Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 49
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
Br J Nurs ; 28(20): S3, 2019 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-31714838
4.
Br J Nurs ; 27(15): S3, 2018 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-30089058
5.
J Wound Care ; 27(7): 421-425, 2018 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-30016141

RESUMO

OBJECTIVE: Effective and comfortable debridement is an important part of managing complex wounds. This user test evaluated a monofilament-fibre pad (with handle) (Debrisoft Lolly, Lohmann & Rauscher GmbH & Co. KG) in the debridement of various hard-to-reach wounds. METHOD: The multicentre, international user test was performed by experienced physicians and nurses in Germany and the UK, who used the monofilament-fibre pad in their clinical practice. After debridement, using the monofilament-fibre pad, the clinicians completed an evaluation questionnaire. The assessment comprised of performance, usability, tolerability, safety and suitability of the device for debridement, comparing it with standard methods used in the clinicians' centres. RESULTS: A total of 23 clinicians in 20 centres each treated between six and 10 patients with the monofilament-fibre pad (a total of 155 wounds of different aetiologies). Most participating patients had deep wounds (n=63 (41%)) or cavity (n=31 (20%)) wounds. When compared with the standard debridement method used at the centres, the tested device was scored as 'easier' or 'equally easy' to use in all cases. When comparing the standard debridement procedure with the monofilament-fibre pad, debridement duration was reported as equal to or shorter than the standard method in 90% of cases when using the monofilament-fibre pad. Debridement efficacy was scored by the clinician as 'better' or 'equal' for the monofilament-fibre pad in 67% of cases. Overall, patients reported that the study device was comfortable. CONCLUSION: The monofilament-fibre pad effectively, easily and safely removed slough and debris from wounds of various aetiologies and was effective in wounds of different shapes, such as in cavity wounds and those in hard-to-reach locations.


Assuntos
Atitude do Pessoal de Saúde , Desbridamento/instrumentação , Úlcera Cutânea/cirurgia , Cicatrização , Inglaterra , Desenho de Equipamento , Alemanha , Humanos , Poliésteres
6.
Br J Community Nurs ; 23(Sup4): S16-S19, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29906198

RESUMO

This articles outlines the important issue of chronic oedema, its definition and the physiology of the three main categories. The care delivered in the care home (nursing) sector was the subject of a printed questionnaire and the results are presented here. They are discussed and the implications for practice and an evidenced-based approach to care delivery are considered. Several conclusions can be drawn from this study but would be strengthened by a larger study. Care for patients with chronic oedema could be enhanced and this would improve clinical outcomes; significantly fewer patients would need to be referred for GP management if an appropriate and timely first-line treatment was agreed and provided by nursing staff. An educational resource should be developed, including: a resource folder; e-learning, patient information, and a patient leg exercise regime; a crib sheet and myth buster information; and clinical competencies. A further study would be required to confirm whether fewer patients experienced falls or presented with chronic oedema when lower leg swelling was managed.


Assuntos
Edema/enfermagem , Extremidade Inferior , Auditoria de Enfermagem , Casas de Saúde , Idoso , Doença Crônica , Edema/fisiopatologia , Inglaterra , Terapia por Exercício , Feminino , Humanos , Masculino , Educação de Pacientes como Assunto , Encaminhamento e Consulta/estatística & dados numéricos , Inquéritos e Questionários
7.
Br J Nurs ; 27(6): S24-S30, 2018 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-29561671

RESUMO

This article reports on a product evaluation of KytoCel, an absorbent wound dressing used in the treatment of 30 wounds treated in community care and 10 split-thickness skin-graft donor sites treated in acute care. Within the community-treated cohort, unspecified leg wounds were the most common wound type (n=6) with the mean wound area of the 30 wounds being 17.6 cm2 (standard deviation (SD) 31.7) and mean volume being 8.4 cm3 (SD 21.4). Most community treated wounds (27/30; 90%) were reported to have moderate to high levels of wound exudate with the majority (n=19) either healed or improved during treatment. All ten split-thickness skin graft donor sites healed during the evaluation. A semi-structured focus group consisting of 17 nurses provided their opinions on KytoCel, with positive comments offered on the dressing during the focus group and of the 17 participants, 10 commented that the KytoCel dressing was available on their local wound care formulary.


Assuntos
Anti-Infecciosos/farmacologia , Bandagens/normas , Hemostáticos/farmacologia , Adsorção , Adulto , Idoso , Idoso de 80 Anos ou mais , Anti-Infecciosos/administração & dosagem , Estudos de Avaliação como Assunto , Feminino , Grupos Focais , Hemostáticos/administração & dosagem , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
9.
J Wound Care ; 27(2): 91-100, 2018 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-29424643

RESUMO

OBJECTIVE: This open, non-comparative, multi-centre investigation examines the use of a new superabsorbent polymer (SAP) wound dressing used for exudate management (in medium-to-high exuding wounds) in a patient population with a variety of wound types. The primary objective of this study was to evaluate the fluid management capabilities of the dressing. METHOD: Both acute and chronic wounds with moderate-to-high exudate production levels were assessed (over a period of two weeks) as requiring exudate management, with a SAP dressing, Zetuvit Plus (designated Resposorb Super in Europe), as part of their normal treatment regimen. Clinicians recorded a subjective assessment of exudate management and its impact on periwound skin conditions. In addition, wound bed preparation, healing trajectory and pain level reduction were monitored to give an insight into the clinical implications of using this dressing. Data was also collected from clinicians and patients on clinical performance of the dressing. RESULTS: The SAP dressing achieved ratings of 'very good'/'good' (83% and 13%, respectively) in relation to its wound exudate handling properties. The dressing supported improved wound healing, reduced damage to and enhanced the status of the periwound skin. Pain levels were reduced and, as a consequence, patient reported outcomes were improved. Patients commented that the exudate handling capabilities of the dressing, its conformability and comfort allowed them to resume a semblance of normality in their life. All participating clinicians indicated that they would continue to use the SAP dressing. A sub-population cost analysis has highlighted that, when compared to alternative (historical) exudate management treatments, the SAP dressing was less expensive. The cost reduction arises from data that shows product use and frequency of dressing change (that impacts on nurse time) are both reduced. For the 10 patients evaluated, total costs were £2,491 and £1,312 before and during use, respectively; a saving of £1,179.00 (47%). CONCLUSION: The SAP dressing was well tolerated and shown to be effective in the management of moderate-to-high exudate. Consequently, the dressing supported improved healing, and reduced damage to periwound skin, leading to lower pain levels. Overall, both the patients and clinicians rated the SAP highly.


Assuntos
Absorventes Higiênicos , Úlcera da Perna/terapia , Curativos Oclusivos , Polímeros , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Inglaterra , Exsudatos e Transudatos , Feminino , Humanos , Masculino , Satisfação do Paciente , Índice de Gravidade de Doença , Medicina Estatal , Cicatrização
10.
Br J Nurs ; 26(Sup20): S54-S60, 2017 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-29120687

RESUMO

BACKGROUND: alternating pressure air mattresses (APAMs) support the prevention and management of pressure ulcers. A health and care NHS trust was seeking an APAM that would improve clinical outcomes in relation to pressure ulcers while considering financial cost. An APAM existed that could meet the trust's needs but there was a lack of evidence over its use in a community/home setting. This study examined the effect of using the Dual Professional (IQ Medical) APAM for patients at a high risk of pressure ulceration. It also determined patient and family satisfaction, and the views of clinicians in relation to clinical outcomes. Additionally, infection prevention and control, servicing, maintenance and electrical biomechanical engineer input were considered. METHOD: a prospective observational study was undertaken of 100 patients in their own homes following a pilot study of 10 patients. The period of the evaluation was from one day up to 295 days, with a mean average of 83 days, and a total of 5809 bed days. RESULTS: with a regimen of regular repositioning of patients and a good diet, the APAM was effective in preventing pressure ulceration in the 100 patients who were at a high or very high risk of skin breakdown and pressure ulceration. CONCLUSION: selection of pressure redistributing surfaces should be based on holistic patient assessment, including risk assessment, mobility levels, grade of pressure damage and clinical judgment.


Assuntos
Leitos , Serviços de Assistência Domiciliar , Lesão por Pressão/prevenção & controle , Adulto , Idoso , Idoso de 80 Anos ou mais , Inglaterra , Incontinência Fecal/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Limitação da Mobilidade , Conforto do Paciente , Posicionamento do Paciente , Satisfação do Paciente , Estudos Prospectivos , Medição de Risco , Incontinência Urinária/epidemiologia
12.
Br J Nurs ; 26(12 Suppl): S6-S14, 2017 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-28640720

RESUMO

This article defines fungating wounds and considers the underlying cause, location and presentation. The clinical challenges presented by fungating wounds are discussed, with reference to evidence-based care delivery. This includes wound assessment, cleansing, debridement and management of malodour, infection, bleeding and exudate. Guidance on the use of wound management dressings is considered in relation to symptom management. The importance of clinical decision-making and educational preparation in the delivery of evidenced-based care for those with fungating wounds is emphasised. A conclusion is made that the clinician can support the patient with a fungating wound by the delivery of evidenced-based care.


Assuntos
Bandagens , Carcinoma Basocelular/terapia , Carcinoma de Células Escamosas/terapia , Desbridamento , Melanoma/terapia , Neoplasias Cutâneas/terapia , Infecção dos Ferimentos/terapia , Ferimentos e Lesões/terapia , Carcinoma Basocelular/complicações , Carcinoma Basocelular/patologia , Carcinoma de Células Escamosas/complicações , Carcinoma de Células Escamosas/patologia , Tomada de Decisão Clínica , Exsudatos e Transudatos , Hemorragia/terapia , Humanos , Melanoma/complicações , Melanoma/patologia , Neoplasias Cutâneas/complicações , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/secundário , Ferimentos e Lesões/etiologia
13.
Br J Nurs ; 26(6): S3, 2017 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-28345971
14.
Br J Nurs ; 26(6): S36-S41, 2017 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-28345976

RESUMO

This article describes a single-centre, non-comparative evaluation set out to assess the clinical performance and patient acceptability of a new carboxymethyl cellulose (CMC) wound dressing. Twenty patients in a community setting, aged between 34-97 years, were recruited. The progression of various types of wounds with different levels of exudate was documented over 4 weeks. No adherence to the wound bed or painful removal was reported in 18 patients, and the peri-wound skin was the same or had improved in all patients. When compared with the previous CMC dressing used by the authors, the new CMC dressing reported a longer wear time. These findings show a positive clinical performance and suggest a potential financial advantage when using the new dressing.


Assuntos
Bandagens , Carboximetilcelulose Sódica , Ferimentos e Lesões/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Bandagens/economia , Análise Custo-Benefício , Exsudatos e Transudatos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medicina Estatal , Fatores de Tempo , Reino Unido , Cicatrização
17.
Br J Community Nurs ; 20 Suppl 12: S32-8, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26639071

RESUMO

The wound contact layer of UrgoTul Absorb Border (Urgo Medical) foam dressing contains a Technology Lipido Colloid (TLC) Healing Matrix, which includes hydrocolloid and lipophilic substances designed to stimulate fibroblast proliferation and thus promote granulation tissue formation. A multicentre, noncomparative, clinical evaluation of UrgoTul Absorb Border investigated whether use of the dressing promoted granulation tissue formation and the management of wound exudate. Other parameters evaluated included: pain-free dressing changes, protection and improvement of surrounding tissue, ease of application, conformability, ability to remain in place, wear time, effect on peri-wound skin, durability, ease of removal, and patient comfort. There were 43 patients recruited into the evaluation. Results show that 8 wounds (19%) achieved full epithelialisation and 34 (81%) improved. All participating clinicians rated the dressing's overall performance, including its ability to manage exudate, as excellent, very good, or good.

18.
Br J Nurs ; 24(15): S52, S54-7, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26266567

RESUMO

This article presents the results of 40 patients using two versions of a new two-layer compression system in a large primary care organisation. The evaluation was undertaken to explore the following areas formulary inclusion consideration: ease of use, clinical acceptability, clinical outcome and additional patient benefits of an alternative new low-profile bandage system containing zinc (n=30) and odour-control properties (n=10).


Assuntos
Úlcera da Perna/terapia , Curativos Oclusivos , Zinco/administração & dosagem , Humanos , Odorantes/prevenção & controle , Qualidade de Vida
19.
Br J Nurs ; 23(6): S36, S38-43, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24690750

RESUMO

Pressure ulcers are a common and debilitating problem in health care, impacting negatively on health-related quality of life and compounding challenges in achieving patient safety targets. Pressure ulcer prevention is a multidisciplinary team effort, involving a myriad of interventions, such as nutrition, skin care and repositioning. This article discusses the factors influencing pressure ulcer development, and then elaborates on the principles of prevention. This is followed by a focused discussion on the use of redistribution devices and the importance of the cover of such equipment in contributing to achieving good standards in prevention.


Assuntos
Lesão por Pressão/etiologia , Lesão por Pressão/terapia , Equipamentos de Proteção , Leitos , Fricção , Humanos , Fatores de Risco
20.
Br J Nurs ; 23(5): S26, S28-30, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24642771

RESUMO

This article considers the anatomy and physiology of the skin,wound healing, excoriation, maceration, peristomal skin and the importance of periwound protection. The results of a 54-patient study of the use of barrier film forming skin protection in periwound skin are presented and a 10-patient healthy volunteer experimental evaluation. The results confirm the effectiveness of barrier protection in healthy skin in an experimental evaluation and a 54-patient study requiring periwound protection.


Assuntos
Bandagens , Pele/fisiopatologia , Estomas Cirúrgicos , Resultado do Tratamento , Exsudatos e Transudatos , Humanos , Qualidade de Vida , Cicatrização
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA