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1.
J Tissue Viability ; 2024 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-39054205

RESUMEN

Debridement is an important component of wound management and can improve outcomes for patients. Debridement needs to be done by an appropriately trained health professional, but the scope of practice, credentials, training, competencies, and regulatory requirements regarding wound debridement can differ. Best Practice Recommendations were created to positively influence patient safety related to all methods of debridement, across the continuum of care, and to be implemented widely by nurses at all professional levels in Canada. AIM: To further develop the Best Practice Recommendations for wound debridement, with an international perspective, by creating a consensus document to support the global adoption of evidence-based debridement practice for health professionals. METHODS: A consensus meeting utilising Delphi methods was conducted between the authors to review the consensus statements. Once 80 % agreement was achieved, a wide range of wound care experts were identified by the authors and invited to participate in an external review of the statements. RESULTS: Fifteen consensus statements about wound debridement were agreed upon and are presented in this paper. CONCLUSIONS: These best practice recommendations have been reviewed by a wide range of practitioners from across the UK and Canada and aim to provide guidance on the standardisation of debridement practices for healthcare professionals.

2.
Phlebology ; 22(2): 86-9, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-18268857

RESUMEN

BACKGROUND AND OBJECTIVES: Decreased ankle mobility is associated with delayed healing of venous ulcers. The aim of this study was to assess the efficacy of a 24-week home-based exercise programme in increasing ankle range of motion and increasing the strength and endurance of the calf muscle. The secondary aim was to see whether subjects with venous ulcers were able to maintain a consistent exercise programme. METHODS: Eleven patients with long-standing venous ulcers were encouraged to undertake a thrice-weekly 5-10 min ankle exercise programme using elastic resistance bands and stretching in a 24-week single-arm pilot study. Ankle range of motion was measured monthly using a bi-plane ankle goniometer. Pain scores and participation levels were also recorded. RESULTS: There were significant improvements in ankle range of motion achieved at 12 and 24 weeks. Median pain scores (scale of 1-10) were reduced from 5.2 at baseline to 2.0 at weeks 12 and 24. CONCLUSION: These results show that a simple, home-based exercise programme is effective in achieving gains in ankle range of motion and may help to reduce pain. Good participation levels show that it is not only effective, but also feasible. A larger randomized controlled study is needed to show whether there is a positive effect on ulcer healing.


Asunto(s)
Articulación del Tobillo/fisiopatología , Terapia por Ejercicio , Tolerancia al Ejercicio , Servicios de Atención a Domicilio Provisto por Hospital , Fuerza Muscular , Músculo Esquelético/fisiopatología , Manejo del Dolor , Úlcera Varicosa/terapia , Anciano , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dolor/etiología , Dimensión del Dolor , Cooperación del Paciente , Proyectos Piloto , Rango del Movimiento Articular , Factores de Tiempo , Resultado del Tratamiento , Úlcera Varicosa/complicaciones , Úlcera Varicosa/fisiopatología
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