Journal articles: 'Wound care experience'

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Šepl Plentaj, Anamarija, and Mirna Žulec. "Nurses’ Knowledge About Wound Care." Croatian nursing journal 5, no. 2 (January 24, 2022): 113–28. http://dx.doi.org/10.24141/2/5/2/2.

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Introduction. Nurses’ knowledge can directly lead to treatment outcomes. Aim. To investigate the knowledge and attitudes of nurses regarding chronic wounds and to compare the nurses who participated in the study according to their level of education, years of experience, and place of work. Methods. Anonymous questionnaire about wound care knowledge was completed by 193 nurses with different educational backgrounds in three counties from central Croatia. The study was conducted during lectures organized through plans for continued education. Results. Most respondents had >5 years of experience, are employed in a hospital and have secondary education in nursing. Nurses with secondary education and less than five years of experience had better knowledge regarding leg ulcers. Hospital nurses state that they have insufficient knowledge about wound healing; however, doctors are more accessible to them. Conclusion. This study examined nurses’ knowledge and attitudes regarding wound care. Mixed results indicate the need for further and more detailed research.

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Karlsson, Matilda, Pia Olofsson, Ingrid Steinvall, Folke Sjöberg, Johan Thorfinn, and Moustafa Elmasry. "Three Years' Experience of a Novel Biosynthetic Cellulose Dressing in Burns." Advances in Wound Care 8, no. 2 (February 2019): 71–76. http://dx.doi.org/10.1089/wound.2018.0790.

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Simon, Arne, Kirsten Traynor, Kai Santos, Gisela Blaser, Udo Bode, and Peter Molan. "Medical Honey for Wound Care—Still the ‘Latest Resort’?" Evidence-Based Complementary and Alternative Medicine 6, no. 2 (2009): 165–73. http://dx.doi.org/10.1093/ecam/nem175.

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While the ancient Egyptians and Greeks used honey for wound care, and a broad spectrum of wounds are treated all over the world with natural unprocessed honeys from different sources, Medihoney™ has been one of the first medically certified honeys licensed as a medical product for professional wound care in Europe and Australia. Our experience with medical honey in wound care refers only to this product. In this review, we put our clinical experience into a broader perspective to comment on the use of medical honey in wound care. More prospective randomized studies on a wider range of types of wounds are needed to confirm the safety and efficacy of medical honey in wound care. Nonetheless, the current evidence confirming the antibacterial properties and additional beneficial effects of medical honey on wound healing should encourage other wound care professionals to use CE-certified honey dressings with standardized antibacterial activity, such as Medihoney™ products, as an alternative treatment approach in wounds of different natures.

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Sylvia, Cynthia J., and Vanessa Jones. "The Lived Experience of the Wound, Ostomy, and Continence Nurse in Wound Care." Journal of Wound, Ostomy and Continence Nursing 37, no. 3 (May 2010): 265–71. http://dx.doi.org/10.1097/won.0b013e3181d8c275.

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Bakry, SSalah, Sulten Alzahrani, Dai Zafer, Nawras Alyamani, Waleed Alnemari, Suhayb Bakry, and Mohamed Elhefny. "Wound care perception and attitude. A school-related experience in Saudi Arabia." Majmaah Journal of Health Sciences 11, no. 1 (2023): 29. http://dx.doi.org/10.5455/mjhs.2023.01.004.

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Background and Aims: Wound care is a significant global health issue that’s need medical and community attention. The perception of wound care is fundamental among students and teachers in schools to enhance the awareness level and prevents undesired consequences. This study aimed to evaluate students’ and teachers’ level of experience and attitude toward basic knowledge of wound care. Methods: The current study used an electronic survey distributed via online social media platforms among Makkah regions’ schools between January and February 2022. The current study used a convenient sam¬pling method for sampling selection. Then, the recorded data were subjected to statistical analysis. Results: A total of 674 students and teachers from Makkah region were surveyed. The mean (SD) were 22.12 (SD=13.23), female respondents were predominates representing 62.9%. A high level of experience between participants toward wound care were showed in this study 67.06%. A significant association were found between participants’ level of wound care experience and occupational level (P-value, 0.001, 0.024, and 0.012, respectively). Conclusion: Excellent levels of knowledge and attitude towards wound care practice were recorded among most of the participants. However, the awareness of some wound delaying factors and the correct ways to deal with wound injuries, especially for serious cases such as diabetic wounds, is still a challenge for public health awareness.

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Ansert, Elizabeth, Anthony Tickner, Donald Cohen, Weldon Murry, and Samuel Gorelik. "Understanding the Zebras of Wound Care: An Overview of Atypical Wounds." Wounds: a compendium of clinical research and practice 34, no. 5 (2022): 124–34. http://dx.doi.org/10.25270/wnds/2022.124134.

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Atypical wounds account for approximately 5% to 20% of chronic ulcerations. Typically, clinical suspicion of an uncommon etiology is warranted for wounds that do not show signs of healing with conventional care, that are associated with pain out of proportion to the clinical presentation, or that are atypical in appearance. This review provides a general overview of various atypical wound etiologies, clinical presentations and appearance, and current treatment protocols. The clinical presentation, pathophysiologic etiology, and current literature on each etiology are presented. The etiologies discussed are pyoderma gangrenosum, calciphylaxis, lichen planus, necrobiosis lipoidica, infectious ulcers, hidradenitis suppurativa, artefactual ulcers, hydroxyurea-induced ulcers, vasculopathies, and neoplastic ulcers. Patients with atypical wounds experience a poorer prognosis and slower healing rate compared with patients with typical wound etiologies (eg, vascular and diabetic wounds). Biopsy is often vital in wound care to identify and differentiate wound etiologies. It is important to note that multiple characteristics or histologic features can overlap in a biopsy with atypical wounds. Therefore, a biopsy will still require an understanding of the presentation of these different wounds and should only be used when appropriate. The proper diagnosis for an atypical wound can greatly hasten wound closure, decrease the cost for the patient and the health care system, and improve the patient’s quality of life. Because of the limited availability of patient populations with atypical wound etiologies, literature concerning specific pathologies is limited. More research on each pathology is needed, as is a universally accepted treatment protocol for atypical wounds.

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Raducu, Laura, Cristina Nicoleta Cozma, Andra Elena Balcangiu Stroescu, Adelaida Avino, Maria Daniela Tanasescu, Daniela Gabriela Balan, and Cristian Radu Jeca. "Our Experience in Chronic Wounds Care with Polyurethane Foam." Revista de Chimie 69, no. 3 (April 15, 2018): 585–86. http://dx.doi.org/10.37358/rc.18.3.6154.

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Polyurethane foam has numerous applications, from furniture to medical field. As a wound dressing creates a moisture environment that promotes epithelialization and diminishes pain. A prospective study was realized to evaluate polyurethane foam efficacy in treating chronic wounds due to venous, arterial or diabetic causes. Our evaluation showed good results with an accelerated epithelialization.

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Morris, E. Jill, Shirley Dowlen, and Bernie Cullen. "Early Clinical Experience with Topical Collagen in Vascular Wound Care." Journal of Wound, Ostomy and Continence Nursing 21, no. 6 (November 1994): 247–50. http://dx.doi.org/10.1097/00152192-199411000-00011.

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Zargar, Haroon Rashid, Mir Mohsin, Peerzada Umar Farooq Baba, Adil Hafeez Wani, Shabir Iqbal, Mohammad Inam Zaroo, Sheikh Adil Bashir, et al. "Negative pressure wound therapy: eleven-year experience at a tertiary care hospital." International Journal of Research in Medical Sciences 5, no. 5 (April 26, 2017): 1835. http://dx.doi.org/10.18203/2320-6012.ijrms20171555.

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Background: Management of complicated wounds is a reconstructive challenge. A reconstructive surgeon has to be ready to face new challenges every day. Negative pressure wound therapy has revolutionized the management of complex wounds. We are presenting our experience with this wound care modality in the past 11 years.Methods: It was a prospective study conducted from January 2006 to December 2016 on patients having wounds of varied etiologies, who consented to participate in this study. Custom made low cost NPWT was used till definitive wound closure.Results: A total of 568 patients consented to participate in the study during these 11 years. No major complications were seen. Most of these were males (60.73%) in their 3rd and 4th decade. Trauma was the leading cause of wounds in 38.14%, followed by diabetic foot wounds in 21.5%. Ankle and foot was the most common site of wounds (30.92%) followed by leg (24.01%). A total of 322 small, 218 medium and 97 large size dressings were used. Most of the patients improved with the NPWT. No major complications were seen.Conclusions: NPWT is safe, effective and has proved to be revolutionary in managing difficult wounds. With the use of customized low cost NPWT the benefit can be extended to underprivileged population in under developed nations too.

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Eisendle, Klaus, Tobias Thuile, Jenny Deluca, and Maria Pichler. "Surgical Treatment of Pyoderma Gangrenosum with Negative Pressure Wound Therapy and Skin Grafting, Including Xenografts: Personal Experience and Comprehensive Review on 161 Cases." Advances in Wound Care 9, no. 7 (July 1, 2020): 405–25. http://dx.doi.org/10.1089/wound.2020.1160.

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Zhou, Kehua, Ronald Schenk, and Michael S. Brogan. "The wound healing trajectory and predictors with combined electric stimulation and conventional care: one outpatient wound care clinic's experience." European Journal of Clinical Investigation 46, no. 12 (November 2, 2016): 1017–23. http://dx.doi.org/10.1111/eci.12685.

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Mahmud, Dr S. M. Khalid, Dr Jahanara Laizu, Dr Aminur Rashid, Dr Aminul Islam, and Dr S. M. Mahmud. "Platelet Rich Plasma (PRP) Therapy in Pediatric Surgical Wound Care My Experience in a Tertiary Care Hospital in Bangladesh." Scholars Journal of Applied Medical Sciences 11, no. 1 (January 23, 2023): 113–19. http://dx.doi.org/10.36347/sjams.2023.v11i01.019.

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Background: In recent years, platelet-rich plasma (PRP) has been used in complicated pediatric surgical wound care; burn wound repair, plastic surgery, bone and tendon ligament injury repair and other treatment. Clinical studies indicate that, PRP has a good curative effect on wound care. But in Bangladesh, we have very limited research- based information regarding the outcome of platelet rich plasma (PRP) therapy in complicated pediatric surgical wound care. Aim of the Study: The aim of this study was to evaluate the outcome of platelet rich plasma (PRP) therapy in complicated pediatric surgical wound care. Methods: This prospective observational study was conducted in Bangladesh Shishu Hospital & Institute Dhaka, Bangladesh during the period from January 2021 to June 2022. In total 34 pediatric patients with complicated surgical wound were recruited as the study population. In all cases, the treatment procedure was carried out using autologous donations. Collected data were processed, analyzed and disseminated by using MS Excel and SPSS version 23.0 program as per necessity. Results: In this observational study, in analyzing the final outcomes we observed that, among total 34 complicated pediatric patients with surgical wound, in more than one third of the cases (68%) wounds were healed whereas in the rest 32% cases wound were not healed. The mean ±SD hospital staying period was found as 6.45±2.16 days whereas the mean ±SD healing time was found as 11.47±3.29 weeks. Conclusion: As per the findings of this study we can conclude that, platelet-rich plasma (PRP) has a good curative effect on complicated pediatric surgical wound care. This study can provide reliable evidence for the clinical use of PRP in the clinical cure/repair of several wound.

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Iretiola, Builders Modupe, Joseph Simeon Oyepata, and Bassi Peter Usman. "A Survey of Wound Care Practices by Nurses in a Clinical Setting." International Journal of Healthcare and Medical Sciences, no. 65 (August 8, 2020): 74–81. http://dx.doi.org/10.32861/ijhms.65.74.81.

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Background: Nurse practitioners play a vital role in wound care and management because of the prevalence of wounds in the community and hospital setting. Aims and objectives: The purpose was to identify current knowledge and practices of nurses with respect to wound management. Method: A qualitative descriptive research was designed, nineteen nurses in wound care wards in Bingham University teaching hospital were recruited into this study. This was achieved with the aid of a self-administered questionnaire for a two-week period. Results: Three groups of nurses responded to this survey (73.7% males; 31.6% aged 31-40 years). Registered nurses dominated (68.4%), majority of them worked in male ward (36.8%) and private ward (36.8%). Almost on full-time (94.7%), more than half were diploma holders (57.9%) with 1 to 5 years of experience (47.4%). Majority (84.2%) were involved in wound treatment and management, there were significant association between years of experience and wound classification, wound treatment, treatment failure and treatment failure factors. Conclusion: Wound care practices require accurate knowledge and assessment skills, a better understanding of wound management provides comprehensible, rapid patient wound care and minimizes patient mortality as well as reduces health services financial costs.

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Garner, W. L. "The Specialized Wound Care Center: A 7-Year Experience at a Tertiary Care Hospital." Yearbook of Plastic and Aesthetic Surgery 2008 (January 2008): 222. http://dx.doi.org/10.1016/s1535-1513(08)70685-4.

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Cairo, Sarah B., Jane Zhao, Minje Ha, and Kathryn D. Bass. "Porcine bladder extracellular matrix in paediatric pilonidal wound care: healing and patient experience evaluation." Journal of Wound Care 28, Sup5 (May 2019): S12—S19. http://dx.doi.org/10.12968/jowc.2019.28.sup5.s12.

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Objective: Pilonidal disease (PD) with inflammation and abscess formation occurs frequently in adolescents. The management of pilonidal disease, time to wound healing, and patient satisfaction, however remains variable despite advances in wound care methods. Porcine bladder extracellular matrix (PBEM) facilitates site-specific tissue deposition/re-growth for the management of a variety of wounds. The aim was to describe the use and outcomes of PBEM in PD at a single centre. Method: A retrospective chart review of adolescent patients who underwent treatment of pilonidal disease with PBEM between 2012 and 2016 at a single institution, was undertaken. Patient demographics and clinical characteristics were collected and compared with historical controls and literature regarding traditional wound therapies. Results: We reviewed 52 pilonidal disease wounds on 41 patients. Of these 36 were treated with PBEM. The average age was 16 years old at the time of operation with 39% male. Furthermore, 85% were being treated for recurrent pilonidal disease. Follow-up was available by chart review for 89% of patients with documented complete wound healing in 78% of patients treated with PBEM at an average of two months. Subjective reports included majority positive experience with PBEM dressing, minimal pain and overall high levels of patient satisfaction. There were three patients in which pilonidal disease recurred within two years of initial treatment and underwent repeat treatment with PBEM. There was one patient who transitioned to wet-to-dry saline dressings because of difficulty keeping the PBEM dressing intact. Conclusion: Advances in wound care technology include materials such as PBEM to promote site-specific tissue deposition. Follow-up phone calls and a prospective study to compare alternative wound care with porcine PBEM in the management of pilonidal disease is underway to better quantify time to wound healing and patient satisfaction.

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Hartman, D., and J. C. Coetzee. "Two US practitioners' experience of using essential oils for wound care." Journal of Wound Care 11, no. 8 (September 2002): 317–20. http://dx.doi.org/10.12968/jowc.2002.11.8.26432.

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Santos, Carla. "Wound Care and Management: A Review." Journal of Medical and Health Studies 3, no. 3 (August 14, 2022): 01–06. http://dx.doi.org/10.32996/jmhs.2022.3.3.7.

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This study aimed to identify the importance of wound care and management. The study also looked into the different effects that result from the improper provision of wound care. On the other hand, there was also the provision of initiatives that enhanced the healing process. The study was qualitative and embraced the use of primary and secondary research sources to obtain information on the importance of embracing wound care and management. From the findings, improper wound care was associated with increased patient stress levels. Similarly, there was also the provision of two forms of wound dressing that entailed the traditional and modern. The traditional methods are most preferred because of their cost-efficient nature. However, the modern ones are the most ideal because of enhancing healing. On the other hand, patients experience a high medication cost through improper wound care that significantly impacts them. The mentioned initiatives in enhancing the healing process encompassed dressing the wounds, use of antibiotics, and medicinal plants. Additionally, incorporating general practice practitioners and nurse practitioners also enhanced the healing process. This is because these individuals are usually empowered on the different measures to implement in taking care of patients; therefore, it is possible to reduce cases of amputations that have been so prevalent among diabetes patients. In conclusion, wound care and management have been termed critical approaches to enhancing the overall health of individuals. Through this approach, individuals can avoid the increased cost of care, stress, and amputation, among other cases.

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Dartaha, Rami, Ghina Ghannam, and Afnan Waleed Jobran. "Palestinian Experience in Stage Four Pressure Ulcer." AL-Kindy College Medical Journal 17, no. 3 (December 30, 2021): 190–93. http://dx.doi.org/10.47723/kcmj.v17i3.397.

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Pressure ulcer (now called Pressure injury) happens when the bony prominence like the sacrum exposes to pressure for a long period and also can cause soft tissue injury. In order to prevent and cure pressure-induced wounds, continuous and attentive repositioning is necessary. Wound management begins with the identification and aggressive management of the modifiable factors, such as positioning, incontinence, spasticity, diet, devices, and medical comorbidity, which contribute to pressure injury formation. Initial interventions include washing, cleaning, and maintaining the surfaces of the wound. In certain cases, it may be sufficient to debride the non-viable or contaminated tissue; however, operational care in more severe cases or to encourage patient satisfaction may be necessary. Our patient is a 50-year-old overweighted man, nonsmoker, and confined to a wheelchair presented with a 20*20*8 stages 4 ulcers in the sacral area after multiple failed bedside debridement. When we use the fasciocutaneous we should consider the depth of the wound and fill dead space. Here we the local situation in Palestine as those patients are usually neglected and their management is restricted to bedside debridement, with no experience in flap reconstruction operations which would dramatically improve patients’ lives. We believe that further awareness is demanded for such procedures.

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Ellis-Kempner, Betsy. "Caring From Our Bodies: Using Dance Performance to Give Voice to Silences in Nursing." International Journal of Human Caring 10, no. 3 (April 2006): 47–56. http://dx.doi.org/10.20467/1091-5710.10.3.47.

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Providing physical care for patients, such as bathing or wound care, implies that nurses would have an experience of caring at a physical level. Yet there is scant language to describe nonverbal ways of caring. Giving language to physical and intuitive experiences is the embodiment of nursing. This paper demonstrates how dance performance provided a forum for health professionals to describe embodiment. Findings magnify and help to define the essence of nursing.

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Silva, Marcelo Henrique da, Maria Cristina Pinto de Jesus, Deíse Moura de Oliveira, and Miriam Aparecida Barbosa Merighi. "Unna's boot: experience of care of people with venous ulcers." Revista Brasileira de Enfermagem 70, no. 2 (April 2017): 349–56. http://dx.doi.org/10.1590/0034-7167-2016-0219.

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ABSTRACT Objective: to understand the experience of care of people with venous ulcers using an Unna's boot. Method: a qualitative study, based on the social phenomenology by Alfred Schütz, was carried out with 12 adults interviewed in 2015. The statements were analyzed and organized in thematic categories. Results: the following categories emerged: "Unna's boot annoyance versus wound improvement", "Difficulties for accessing care with the Unna's boot", "Care for healing and preventing recurrence", and "Receiving more attention from the healthcare professional". Conclusion: the experience of care of people using an Unna's boot revealed the annoyance caused by this device, which was overcome due to the wound improvement. However, access to care was compromised by the lack of structure at the service, frustrating the patients' expectations regarding wound healing. The issues of these people's intersubjective universe should be considered in the management of care of venous ulcers.

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Taidouch, Amal, Marie-José Crouwers, and Mark Spigt. "Complex wound care by a nurse practitioner in primary care: a quality improvement evaluation on healing rates, costs and patient satisfaction." British Journal of Community Nursing 26, Sup12 (December 1, 2021): S14—S21. http://dx.doi.org/10.12968/bjcn.2021.26.sup12.s14.

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Complex wounds are a major burden for healthcare professionals. Patients with complex wounds are often referred to hospitals or wound expertise centres. Complex wound care could be organised in primary care, but very little published evidence for this is available. In this study, members of a primary healthcare organisation were interviewed to ascertain how the wound care was organised. Patient characteristics and data regarding wound care, healing rates and costs were collected from medical records. Patients filled in a questionnaire concerning accessibility, communication, medical counselling and the overall experience of their treatment. This study followed 25 patients with a total of 42 wounds. Some 82% of the wounds were healed within a mean treatment duration of 9.7 weeks. Mean treatment costs were calculated at €155 (£130) for healed patients. Patients were generally very satisfied with their treatment, illustrated by an overall 8.7 out of 10 scoring on an amended survey based on the Consumer Quality Index. Treating complex wounds in primary care seemed adequate, with high patient satisfaction and tolerable costs.

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Gravante, G., G. Esposito, M. C. Di Fede, D. Delogu, and A. Montone. "Versajet® hydrosurgery in burn wound debridement: A preliminary experience." Burns 33, no. 3 (May 2007): 401–2. http://dx.doi.org/10.1016/j.burns.2006.08.043.

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Jiang, Yufeng, Shuliang Lu, Bin Wen, and Xiaobing Fu. "Improving Would Healing Ability by Training: Experiences of China." International Journal of Lower Extremity Wounds 17, no. 3 (September 2018): 190–94. http://dx.doi.org/10.1177/1534734618796589.

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In China, chronic wounds are an important issue. However, wound care knowledge and the skill of health care professionals varies among hospitals and cities. A training program in wound care in China was completed in 2015 and achieved great success. To facilitate expertise in wound healing in China, a sequential training project supported by the Wound Healing Union and the Chinese Medical Doctor Association was initiated. The aim of the training program was mainly to improve experience and skills in wound healing. Until December 2016, a total of 301 medical staffs, including 134 physicians and 167 nurses, have been trained. Most of the doctors (92 of 134) and nurses (142 of 167) were from Grade IIIA/B hospitals, and there were no doctors and nurses from community hospitals. Most participants were satisfied about the training program, and more nurses were satisfied (79%) than doctors (60%). All trainees have completed 4½ months of training and passed a final examination.

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Barus, Mardiati, Imelda Derang, and Melina Cecilia Tarigan. "Good Knowledge and Attitude can Improve Nurse Compliance in Performing Wound Care Actions Using Moist Wound Healing Method in Accordance with Standard Operating Procedures (SOP)." Media Keperawatan Indonesia 5, no. 3 (August 31, 2022): 175. http://dx.doi.org/10.26714/mki.5.3.2022.175-184.

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Moist wound healing is a method of treating moist and closed wounds to accelerate the healing process, the growth of new tissue and prevent infection. The survey results found that respondents know moist wound care 66.7%, rarely use the moist method of 53.4%, and use conventional techniques of 73.3%, therefore it takes knowledge, attitude, and a lot of experience to be able to achieve maximum wound care. This study aims to determine the relationship between knowledge and attitudes with the actions of nurses on wound care using the moist wound healing method at RSUP H. Adam Malik Medan in 2021. The study was an analytic observational study with a cross-sectional design. The total population in the study was the same as the total sample size of 62 respondents who were obtained using the total sampling technique in-room RB 2B, RB 3, and the Burn Unit. The results showed that good knowledge was 66.1%, a positive attitude was 82.3%, and taking action according to the SOP was 83.9%. Based on the Fisher exact test, it was obtained a p-value for knowledge, and attitudes of 0.001 (p <0.05), which means that there is a relationship between knowledge, attitudes, and actions of nurses regarding wound care using moist wound healing method. It is hoped that the nurses can increase their knowledge and experience to create a positive attitude in carrying out wound care using the moist wound healing method to accelerate the healing of patients.

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Ho, Wai Sze, Wai Kuen Lee, Ka Kay Chan, and Choi Ching Fong. "Experience of negative pressure wound therapy over sternal wound healing: A retrospective review." WCET Journal 39, no. 2 (July 2019): 9–18. http://dx.doi.org/10.33235/wcet.39.2.9-18.

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Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.

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Girsang, Bina Melvia, Eqlima Elfira, and Farida Linda Sari Siregar. "Perineal Wound Identification With Maternity Cool Gel Pad (MCGP) Care Interventions." Jurnal Ners dan Kebidanan Indonesia 8, no. 4 (January 8, 2021): 279. http://dx.doi.org/10.21927/jnki.2020.8(4).279-285.

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<em>Postpartum mothers with an indication of episiotomy will experience a higher level of pain. This birth canal trauma is acute and is expected to recover in a short period of time, can be measured, and without serious complications. The aim of this study was to identify the healing process of postpartum maternal perineal wounds. The intervention was carried out on 31 postpartum mothers with the selection using purposive sampling technique. Maternity cool gel pad (MCGP) which was applied to the perineal wound care intervention on the 2nd and 3rd day after delivery showed the wound healing process was observed using the REEDA measuring instrument and analyzed using the T one sample test. The repair of the wound repair scale from the mean REEDA score (10.81 ± 2.98) occurred in all wounds of the study respondents at post intervention (5.32 ± 1.73). Maternity cool gel pad intervention assisted the wound healing process in post intervention data (P <0.005). The results of this study can be indicative of an inflammatory response locally in perineal wounds, but further research is needed to observe the impact of perineal wound healing with a combination of methods that can help evaluate the perineal wound repair process that can be done by mothers independently at home.</em>

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Koehler, Christian, Andreas D. Niederbichler, Florian J. Jung, Thomas Scholz, Ludwig Labler, Daniel Perez, Abed Jandali, Maurice Comber, Walter Kuenzi, and Volker Wedler. "Wound Therapy Using the Vacuum-Assisted Closure Device: Clinical Experience with Novel Indications." Journal of Trauma: Injury, Infection, and Critical Care 65, no. 3 (September 2008): 722–31. http://dx.doi.org/10.1097/01.ta.0000249295.82527.19.

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Hughes, Jacqui, Mary Costello, Mandy Belshaw, Helen Horton, and Tim Styche. "The burden of dehisced wounds in the community: using early results from a multi-centre service evaluation to propose a standard of care to improve patient outcomes and safeguard woundcare budgets." British Journal of Healthcare Management 27, no. 1 (January 2, 2021): 16–25. http://dx.doi.org/10.12968/bjhc.2020.0150.

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Non-healing wounds and their associated costs present a significant challenge to wound care services. Dehisced wounds are often overlooked, with a lack of true understanding regarding the additional burden this represents. As a consequence, there is a lack of evidence around what is deemed gold standard care, with no published pathways to support clinical practice. A 34-patient data set was captured and analysed as part of an evaluation of hard-to-heal wounds. Patients with wounds meeting specific criteria followed a hard-to-heal wound pathway that facilitated single use negative pressure wound therapy. Implementation of this pathway helped to achieve healing for 18 out of 34 (52.9%) wounds over a 12-week period, subsequently reducing the overall wound care spend from £76 828 to £60 251 for this group. A notably improved response was seen in patients who had a chronic wound of less than 6 months in duration, indicating the importance of earlier intervention and the positive impact this can have on the patient experience and associated health economic outcomes. This service evaluation supports the use of single use negative pressure wound therapy for non-progressing dehisced surgical wounds as part of an indication-led pathway.

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Rozynski, Jill, Charlotte Larger, Alicia Patton, Amber Kohler, and Arek J. Wiktor. "32 Effect of Oral Ketamine on Analgesia During Burn Wound Care." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S23. http://dx.doi.org/10.1093/jbcr/irac012.035.

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Abstract Introduction Pain and anxiety can be difficult to control in the burn patient. Ketamine, a NMDA receptor antagonist can be utilized, however intravenous (IV) dosing requires increased monitoring. In contrast, oral ketamine (O.K.) is reported to have fewer side effects, and can be administered without a higher level of care. Little is known about dosing and efficacy of O.K. in the treatment of burn patients. We sought to examine the use of O.K. in our burn population. Methods This was a cross-sectional comparative quality improvement study conducted at our ABA verified burn center from January 2021through September 2021. Inclusion criteria were in patients experiencing refractory pain and anxiety after receiving fentanyl and midazolam during wound therapy one day prior to first O.K. administration, along with completion of pre-post patient assessment surveys. Patients were administered 50mg-150mg of ketamine in an oral suspension mixed with 30mL-120mL juice. Effectiveness of the O.K. was measured using pre-post patient surveys, pre-post IV pain medication usage, and subjective staff evaluation of pre-post tolerance of debridement. Baseline demographics were recorded, along with adverse events. O.K. was deemed effective by improved survey scores, improved tolerance to debridement, and reduction in IV medication requirements. Students T-test was performed to determine significance. Results A total of 71 patients were given O.K, and 32 met inclusion criteria. Baseline demographics included: 19 male (59%), median age 36 years (range14-66), median TBSA 9.9% (range 1.6%-33.2%). O.K. reduced mean fentanyl use by 33% (pre 199.2mcg- post 123.5mcg, p< 0.01) and mean midazolam use by 39% (pre 1.4mg - post 0.7mg, p< 0.01). On a scale of 1-10 (1 best, 10 worst) mean pain scores improved 38.8% (pre 8 – post 4.6, p< 0.01), anxiety by 36.6% (pre 6.5 – post 3.5, p< 0.01), and overall experience by 37.5% (pre 5.9 – post 3, p< 0.01). Mean O.K. effective dose was 50mg. Staff noted O.K. improved the patient’s ability to tolerate debridement; uncooperative and inconsolable patients participated in their own wound care, and reported to prefer tub time with O.K. One patient experienced psychotomimetic effects, while one patient requested discontinuation due to increased anxiety 4 hours after O.K. administration. Conclusions O.K. appears to be efficacious in improving pain and anxiety during wound care while being well tolerated by patients. It also subjectively improved the wound care therapy experience.

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Brown-Maher, Tracey. "Multidisciplinary Approach to Chronic Wound Care: Our 2-Year Newfoundland and Labrador Experience." Journal of Cutaneous Medicine and Surgery 13, no. 3_suppl (May 2009): S26—S28. http://dx.doi.org/10.2310/7750.2009.00006.

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Jaiswal, Ekta, Paban Sharma, and Alka Singh. "Clinical profile of patients with post-caesarean wound infection: experience of Patan Hospital, Nepal." Journal of Patan Academy of Health Sciences 7, no. 1 (May 8, 2020): 107–12. http://dx.doi.org/10.3126/jpahs.v7i1.28886.

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Introduction: Would infection following caesarean delivery adds physical, psychological, and health burden to individual and health care system. This hospital based study aim to determine the rate of infection, the risk factors, pathogens and antibiotic sensitivity. Method: A prospective study was carried out to analyze the wound infection in women following caesarean delivery in the Department of Obstetrics and Gynecology, Patan Hospital, Nepal, between January 2018 to December 2018. The study was approved from the institutional review committee. Clinicodemographic data during perinatal period of caesarean delivery were descriptive analyzed in relation to wound infection. Result: Wound infection occurred in 102 (3.1%)of 3285 caesarean section (of total 7131 deliveries during the study period. The caesarean SSI rate was 3.1%, all were incisional SSI (84 superficial and 18 deep) and there were no organ-space SSI. Majority (81.3%) SSI cases were detected in emergency LSCS. Coagulase Negative Staphylococci was the most common organism isolated from wound swab. Routine postoperative antibiotics did not have a major impact in reducing wound infection rate. Multiple per vaginal examinations, prolonged rupture of membrane and staples for skin closure were more commonly associated with SSI. Conclusion: Reduction in caesarean rate is the major key factor for decreasing the post caesarean wound infection. Protocol should be developed and strictly implemented by all the health care professionals in order to minimize and prevent the infection rate after caesarean section.

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Silva, Juliany Lino Gomes, and Ana Railka de Souza Oliveira-Kumakura. "Clinical simulation to teach nursing care for wounded patients." Revista Brasileira de Enfermagem 71, suppl 4 (2018): 1785–90. http://dx.doi.org/10.1590/0034-7167-2017-0170.

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ABSTRACT Objective: to report the experience of constructing and applicating clinical simulation scenarios for the evaluation and treatment of wounds. Method: experience report on two simulation scenarios for nursing care of wounded patients applied to nursing undergraduates. We structured simulations based on the model from the National League for Nursing/Jeffries Simulation Framework. The scenarios were evaluated by the instrument Simulation Design Scale and the students by the experience with the simulation. Results: the scenarios reproduced nursing care situations with the application of role play and moulage, which allowed us to evaluate and discuss the wound treatment. Reflections on the debriefing were important for the teaching-learning process and association between theory and practice, these factors determined the satisfaction of students with the activity. Conclusion: using clinical simulation scenarios to teach students favored the clinical reasoning and decision-making in the evaluation and treatment of wounds.

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Kuan, Ya-Ting, Tze-Fang Wang, Chao-Yu Guo, Fu-In Tang, and I.-Ching Hou. "Wound Care Knowledge, Attitudes, and Practices and Mobile Health Technology Use in the Home Environment: Cross-Sectional Survey of Social Network Users." JMIR mHealth and uHealth 8, no. 3 (March 26, 2020): e15678. http://dx.doi.org/10.2196/15678.

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Background Injury causing wounds is a frequent event. Inadequate or inappropriate treatment of injuries can threaten individual health. However, little is known about wound care knowledge, attitudes, and practices and mobile health (mHealth) use in the home environment in Taiwan. Objective This study aimed to evaluate wound care knowledge, attitudes, and practices and mHealth technology use among social network users. Methods A cross-sectional survey on social media platforms was conducted on adults aged 20 years and older. Data were collected from social network users in the home environment. Results A total of 361 participants were enrolled. The mHealth technology use of participants was positively correlated with wound care knowledge (r=.132, P=.01), attitudes (r=.239, P<.001), and practices (r=.132, P=.01). Participants did not have adequate knowledge (correct rate 69.1%) and were unfamiliar with the guidelines of proper wound care (correct rate 74.5%). Most participants had positive attitudes toward wound care and mHealth technology use. A total of 95.6% (345/361) of participants perceived that the use of mHealth technology can improve wound care outcomes, and 93.9% (339/361) perceived that wound care products should be optimized to be used with a mobile device. However, 93.6% (338/361) of participants had no experience using mHealth technology for wound care. Conclusions Our study shows the potential of mHealth technology to enhance wound care knowledge among social network users. Thus, government agencies and medical institutions in Taiwan should provide easy-to-use information products that enhance wound care knowledge, promote adequate behavior toward wound care, and prevent unpredictable or undesirable outcomes.

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Bhuvaneswari G and Devika S. "Knowledge Impact of Negative Pressure Wound Therapy on Diabetes wound." International Journal of Research in Pharmaceutical Sciences 11, SPL4 (December 25, 2020): 589–92. http://dx.doi.org/10.26452/ijrps.v11ispl4.3999.

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Wound assessment is obligatory to plan and complete administration regimens and to assess care. As indicated by diabetes imperative distributed by the international diabetes federation (IDF), there were an expected 40 million people with diabetes in India in 2007 and number is anticipated to ascend to just about 70 million individuals by 2025. Negative pressure wound treatment (NPWT) is an innovation that is as of now utilized broadly in wound consideration and is advanced for use on complex injuries (open injuries) NPWT includes the utilization of an injury dressing through which a contrary weight is applied, regularly with any twisted and tissue liquid drawn away from the territory being gathered into a canister. The present study aims to assess the knowledge impact of negative pressure wound therapy on diabetes wound among staff nurses. The one group pre and post-test design were conducted among 50 staff nurses. Purposive sampling techniques were used to select samples. A self-administered questionnaire was used to collect demographic data and knowledge on negative pressure wound therapy was assessed. The video was shown to the staff nurses after pre-test. The present study also shows that the demographic variables sex, professional qualification and wound care experience shows significant association with the post-test level of knowledge among staff nurse at p<0.0001 level and the demographic variables has shown statistically significant association with the post-test level of knowledge among staff nurse. This study concludes that video-assisted teaching program was significantly effectiveness in increasing the knowledge regarding negative pressure wound therapy.

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Bhuvaneswari G and Devika S. "Knowledge Impact of Negative Pressure Wound Therapy on Diabetes wound." International Journal of Research in Pharmaceutical Sciences 11, SPL4 (December 25, 2020): 589–92. http://dx.doi.org/10.26452/ijrps.v11ispl4.3999.

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Wound assessment is obligatory to plan and complete administration regimens and to assess care. As indicated by diabetes imperative distributed by the international diabetes federation (IDF), there were an expected 40 million people with diabetes in India in 2007 and number is anticipated to ascend to just about 70 million individuals by 2025. Negative pressure wound treatment (NPWT) is an innovation that is as of now utilized broadly in wound consideration and is advanced for use on complex injuries (open injuries) NPWT includes the utilization of an injury dressing through which a contrary weight is applied, regularly with any twisted and tissue liquid drawn away from the territory being gathered into a canister. The present study aims to assess the knowledge impact of negative pressure wound therapy on diabetes wound among staff nurses. The one group pre and post-test design were conducted among 50 staff nurses. Purposive sampling techniques were used to select samples. A self-administered questionnaire was used to collect demographic data and knowledge on negative pressure wound therapy was assessed. The video was shown to the staff nurses after pre-test. The present study also shows that the demographic variables sex, professional qualification and wound care experience shows significant association with the post-test level of knowledge among staff nurse at p<0.0001 level and the demographic variables has shown statistically significant association with the post-test level of knowledge among staff nurse. This study concludes that video-assisted teaching program was significantly effectiveness in increasing the knowledge regarding negative pressure wound therapy.

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Ushmarov, D. I., S. E. Gumenyuk, and A. S. Gumenyuk. "Experience in Training Resident Doctors of Surgical Specialties Using an Experimental Model of Soft Tissue Wounds." Virtual Technologies in Medicine 1, no. 3 (September 17, 2021): 169–70. http://dx.doi.org/10.46594/2687-0037_2021_3_1369.

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The problem of treating wounds of various origins remains one of the most urgent. Working with a wound defect is one of the main components of the healing process, due to the need to find the most effective methods for treating wounds and caring for them.Due to the COVID-19 pandemic, limited access of students to health care facilities makes it impossible or difficult to teach local wound healing skills in real patients. Under these conditions, one of the options for solving this problem is the use of experimental biological models for practical training.

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James, Crystal, Quinn Murray, So Youn Park, Nazanin Khajoueinejad, Jani Lee, Keval Ray, and John Lantis II. "Venous Leg Ulcers: Potential Algorithms of Care." Wounds: a compendium of clinical research and practice 34, no. 12 (2022): 288–96. http://dx.doi.org/10.25270/wnds/21160.

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Management of VLUs can be challenging, depending on wound complexity, and may require the use of several treatment modalities to achieve complete wound closure or significant wound area reduction. This review presents a systematic approach to management of VLUs based on previous literature and the authors’ clinical experience, with consideration given to wound size, etiology, and responses to prior treatment. Techniques described include debridement (autolytic, enzymatic, sharp/surgical), compression therapy, physical therapy, medical adjuncts, and cellular- and tissue-based therapy. The algorithm of care for VLUs is multimodal. Appropriate diagnostic studies must be performed, including venous duplex and appropriate pathophysiology to confirm the diagnosis of VLU. After the correct diagnosis is confirmed, appropriate treatment may commence. All patients should undergo appropriate wound debridement; the exact modality used is dependent on wound characteristics. Patients must also adhere to consistent compression therapy. Any underlying venous disease that is amenable to surgical intervention should be addressed. Treatment with a medical adjunct and physical therapy are recommended. For patients who do not achieve significant wound area reduction, the addition of CTP is recommended. Use of these methods should result in substantial wound area reduction and/or wound closure.

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Choi, Katherine J., Justin Gillenwater, Christopher H. Pham, Clifford C. Sheckter, Zachary J. Collier, Justin Dang, Samantha Huang, Haig A. Yenikomshian, and Warren L. Garner. "602 Foot burns in diabetic patients: A single center experience." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S140—S141. http://dx.doi.org/10.1093/jbcr/irac012.230.

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Abstract Introduction The most significant sequelae of foot burns in diabetic patients is a non-healing wound that results in a diabetic foot ulcer, which has been a predictor for need for amputation and mortality. Even minor amputations in patients with diabetes have a significant mortality rate. Our systemic review found that when 60% of a diabetic patient cohort with foot burns was managed by skin grafting, 29% subsequently required amputations, which is concerning. The practice at our regional burn center has been to manage patients with foot burns and diabetes non-operatively with daily dressing changes, and we believe that this may result in better functional outcomes, ambulatory status, and lower amputation rates. Methods A retrospective review of patients with diabetes and foot burns admitted to an ABA verified regional burn center was conducted. The primary outcome was amputation. Secondary outcomes were ambulatory status, wound closure, and infection. Rank sum and fisher exact tests were performed to compare patient demographics, comorbidities, uncontrolled DM (A1c >9%), and burn characteristics between patients who were treated surgically and those who received daily wound care only. These associations were subsequently evaluated with odds ratios (OR) and 95% confidence intervals (CI). A multivariable logistic regression was performed to evaluate for possible differentiating factors that resulted in maintaining ambulatory status at completion of burn care. Statistical significance was defined as p< .05. Results Of 75 patients identified, median TBSA burned was 2% (IQR 2), and 61% (n=46) had full thickness burns. Mean A1c at admission was 9% (SD 2). In terms of management, 9% (n=7) were treated with debridement and/or skin grafting, and 9% (n=7) later required lower extremity amputations. Infection during first admission developed in 8% (n=6). At completion of burn care, 73% had normal or same ambulatory status, and older patients were less likely to maintain ambulatory status (p=.009, OR=0.92, 95% CI=0.86-0.98). Median time to wound closure was 95 (IQR 130) days, and 12% (n=9) of wounds never fully closed. Burn depth (second vs third degree), burn location (plantar burn vs other areas), uncontrolled DM, and surgical treatment did not result in a statistically significant difference in maintaining ambulatory status at completion of burn care. Conclusions Diabetic patients with foot burns are best managed non-operatively with daily dressing changes, and should be allowed to heal secondarily. This may result in a longer time to close the wounds, but the amputation rates were much lower when compared to surgical management. However, 5% of our cohort developed diabetic foot ulcers at completion of burn care, which is a complex disease process that carries a dire prognosis.

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McMullan, Christel, Jane Blazeby, Jenny L. Donovan, Leila Rooshenas, Daisy Elliott, and Jonathan Mathers. "Dressing use issues in primary abdominal wounds: a qualitative study of health staff and patient views." British Journal of Nursing 28, no. 20 (November 14, 2019): S10—S18. http://dx.doi.org/10.12968/bjon.2019.28.20.s10.

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Primary surgical abdominal wounds are usually covered with a dressing. However, little is known about the practical issues and costs around these dressings. This study aimed to provide an in-depth description of patients' and health professionals' perspectives on the clinical and practical issues associated with standard and novel dressing (glue-as-a-dressing) use on primary surgical wounds, and to establish whether and how their experience compares with these perspectives. During semi-structured interviews, patients and health professionals discussed their positive experience of glue-as-a-dressing and no dressing around six themes: wound contamination and infection, wound healing, wound care, physical protection afforded by simple dressings, the potential psychological impact of an exposed wound, and ability to carry out everyday tasks. Current views on the practice of dressings for primary abdominal wounds are influenced by ingrained clinical practice. These views can be challenged when exposed to novel dressing strategies or as new evidence of the clinical effect of dressing strategies emerges.

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Thrasher, Ashley B., and Edward J. Strapp. "When Direct Pressure Is Not Enough: An Educational Technique for Teaching Wound Packing in Athletic Training Education." Athletic Training Education Journal 16, no. 4 (November 1, 2021): 278–86. http://dx.doi.org/10.4085/1947-380x-20-085.

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Context Uncontrolled hemorrhage is a major cause of preventable death. Wound care and managing external hemorrhage are important skills for athletic trainers. Objective Describe a laboratory activity used to allow students to practice managing uncontrolled external hemorrhage and wound packing. Background The prevalence of active shooter and other mass casualty events has grown, and a trend to move military-based emergency skills into civilian casualty care has emerged. Athletic trainers are uniquely positioned to respond to catastrophic events at the time of injury. Controlling hemorrhage and rapidly applying a tourniquet or administering wound packing have a great effect in preventing death due to severe hemorrhage. Description An educational technique using a pork shoulder was implemented to provide students with experience in wound packing. Clinical Advantage(s) Students describe this activity as a beneficial way to gain experience on an important skill not often seen in the clinical education setting. Conclusion(s) Faculty may consider implementing wound packing using a pork shoulder as a laboratory activity when teaching wound care and external hemorrhage management.

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Robinson, Kara, Melanie McMahon, and Stephanie Campbell. "594 Improving the Accuracy of Discharge Wound Care Instructions in a Teaching Facility." Journal of Burn Care & Research 41, Supplement_1 (March 2020): S140. http://dx.doi.org/10.1093/jbcr/iraa024.220.

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Abstract Introduction Clinic staff at a regional verified burn center reported a trend of patients coming in for follow up appointments confused about home wound care due to written discharge instructions that did not match what they were taught in their last inpatient wound care session. Examples of inaccurate instructions included referring to topicals the patient was not currently using or failing to address the care of all wound types present. The reported cases were reviewed by nursing and physician leadership through the burn center quality improvement process. Methods A retrospective chart review of all patients discharged with open wounds was completed for the previous 5-month period to establish a baseline rate of inaccurate instructions. Discharge instructions were counted as inconsistent if they did not match the wound types, dressings, and topicals charted in the patient’s last inpatient wound care. Contributing factors identified included that the instructions were most often free texted by rotating surgical residents. It was decided that pre-written choices might improve the accuracy of the instructions. A wound care discharge template was developed through a collaboration with the hospital clinical informatics department. The design included drop down choices for dressings, topicals, and body parts. Standard phrases within each selection were written by an experienced burn service provider. Discharge education was added to the monthly in-service for resident physicians. A large sign with instructions for the template was placed in the physician workroom along with cards posted to the top of each computer. Audits comparing the discharge instructions to the last wound care note then continued for a 4-month period. Results The retrospective chart review revealed an average of 28% of discharge instructions were incorrect or incomplete each month, with a range of 25–32.7%. In the 4-month period after the template was released, the monthly average dropped to 12.85%, with a range of 7.7–17.9%. It was also noted that inaccurate instructions in the post-template audits typically only had a small error compared to the more complicated errors noted prior to the template implementation. Conclusions The incidence of incorrect wound care discharge instructions written by burn team providers decreased with the introduction of a discharge wound care template. More analysis is needed to identify additional opportunities to further decrease the rate of inconsistencies. Applicability of Research to Practice Thorough and accurate wound care instructions with standardized language may improve the patient’s confidence with performing wound care at home and improve their post-discharge experience. Consistent wound care instructions also help to ensure that the wounds are cleaned and dressed with the appropriate topicals and dressings, potentially decreasing the risk of infection and graft loss.

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Garoufalis, Matthew, Darshan Nagesh, Patrick J. Sanchez, Robin Lenz, Sarah J. Park, Jake G. Ruff, Anna Tien, Justin Goldsmith, and Andrea Seat. "Use of Dehydrated Human Amnion/Chorion Membrane Allografts in More Than 100 Patients with Six Major Types of Refractory Nonhealing Wounds." Journal of the American Podiatric Medical Association 108, no. 2 (March 1, 2018): 84–89. http://dx.doi.org/10.7547/17-039.

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Background: Biochemical properties of the amniotic membrane help modulate inflammation and enhance soft-tissue healing. In controlled trials, the efficacy of dehydrated human amnion/chorion membrane (dHACM) allografts has been established. Our purpose is to describe our experience with using dHACM to treat nonhealing wounds of various etiologies. Methods: We conducted a retrospective review of deidentified data from 117 consecutive patients treated in an outpatient clinic with dHACM allografts with wounds of various etiologies over 2 years. The decision to use advanced wound-care treatments is based on rate of healing observed after initiation of standard wound care and patient risk factors. Eligibility for treatments such as amniotic membrane allografts includes wounds without 50% reduction after 4 weeks, or earlier in patients deemed to be at high risk for nonhealing or with a history of chronic wounds. In micronized or sheet formulation, dHACM is applied to the wound weekly after sharp/mechanical debridement as necessary, and wound-care practices appropriate for wound type and location are continued. Results: Thirty-four percent of allograft recipients had diabetic foot ulcers, 25% had venous leg ulcers, 20% had surgical wounds, 14% had pressure ulcers, 6% had ischemic wounds, and 2% had traumatic wounds. Complete healing occurred in 91.1% of treated patients, with a mean ± SD number of weekly applications per healed wound of 5.1 ± 4.2. Conclusions: In addition to wounds of diabetic origin, dHACM can significantly expedite healing in refractory wounds of varying etiologies.

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Altamirano, Heidi M., Mark J. Johnston, and Sam A. Miotke. "739 A 14 Year Experience of Pediatric Complex Skin Disorders in a Burn Unit." Journal of Burn Care & Research 43, Supplement_1 (March 23, 2022): S175—S176. http://dx.doi.org/10.1093/jbcr/irac012.292.

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Abstract Introduction Complex skin disorders including Stevens-Johnson Syndrome (SJS) / Toxic Epidermal Necrolysis (TEN), Ritter's Disease (Staph Scalded Skin Syndrome), and Erythema Multiforme are uncommon, but result in significant injury to pediatric patients. Skin necrosis and desquamation occurs, which in some cases affects mucosa. Gynecologic, ophthalmologic, and dermatological complications also occur. The purpose of this work is to describe epidemiology and management trends in these cases. Methods Records were reviewed for all pediatric patients with skin disorders from 2006 - 2019 to evaluate trends in occurrence, age, length of stay, survivability, types of consultants, causative agent, and wound care strategies. Results One-hundred percent of pediatric patients were transferred from other hospitals for definitive management by the burn service. The incidence in pediatric patients was 21% compared to 79% in adults. Males were most often affected at 67% compared to 33% in females. The age range was 2-17 years, with an average of 9.2 years. The type most frequently seen was SJS/TEN at 60% of the cases. The total body surface affected ranged from 10-95%. Management of wounds commonly required operative management for dressing changes in children with large body surface area involvement, in addition to ophthalmologic and gynecologic procedures in patients with mucosal involvement. In the subset of patients with SJS / TEN, 100% had ophthalmology consults and 50% were seen by gynecology. The average hospital length of stay was 11.3 days. All children survived. Conclusions Complex skin disorders in pediatric patients require a multidisciplinary team approach to care and wound management and benefit from burn service care. Early transfer is beneficial in order to definitively diagnose the specific disorder and prioritize strategies in care such as nutrition, wound care, and psychosocial support.

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Brown, Sara, and Gilly Glendewar. "Portable Negative Pressure Wound Therapy: A Case Study of a Patient Treated in the Community in Jersey." British Journal of Community Nursing 24, Sup6 (June 2019): S6—S10. http://dx.doi.org/10.12968/bjcn.2019.24.sup6.s6.

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The aim of this case study is to describe the authors' experience with the use of portable negative pressure wound therapy (pNPWT) in a non-NHS community health care environment. In this context, wound care products are funded by the individual patient. Nurses struggle to reconcile best practice and current evidence-based care when cost implications limit treatment options. In this case, funding for pNPWT was provided by a local charity. This afforded the patient the opportunity to receive best-practice wound care, and significant wound healing, pain reduction and improved patient satisfaction were achieved. Further investigation is required around the suitability of developing a strategic plan to facilitate delivery of pNPWT within the authors' community nursing service.

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Dorman, Robert M., and Kathryn D. Bass. "Novel use of porcine urinary bladder matrix for pediatric pilonidal wound care: preliminary experience." Pediatric Surgery International 32, no. 10 (July 2, 2016): 997–1002. http://dx.doi.org/10.1007/s00383-016-3915-0.

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Patricia, Pauline. "PELAYANAN PASTORAL YANG MELIBATKAN TUBUH: INTEGRASI ANTARA KATA DAN TUBUH." Jurnal Abdiel: Khazanah Pemikiran Teologi, Pendidikan Agama Kristen, dan Musik Gereja 3, no. 2 (November 22, 2019): 1–10. http://dx.doi.org/10.37368/ja.v3i2.96.

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This paper proposes an integrated pastoral service model. I begin with a fundamental question, what kind of pastoral care is right for people who are traumatized? Pastoral care with the dimension of voice and words will certainly be very difficult for those who are unable to speak their wound experience. Because, trauma causes someone's memory and life to be fragmented, making it difficult for them to be open and tell stories. Therefore, integrated pastoral care between verbatim and psycho-physiotherapy can be an alternative for counselors dealing with those who have experienced trauma. This paper will begin with the reality of the wound that does not always allow anyone to speak verbally. Next, I will frame pastoral care which involves anesthetic-therapeutic dimension as an alternative. Finally, this paper will conclude with conclusions and reflections.

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Zhang, Helen, Weikai Qu, Munier Nazzal, and Jorge Ortiz. "Burn patients with history of kidney transplant experience increased incidence of wound infection." Burns 46, no. 3 (May 2020): 609–15. http://dx.doi.org/10.1016/j.burns.2019.09.001.

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Laktionkinaitė, Ugnė, Žaneta Stoukuvienė, and Rasa Liutikienė. "The Importance of Continuity of Care Women with Obstetric Trauma." Slauga. Mokslas ir praktika 2, no. 12 (300) (December 21, 2021): 1–8. http://dx.doi.org/10.47458/slauga.2021.2.21.

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Around 50% of women who give birth naturally have trauma to the birthing tract requiring soft tissue suturing. In Lithuania, women spend an average of 2-3 days in hospital after an uncomplicated natural delivery, which is not always enough time to acquire the skills to take care of the new-born as well as to care for the delivery wound. Continuity of care after the return of the mother from hospital is particularly important to avoid complications in the postnatal period such as fever, wound infections, resolution of wound edges, incontinence of gases or faeces, formation of fistulae, painful sexual intercourse, and delay of future family planning. Aim of the study: to assess the importance of continuity of care for women with obstetric trauma. Methods: A quantitative study, an anonymous survey of women who have given birth naturally in the last two years and who have experienced various soft tissue injuries of the birthing tract between November 2020 and January 2021, following an analysis of the scientific literature, was conducted.The survey data were analysed using Microsoft Office Excel 2016 data processing software. The study was carried out in accordance with ethical principles. Results: 110 women participated in the study. Most of the respondents were first-time mothers with grade I-II perineal or vaginal tears. More than half of the women highlighted the lack of information from professionals about home care of the birth canal, postnatal sexuality, and family planning. Conclusions: Women with natural childbirth who have suffered soft tissue injuries to the birthing tract experience pain in the wound area in the postnatal period, which limits movement when walking, sitting, getting up from a lying position, and feel anxiety and fear of soft tissue injury when defecating. Mothers are not sufficiently informed about home care of the obstetric wound and would prefer follow-up care in primary care.

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Wickström, Hanna, Hanna Tuvesson, Rut Öien, Patrik Midlöv, and Cecilia Fagerström. "Health Care Staff’s Experiences of Engagement When Introducing a Digital Decision Support System for Wound Management: Qualitative Study." JMIR Human Factors 7, no. 4 (December 9, 2020): e23188. http://dx.doi.org/10.2196/23188.

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Background eHealth solutions such as digital decision support systems (DDSSs) have the potential to assist collaboration between health care staff to improve matters for specific patient groups. Patients with hard-to-heal ulcers have long healing times because of a lack of guidelines for structured diagnosis, treatment, and follow-up. Multidisciplinary collaboration in wound management teams is essential. A DDSS could offer a way of aiding improvement within wound management. The introduction of eHealth solutions into health care is complicated, and the engagement of the staff seems crucial. Factors influencing and affecting engagement need to be understood and considered for the introduction of a DDSS to succeed. Objective This study aims to describe health care staff’s experiences of engagement and barriers to and influencers of engagement when introducing a DDSS for wound management. Methods This study uses a qualitative approach. Interviews were conducted with 11 health care staff within primary (n=4), community (n=6), and specialist (n=1) care during the start-up of the introduction of a DDSS for wound management. The interviews focused on the staff’s experiences of engagement. Content analysis by Burnard was used in the data analysis process. Results A total of 4 categories emerged describing the participants’ experiences of engagement: a personal liaison, a professional commitment, an extended togetherness, and an awareness and understanding of the circumstances. Conclusions This study identifies barriers to and influencers of engagement, reinforcing that staff experience engagement through feeling a personal liaison and a professional commitment to make things better for their patients. In addition, engagement is nourished by sharing with coworkers and by active support and understanding from leadership.

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Leininger, Brian E., Todd E. Rasmussen, David L. Smith, Donald H. Jenkins, and Christopher Coppola. "Experience With Wound VAC and Delayed Primary Closure of Contaminated Soft Tissue Injuries in Iraq." Journal of Trauma: Injury, Infection, and Critical Care 61, no. 5 (November 2006): 1207–11. http://dx.doi.org/10.1097/01.ta.0000241150.15342.da.

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Journal articles on the topic 'Wound care experience'

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