Pressure ulcers: everyone's business.
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Biomedical subjects
Publications and source records attributed to Jackie Stephen-Haynes.
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This article outlines the principle areas for consideration form the NICE (2005) guideline for pressure ulcer prevention and treatment. All key areas are included and recommendations made for their implementation into clinical practice. A conclusion is made that pressure ulcer prevention is a key indicator of quality care and that all professionals have a responsibility for its implementation.
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This article explores the practical implementation of the NICE (2005) guideline on pressure ulcer prevention by those that the guideline was created for, including: service managers, commissioners, clinical governance and education leads, patients/carers and both the specialist and non-specialist.
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Pressure ulcers were once viewed as an inevitable consequence of being infirm and bed-ridden. As it has been recognized that this is not the case, pressure ulcers have come to be seen much more as an indicator of the quality of care provided, and are consequently high on the political and health agenda. This article provides an overview of the key aspects of pressure ulcer risk assessment and prevention drawn from a variety of national policy documents.
Honey has been used for its healing properties for centuries and has been used to dress wounds with favourable results. The emergence of antibiotic resistance and growing interest in "natural" or "complementary" therapies has led to an interest in honey dressings. Much of the research to date has been related to honey's antibacterial properties. However, the healing properties claimed for honey also include stimulating new tissue growth, moist wound healing, fluid handling and promoting epithelialization. Until recently, honey had not been developed as a wound management product and was not a certified pharmaceutical device. Activon Tulle is a sterile, non-adherent dressing impregnated with Leptospermum scoparium hone. The claimed properties of honey dressings would make this a valuable addition to the dressing currently available in the primary care setting. An evaluation was undertaken involving 20 patients with a variety of wounds. A conclusion is drawn that while further research is needed, medical grade honey does appear to be a valuable addition to the wound management formulary.
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Accident and emergency (A&E) departments and minor injury units (MIUs) are faced with a wide variety of acute traumatic wounds on a daily basis. Yet despite the existence of a county-wide tissue viability policy, guideline and formulary in Worcestershire, there had been no attempt to standardize treatment for traumatic wounds in the county. This article describes the process of developing a guideline for acute traumatic wound care by a wide multidisciplinary team. It identifies key points that may be considered when developing similar guidelines, including planning, leadership, communication and the motivation to finish the project. Development of guidelines is advocated as a means not only of improving and standardizing care to patients, but as a means of fostering multiprofessional team building and improved communication between health professionals.
This care study describes the application of an evidence-based approach to the care of an infant with a sacral haemangioma. It explores four key aspects of management: specific therapeutic modalities; local wound management; pain management; and management of infection. Clinical governance and evidence-based practice are now important elements of care delivery in the NHS (Department of Health (DoH), 1997). Current evidence relating to haemangiomas and wound management is critically appraised and applied to an individual patient within the primary care setting. The appropriateness of theories and models of nursing are considered in relation to holistic assessment. Recent evidence regarding the management of pain at dressing change (Moffatt et al, 2002) and its relevance to haemangiomas are highlighted. Reflective practice is an integral part of experiential learning and the development of practical knowledge (Ghaye, 2000). Reflective practice and critical analysis have facilitated the provision of high-quality care and allowed a deeper and clearer understanding of both practice and theory, and their relationship within clinical practice. It is concluded that reflective practice aids the delivery of high-quality care at a personal, professional and practice development level.
This article provides an overview of the current options for the application of compression therapy and a rationale for appropriate selection.