Delivering wound care during the pandemic

2021 ◽  
Vol 26 (Sup6) ◽  
pp. S34-S37
Author(s):  
Lauren Corcoran

This is a tissue viability nurse's perspective on how we have run our service during the COVID-19 pandemic. Although there have been challenges, this article focuses on how the pandemic has created opportunities for the team to evolve. It has allowed us to be innovative and push forward with a new way of working that has been imagined for a long time. This transformation of the service aims to improve its efficiency and value, so that patient outcomes and wound care practice within the community are enhanced.

Author(s):  
Esthika Ariany Maisa ◽  
Yulastri Arif ◽  
Wawan Wahyudi

Purpose: To explore the nurses’ positive deviance behaviors as an effort to provide solutions in preventing and controlling infections in the hospital. Method: This is a qualitative research using grounded theory approach. Thirteen nurses from Dr.M.Djamil hospital were selected based on theoretical sampling in order to develop theory as it appears. Nurses were interviewed from June to September 2014. Interviews were thematically analyzed using techniques of grounded theory to then generate a theory from themes formed. Findings: The modes of positive deviance behavior identified were practicing hand hygiene beyond the standards (bringing handsanitizer from home), applying nursing art in wound care practice, placing patients with MRSA infections at the corner side, giving a red mark on a MRSA patient’s bed for easy identification by nurses, changing clothes and shoes in hospital, reducing hooks on the wall, and cleaning the ward on scheduled days. Conclusion: The study shows that nurses have a number of positive deviance behaviors to prevent infection transmission in the wards. It is sugested that the hospital management and nursing managers adopt some of the uncommon solution highlighted by the nurses to solve the HAIs problems in the hospital.


2021 ◽  
Vol 30 (Sup20) ◽  
pp. S34-S40
Author(s):  
Jenni MacDonald

The prevalence of wounds and the cost of treating them are increasing year on year. Improving the quality of wound care will improve patient outcomes and is a financial necessity. The Lens of Profound Knowledge is a tool that can be used to support quality improvement and identify where action is needed. It allows exploration of an organisation through four aspects—appreciate the system, understanding variation, psychology, and theory of knowledge—and working on all four aspects simultaneously is believed to increase the likelihood of achieving improvement. Improvements at and between all levels—microsystem (such as frontline services), mesosystem (health boards) and macrosystem (NHS Scotland)—would reduce variation in practice and prove to be both clinically and cost-effective. Given the rapidly growing population of people with unhealed wounds, wound care needs to be valued at all system levels and be adequately resourced.


2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Sondang Sidabutar

Wound healing is a long time in there covery process because of damage to the skin or skin tissue disintegritas. According to Rustam Mochtar(1998), the injured in the birth canal when not accompanied by infection will heal within6-7days. Based on the results of a survey on BPS Ny. Arifin S. Surabaya, from as many as7 of 10 respondents (70%) found the wound is still wet. The purpose of this study was to determine age and cultural picture of incontinence on postpartum mother's perineal wound healing on the seventh day in the BPS Ny. Arifin S. Surabaya. In this research using descriptive method with the study population was all mothers with post natal on the seventh day stit chesin the perineum which controls BPS Ny. Arifin S. Surabaya period from July to August 2008 as many as 49 people. Sampling of non-probability sampling with a sampling technique is saturated. By using questionnaires and observation sheets as research instruments. Data created frequency tables and cross tabulations and then summed. Based on the results of research on maternal postnatal day 9 to 7, obtained the majority of postnatal mother saged <35 years of the perineal wound healed as many as 24 people (66.66%) and in postpartum mothers who do not abstain from the majority of the perineal wound healed as many as17 people (77.27%). By looking at these result it can be concluded that the perineal wound healing can be influenced byculture age and abstinence from food. Therefore, the provision of good information and right by the health officer of the perineal wound care will affect the success of the perineal wound healing process.


Problemos ◽  
2011 ◽  
Vol 79 ◽  
pp. 129-140
Author(s):  
Mindaugas Briedis

Nors fenomenologinė filosofija jau kurį laiką daro įtaką psichoterapeutų darbo metodams, galima teigti, kad pastarieji naudojasi egzistencialistinėmis fenomenologijos traktuotėmis, o štai pirminis, dar Edmundo Husserlio inicijuotas projektas išleidžiamas iš akių. Straipsnyje kaip tik ir užsibrėžiama grįžti prie pastarojo fenomenologijos supratimo, nagrinėjant metodologines psichologijos problemas bei nužymint galimas psichoterapijos perspektyvas. Pirmoje dalyje aptariamos metodologinės ir tipologinės psichoterapijos problemos. Teigiama, kad empirinė psichoterapija neteikia galimybių iš esmės užčiuopti ego struktūros – tikrosios žmogiškojo patyrimo ir atitinkamai psichinių konfliktų erdvės. Sykiu pateikiama fenomenologinė žinojimo traktuotė, psichologinio bet transcendentalinio ego perskyra bei kitos pamatinės, psichoterapijos uždavinius reformuluojančios fenomenologijos temos. Antroje dalyje kaip viena iš galimų fenomenologijos ir psichologijos koreliacijos perspektyvų pateikiama kritinė lyginamoji Sigmundo Freudo sąmonės ir pasąmonės bei „atitinkama“ Husserlio impresinės (produktyvios) ir reproduktyvios sąmonės teorijų analizė, nepamirštant, kad Freudo psichoanalizės jokiu būdu negalima tapatinti su psichoterapija apskritai. Parodoma, kad Husserlio žodynas leidžia naujai konstruktyviai perskaityti Freudo pastabas apie instinktyvaus skatulio teorijos dėsningumus bei represavimo mechanizmą. Trečioje dalyje glaustai suformuluojamos bendros fenomenologinės hermeneutikos rekomendacijos psichoterapeutams. Straipsnyje jokiu būdu neteigiama, kad fenomenologija gali ar turi pakeisti psichoterapiją, tačiau numatoma, kad kaip ir kiekviena teorinė-praktinė disciplina, psichoterapija gali ir turi atrasti fenomenologiją kaip savo atspirties ir plėtotės tašką.Pagrindiniai žodžiai: fenomenologija, psichoterapija, psichologinis ir transcendentalinis ego, instinktyvus skatulys, psichiniai sutrikimai, reproduktyvi sąmonė.E. Husserl’s Phenomenological Project and the Problems Concerning PsychotherapyMindaugas Briedis SummaryThough phenomenological philosophy has influenced practitioners of psychotherapy for a long time, it is also true, that it was precisely existentialist approach to phenomenology that was exploited, while the whole initial project of phenomenology initiated by E. Husserl was almost forgotten. In this article I beckon to re-enter this initial understanding of phenomenology, considering methodological problems of psychology and laying down possible perspectives for psychotherapy.First part of the article deals with the methodological problems of psychotherapy while raising the thesis that empirical psychotherapy in principle cannot grasp the ego-structure, misses the true depth of the human experience, which in turn is the real sphere of mental disorders. Hand in hand goes the phenomenological critique of the scientific approach and other phenomenological issues relevant to the reformulation of the goals of psychotherapy.Second part of the article is dedicated to the one of many possible perspectives stemming from the correlation between phenomenology and psychotherapy, i.e. critical comparison of S. Freud’s consciousness and unconsciousness and “corresponding” theory of impressional (productive) and reproductive consciousness presented by Husserl. It is indicated that Husserl’s approach enables new and constructive reading of Freud’s theory of instinctual drive while keeping in mind, that Freud’s psychoanalysis cannot be identified with psychotherapy in general. However, the final part of the article suggests some methodological advices for mental care practice from the perspective of phenomenological hermeneutics.Keywords: phenomenology, psychotherapy, psychological and transcendental ego, instinctive drive, mental disorders, reproductive consciousness.


2018 ◽  
Vol 35 (05) ◽  
pp. 378-383
Author(s):  
Sabeen Dhand

AbstractThe complexity of peripheral arterial disease (PAD) and its multiorgan involvement requires the utilization of a multispecialty team approach. Members of this team include a vascular specialty (interventional radiology, cardiology, and vascular surgery), podiatry, orthopedic surgery, primary care, infectious disease, endocrinology, plastic surgery, wound care nursing, and dietetics. A team approach has been proven to significantly improve patient outcomes as well as decreasing amputation rates. In order to promote collaboration and avoid duplication of care, the team can be broken down into three main pillars: medical management, wound care, and revascularization. A complete team approach is vital for this population, with an overall goal to treat all manifestations of the disease and prevent further progression and risk of major sequelae of the disease.


1993 ◽  
Vol 27 (7-8) ◽  
pp. 963-966
Author(s):  
Alan F. Boyd ◽  
Abraham G. Hartzema

OBJECTIVE: To illustrate how a computer system used in an ambulatory care pharmacy setting might enhance care of patients with diabetes by prospectively monitoring and prompting them to seek routine medical care. DATA SOURCES: A MEDLINE search to identify existing works on informatics was conducted. An epidemiology and general medical literature review of diabetes mellitus was also performed via MEDLINE. Additionally, known textbooks on the disease were consulted. CONCLUSIONS: Programming a computer system to prompt pharmacists to remind their patients of necessary medical interventions could save medical resources by warning chronically ill patients not to ignore routine medical care. Also, this would allow the pharmacist to prospectively monitor patient outcomes. By knowing when medical interventions are due and obtaining feedback from patients on the results of the medical contact, pharmacists increase their knowledge about patient outcomes and the rationale behind changes in pharmacotherapy. It is expected that such a system would prevent the inconspicuous development of chronic complications.


2012 ◽  
Vol 45 (02) ◽  
pp. 412-417 ◽  
Author(s):  
Ravi K. Chittoria

ABSTRACTThe escalating physiological, psychological, social and financial burdens of wounds and wound care on patients, families and society demand the immediate attention of the health care sector. Many forces are affecting the changes in health care provision for patients with chronic wounds, including managed care, the limited number of wound care therapists, an increasingly ageing and disabled population, regulatory and malpractice issues, and compromised care. The physician is also faced with a number of difficult issues when caring for chronic wound patients because their conditions are time consuming and high risk, represent an unprofitable part of care practice and raise issues of liability. Telemedicine enhances communication with the surgical wound care specialist. Digital image for skin lesions is a safe, accurate and cost-effective referral pathway. The two basic modes of telemedicine applications, store and forward (asynchronous transfer) and real-time transmission (synchronous transfer, e.g. video conference), are utilized in the wound care setting. Telemedicine technology in the hands of an experienced physician can streamline management of a problem wound. Although there is always an element of anxiety related to technical change, the evolution of wound care telemedicine technology has demonstrated a predictable maturation process.


2019 ◽  
Vol 28 (21-22) ◽  
pp. 4021-4034 ◽  
Author(s):  
Emilia Kielo ◽  
Riitta Suhonen ◽  
Leena Salminen ◽  
Minna Stolt

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