therapeutic devices. In wound care, silicone is a component of contact layer dressings for superficial wounds and silicone gel sheeting for reducing the risk of scarring, as well as of barriers for incontinence-associated dermatitis. Regarding stoma accessories, silicone is established in barrier films to prevent contact dermatitis, adhesive removers to prevent skin stripping and filler gels to prevent appliance leaks. Until recently, silicone has not been used in stoma appliances flanges, as its hydrophobic nature has not allowed for moisture management to permit trans-epidermal water loss and prevent maceration. Traditional hydrocolloid appliances manage moisture by absorbing water, but this can lead to saturation and moisture-associated skin damage (MASD), as well as increased adhesion and resultant skin tears on removal, known as medical adhesive-related skin injury (MARSI). However, novel silicone compounds have been developed with a distinct evaporation-based mechanism of moisture management. This uses colloidal separation to allow the passage of water vapour at a rate equivalent to normal trans-epidermal water loss. It has been shown to minimise MASD, increase wear time and permit atraumatic removal without the use of adhesive solvents. Trio Healthcare has introduced this technology with a range of silicone-based flange extenders and is working with the University of Bradford Centre for Skin Sciences on prototype silicone-based stoma appliance flanges designed to significantly reduce the incidence of peristomal skin complications, such as MARSI and MASD. It is hoped that this will also increase appliance wear time, reduce costs and improve patient quality of life.
Assuntos
Tecnologia Biomédica , Silicones/uso terapêutico , Higiene da Pele/métodos , Estomas Cirúrgicos , HumanosAssuntos
Eczema , Idoso , Idoso de 80 Anos ou mais , Eczema/epidemiologia , Eczema/etiologia , Eczema/terapia , Humanos , Incidência , Prevalência , Estresse PsicológicoAssuntos
Eczema/tratamento farmacológico , Eczema/etiologia , Emolientes/administração & dosagem , Temperatura Alta/efeitos adversos , Luz Solar/efeitos adversos , Protetores Solares/administração & dosagem , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Estações do Ano , Inquéritos e Questionários , Sudorese , Adulto JovemAssuntos
Antibacterianos/efeitos adversos , Eczema/etiologia , Eczema/terapia , Piscinas , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Concentração de Íons de Hidrogênio , Lactente , Masculino , Pessoa de Meia-Idade , Natação , Adulto JovemAssuntos
Cicatriz/prevenção & controle , Primeiros Socorros/métodos , Cicatrização/fisiologia , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/terapia , Adolescente , Criança , Pré-Escolar , Feminino , Primeiros Socorros/normas , Humanos , Lactente , Recém-Nascido , Masculino , Guias de Prática Clínica como AssuntoAssuntos
Antivirais/uso terapêutico , Eritema Infeccioso/diagnóstico , Eritema Infeccioso/tratamento farmacológico , Molusco Contagioso/diagnóstico , Molusco Contagioso/tratamento farmacológico , Verrugas/diagnóstico , Verrugas/tratamento farmacológico , Adolescente , Criança , Pré-Escolar , Dermatite/diagnóstico , Dermatite/tratamento farmacológico , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Guias de Prática Clínica como AssuntoAssuntos
Higiene da Pele/métodos , Banhos , Emolientes , Medicina Baseada em Evidências , Humanos , Lactente , Recém-Nascido , Massagem , Dermatopatias/terapiaRESUMO
Psoriasis is a common skin condition affecting 1.5% of the UK population. Patients with psoriasis have to manage and cope with their psoriasis on a day to day basis; which includes understanding how to self manage and use topical therapy. General skin care, including the importance of emollients is often an overlooked therapy area in psoriasis. This article gives an overview of psoriasis and current recommended topical treatments by the new NICE Assessment and Management of psoriasis Guidelines (2012). A recent survey looking at emollients and psoriasis are discussed. The best emollient for the patients is the one with the formulation that individually suits them and they want to use as part of a daily skin care routine.
Assuntos
Emolientes/uso terapêutico , Satisfação do Paciente , Psoríase/terapia , Administração Tópica , Adulto , Estudos Transversais , Fármacos Dermatológicos/administração & dosagem , Feminino , Humanos , Masculino , Avaliação em Enfermagem , Psoríase/diagnóstico , Psoríase/tratamento farmacológico , Psoríase/psicologia , Qualidade de VidaAssuntos
Penfigoide Gestacional/terapia , Complicações na Gravidez/terapia , Prurido/terapia , Feminino , Humanos , Penfigoide Gestacional/diagnóstico , Penfigoide Gestacional/enfermagem , Gravidez , Complicações na Gravidez/diagnóstico , Complicações na Gravidez/enfermagem , Prurido/diagnóstico , Prurido/enfermagemAssuntos
Dermatomicoses/diagnóstico , Dermatomicoses/tratamento farmacológico , Dermatopatias Bacterianas/diagnóstico , Dermatopatias Bacterianas/tratamento farmacológico , Dermatopatias Virais/diagnóstico , Dermatopatias Virais/tratamento farmacológico , Antibacterianos/uso terapêutico , Antifúngicos/uso terapêutico , Antivirais/uso terapêutico , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Reino UnidoAssuntos
Dermatite Atópica/terapia , Serviços de Informação , Educação de Pacientes como Assunto , Instituições Filantrópicas de Saúde , Aniversários e Eventos Especiais , Criança , Pré-Escolar , Enfermagem em Saúde Comunitária , Dermatite Atópica/enfermagem , Linhas Diretas , Humanos , Lactente , Internet , Reino UnidoAssuntos
Estações do Ano , Dermatopatias/prevenção & controle , Luz Solar/efeitos adversos , Criança , Pré-Escolar , Dermatite Atópica/prevenção & controle , Humanos , Lactente , Mordeduras e Picadas de Insetos/prevenção & controle , Miliária/prevenção & controle , Queimadura Solar/prevenção & controle , Tinha Versicolor/prevenção & controleRESUMO
Rosacea is a common skin condition, especially for middle-aged and some older adults. However, it is often wrongly perceived as cosmetic facial redness caused by alcohol. This can be very distressing for rosacea patients, as it is a facial vascular condition with subtypes, varying in severity. Rosacea should be effectively treated, as physical symptoms such as burning, stinging and soreness, as well as facial disfigurement are very distressing and can have a major impact on quality of life. This articles seeks to explain what rosacea is, including a description of sub-types and possible causes and trigger factors. Treatments for different severities of rosacea and the nurse's role in supporting patients will also be discussed.