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Journal of Tissue Viability

Mary Madden, James Stark
George Winter's 1962 paper in Nature reported his observation that wounds in young pigs healed more quickly if covered rather than being left open to the air. This has been widely regarded as the starting point for 'advanced wound care' because it established the idea that a wound dressing could influence outcomes. This paper argues that key to understanding innovation is placing technological advances within their broader historical and sociological context. As in other areas of healthcare, the development of innovation in wound care can be seen as a multifaceted, uneven and contested process, not the simple invention and introduction of 'advanced' products and services...
March 27, 2019: Journal of Tissue Viability
Dorien De Meyer, Sofie Verhaeghe, Ann Van Hecke, Dimitri Beeckman
BACKGROUND: Pressure ulcers have a high impact on patients and their families. Profound and up-to-date knowledge among nurses is important given the effect on attitudes and preventative behaviour. To gain insight into educational needs and priorities, regular knowledge assessments are needed. OBJECTIVE: To gain insight into the knowledge of nurses and nursing assistants about pressure ulcer prevention. DESIGN: Cross-sectional multicentre study...
March 27, 2019: Journal of Tissue Viability
Patricia Karg, Vinoth Ranganathan, Michael Churilla, David Brienza
Pressure injuries resulting from long surgeries may be caused by prolonged ischemia. Operating table surfaces with alternating pressure (AP) features may reduce the risk of ischemia-induced pressure injuries by providing periodic relief of blood flow occlusions. Prior research investigated alternating loading applied with a single isolated rigid indenter and demonstrated increased perfusion. This study quantified effects of an overlay with AP on sacral skin perfusion for individuals lying supine for 60-min while blood flow was monitored...
March 21, 2019: Journal of Tissue Viability
Yue Guo, Kuaile Zhao, Tiyu Zhao, Yan Li, Yunhong Yu, Wan Kuang
BACKGROUND: Intraoperative pressure injury is still a major problem of perioperative nursing. Reducing the peak interface pressure is a valid clinical intervention for reducing the incidence of intraoperative pressure injuries. However, studies of repositioning and pressure-redistributing for surgical patients are still lacking. In this context we aimed to evaluate the effect of a curvilinear supine position on incidence of pressure injury with surgical patients in a hospital setting...
February 25, 2019: Journal of Tissue Viability
Angela Oates, Una Adderley
BACKGROUND: Venous leg ulceration is common in older adults in the United Kingdom. The gold-standard treatment is compression therapy. There are several compression bandage and hosiery systems that can be prescribed or purchased, but it was unclear what types of compression systems are currently being used to treat venous leg ulceration within the UK. This online scoping survey of registered nurses sought to (1) to identify what compression systems are available across the UK, (2) how frequently these are in use and (3) if there are any restrictions on their use...
February 21, 2019: Journal of Tissue Viability
Ehsan Zarei, Elmira Madarshahian, Adeleh Nikkhah, Soheila Khodakarim
BACKGROUND AND OBJECTIVE: Pressure ulcer (PU) is one of the important and frequent complications of hospitalization, associated with high treatment costs. The present study was conducted to determine the incidence of PU and its direct treatment costs for patients in intensive care unit (ICU) in Iran. MATERIAL AND METHODS: In this retrospective study, medical records of 643 discharged patients from ICU of two selected hospitals were examined. The demographic and clinical data of all patients and data of resources and services usage for patients with PU were extracted through their records...
February 15, 2019: Journal of Tissue Viability
Marcella Malavazi de Christo Scherer, Franciane Martins Marques, Mariana Moreira Figueira, Maria Carolina Oliveira Peisino, Elisângela Flávia Pimentel Schmitt, Tamara P Kondratyuk, Denise Coutinho Endringer, Rodrigo Scherer, Marcio Fronza
This study was undertaken to investigate the in vitro wound healing effects and the anti-inflammatory and antioxidant activities of terpinolene and α-phellandrene. The in vitro stimulatory effects on the proliferation and migration of fibroblasts were assessed using the scratch assay. The anti-inflammatory activity was evaluated using cell-based assays by investigating their influence on nitric oxide (NO), superoxide anion (O2 •- ), tumour necrosis factor-alpha (TNF-α) and interleukin 6 (IL-6) production and using the TNF-α-induced nuclear factor kappa (NF-κB) assay...
February 14, 2019: Journal of Tissue Viability
Ayano Nakai, Takeo Minematsu, Nao Tamai, Junko Sugama, Tamae Urai, Hiromi Sanada
The prevention of progression of Category I pressure ulcers (PUs) to Category II or higher is important, as Category II or higher PUs are open wounds and have a higher infection risk. Prognosis prediction of Category I PUs is necessary to provide successful intensive care for PUs with impaired healing. We focused on skin blotting using plasminogen activator inhibitor 1 (PAI1), interleukin-1α (IL-1α), vascular endothelial growth factor C (VEGF-C), and heat shock protein 90α (HSP90α). This pilot study was conducted at long-term-care and general hospitals to examine the applicability of DESIGN-R and thermography; the feasibility of skin blotting technique; the biomarker candidates, PAI1, IL-1α, VEGF-C, and HSP90α; and sample size for prognosis prediction for Category I PUs...
February 8, 2019: Journal of Tissue Viability
Hanne Van Tiggelen, Nele Van Damme, Sofie Theys, Eline Vanheyste, Sofie Verhaeghe, Kimberly LeBlanc, Karen Campbell, Kevin Woo, Ann Van Hecke, Dimitri Beeckman
BACKGROUND: Although skin tears are among the most prevalent acute wounds in nursing homes, their recognition as a unique condition remains in its infancy. Elderly patients are at risk of developing skin tears due to increased skin fragility and other contributing risk factors. In order to provide (cost-) effective prevention, patients at risk should be identified in a timely manner. OBJECTIVES: (1) To determine the point prevalence of skin tears and (2) to identify factors independently associated with skin tear presence in nursing home residents...
February 7, 2019: Journal of Tissue Viability
Jan Kottner, Janet Cuddigan, Keryln Carville, Katrin Balzer, Dan Berlowitz, Susan Law, Mary Litchford, Pamela Mitchell, Zena Moore, Joyce Pittman, Dominique Sigaudo-Roussel, Chang Yee Yee, Emily Haesler
AIM: The European Pressure Ulcer Advisory Panel, the Pan Pacific Pressure Injury Alliance, and the National Pressure Ulcer Advisory Panel are updating the 'Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline' (CPG) in 2019. The aim of this contribution is to summarize and to discuss the guideline development protocol for the 2019 update. METHODS: A guideline governance group determines and monitors all steps of the CPG development. An international survey of consumers will be undertaken to establish consumer needs and interests...
January 11, 2019: Journal of Tissue Viability
Daniel Schiltz, Carina Wenzel, Eva Brix, Lukas Prantl, Christian D Taeger
No abstract text is available yet for this article.
January 10, 2019: Journal of Tissue Viability
J F J Soetens, P R Worsley, D L Bader, C W J Oomens
Pressure ulcers (PUs) are a major burden to both patients, carers and the healthcare system. It is therefore important to identify patients at risk and detect pressure ulcers at an early stage of their development. The pro-inflammatory cytokine IL-1α is a promising indicator of tissue damage. The aim of this study was to compare the temporal skin response, by means of IL-1α expression, to different loading regimens and to investigate the presence of individual variability. The sacrum of eleven healthy volunteers was subjected to two different loading protocols...
January 4, 2019: Journal of Tissue Viability
Chitra Mehta, MdTariq Ali, Yatin Mehta, Joby V George, Manish Kumar Singh
BACKGROUND: Pressure ulcers (PU) usually occur over bony prominences in hospitalized patients. But they may occur due to medical devices referred also as Medical device related pressure ulcers (MDRPU). The United States National advisory panel (NPUAP) recognizes it as an important entity. MDRPU is one of the key quality indicators of hospital care, so far no data is available on MDRPU from the Indian Sub-continent. AIM: The primary objective of the study was to examine prevalence and Risk factors of MDRPU in critically sick patients...
December 31, 2018: Journal of Tissue Viability
Jonathan Duvall, Patricia Karg, David Brienza, Jon Pearlman
Pressure injuries are costly to the healthcare system and mostly preventable, yet incidence rates remain high. Recommendations for improved care and prevention of pressure injuries from the Joint Commission revolve around continuous monitoring of prevention protocols and prompts for the care team. The E-scale is a bed weight monitoring system with load cells placed under the legs of a bed. This study investigated the feasibility of the E-scale system for detecting and classifying movements in bed which are relevant for pressure injury risk assessment using a threshold-based detection algorithm and a K-nearest neighbor classification approach...
December 24, 2018: Journal of Tissue Viability
Chul-Hoon Kim, Myoung Soo Kim, Myung Ja Kang, Hyun Hee Kim, Nam Jung Park, Hyun Kyeong Jung
PURPOSE: This study examined the incidence of oral mucosa pressure ulcers (PUs) in intensive care unit (ICU) patients and the relationship between biomechanical and physiological variables in onset of PUs. METHODS: A prospective observational descriptive study design was used. We recruited patients over 18 years of age with endotracheal tube (ETT) insertion in three ICUs in a tertiary hospital in Korea. We analysed 113 patient-days of data. Patient assessments and medical record reviews were conducted to gather biomechanical and physiological data...
December 5, 2018: Journal of Tissue Viability
Marie Brown-Etris, Catherine T Milne, Jason P Hodde
AIM: The purpose of the study was to evaluate clinical safety and effectiveness of Oasis® Wound Matrix as a treatment for full-thickness pressure ulcers and compare it to Standard Care. METHODS: A total of 130 adults with Stage III or Stage IV pressure ulcers were randomly assigned, received either multiple topical treatments of SIS plus standard care (n = 67), or standard care alone (n = 63), and were subsequently evaluated. Ulcer size was determined at enrollment and weekly throughout treatment...
November 27, 2018: Journal of Tissue Viability
Ayumi Kumagai, Naoki Ohno, Tosiaki Miyati, Mayumi Okuwa, Toshio Nakatani, Hiromi Sanada, Junko Sugama
AIM: In operating rooms, the occurrence of pressure ulcers caused by being in the prone position is the highest among that of pressure ulcers caused by being in other surgical positions. Thus, we investigated effects of hardness and shape of urethane foam mattresses for preventing pressure ulcers during surgery performed with patients in the prone position. We aimed to elucidate how mattresses of variable hardness and shapes affect compression and displacement of the skin and soft tissues with external force in the prone position...
November 22, 2018: Journal of Tissue Viability
Charalambos Charalambous, Agoritsa Koulouri, Zoe Roupa, Aristidis Vasilopoulos, Mary Kyriakou, Marios Vasiliou
STUDY AIM: The main aim of the study was to identify the knowledge and attitudes of nurses towards pressure ulcer prevention in a major public hospital in Cyprus. MATERIAL AND METHODS: A descriptive and cross-sectional study design was used to collect the data between December 2014 and February 2015, the sample consisted of n = 102 nurses employed in a major public hospital in Cyprus. Customised and standardised Pressure Ulcer Knowledge Test and an attitudes Likert questionnaire was used to investigate both parameters...
November 10, 2018: Journal of Tissue Viability
A Lichterfeld-Kottner, N Lahmann, U Blume-Peytavi, U Mueller-Werdan, J Kottner
AIMS AND OBJECTIVES: To measure the prevalence and severity of dry skin in the home care nursing setting in Germany and to determine demographic and health characteristics associated with skin dryness. BACKGROUND: Advanced age and skin care dependency are risk factors for the development of skin dryness. Dry skin has a negative impact on the quality of life and increases the risk for secondary cutaneous infections and other adverse skin conditions. The prevalence of dry skin in home care is unknown...
November 2018: Journal of Tissue Viability
Yoshiko Takahashi, Yayoi Nagai, Hiroyuki Kanoh, Fumihiro Mizokami, Yusuke Murasawa, Masahiko Yoneda, Zenzo Isogai
Granulation tissue formation is required for the healing of deep pressure ulcers. The wound healing process is often delayed at the stage of granulation tissue formation. The pathogenesis of pressure ulcers showing granulation tissue may vary; however, no terminology has been defined to describe existing ulcers. Thus, we previously defined terminology for granulation tissue to describe individual ulcers. Based on these terms, we retrospectively evaluated the findings of deep pressure ulcers. In particular, we focused on polypoid granular tissue, a unique morphological feature...
November 2018: Journal of Tissue Viability
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