Preventing medical adhesive-related skin injury (MARSI)

2021 ◽  
Vol 30 (15) ◽  
pp. S48-S56
Author(s):  
Jan Hitchcock ◽  
David A Haigh ◽  
Nuria Martin ◽  
Siân Davies
Keyword(s):  
Health Professionals ◽  
Clinical Settings ◽  
Skin Damage ◽  
Skin Injury ◽  
Consensus Document ◽  
Medical Adhesive ◽  
Community Facilities

Medical adhesive-related skin injury (MARSI) is an overlooked and underestimated problem. While awareness of this issue is growing, it is not fully understood by health professionals in a variety of clinical settings. Medical adhesive products are often applied and removed incorrectly, which, albeit unintentionally, causes skin damage. In many cases, MARSI should be considered a preventable injury. Organisations should have processes in place to educate health professionals in acute and community facilities in preventing MARSI; these processes should include the use of products that help to prevent these injuries, including medical adhesive removers. This article will explore this topic and relate it to the most recent consensus document.

Use of breathable silicone technology in an ostomy appliance flange

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 25-35
Author(s):  
Peta Lager ◽  
Lisa Loxdale
Keyword(s):  
Preliminary Data ◽  
Transepidermal Water Loss ◽  
User Evaluation ◽  
Skin Damage ◽  
Healthcare Use ◽  
Skin Injury ◽  
Moisture Management ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Over Time

Leaks and peristomal skin complications are highly prevalent among people with a stoma, reported by over 80% of ostomates within 2 years of surgery. This suggests that there is room for improvement in ostomy appliances, particularly in their hydrocolloid-based adhesive flanges. Hydrocolloid has an absorptive method of moisture management that, over time, risks maceration and skin stripping, potentially leading to moisture-associated skin damage (MASD) and medical adhesive-related skin injury (MARSI). The newly developed Genii ostomy appliances (Trio Healthcare) use novel Sil2 Breathable Silicone Technology to provide secure, effective adhesion and manage moisture levels by replicating natural transepidermal water loss (TEWL). This has the potential to increase appliance wear time, reduce incidence of MASD and permit atraumatic removal without adhesive remover, reducing the risks of MARSI, as well as time burdens on the user and economic burdens on the healthcare system. Meanwhile, the silicone flanges and water-resistant sports fabric pouches are lightweight, flexible and unobtrusive, and they are the first appliances to be available in colours to match different skin tones, all of which provides security, comfort, confidence and discretion. This article explores the features of Sil2 and Genii ostomy appliances, with reference to preliminary data from a user evaluation.

Using a novel breathable silicone adhesive (Sil2 technology) in stoma appliances to improve peristomal skin health: answering the key questions

2021 ◽  
Vol 30 (Sup8) ◽  
pp. 19-24
Author(s):  
Fiona Le Ber
Keyword(s):  
Skin Damage ◽  
Skin Injury ◽  
Moisture Management ◽  
Silicone Adhesive ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Key Questions ◽  
Stoma Care

Fiona Le Ber answers some of the questions that stoma care nurses may have regarding this novel silicone adhesive based technology, which helps to avoid medical adhesive related skin injury (MARSI) and moisture-associated skin damage (MASD). Whereas hydrocolloid stoma appliances absorb moisture, this has a non-absorptive method of moisture management that prevents peristomal skin becoming damp and excoriated.

Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage

2020 ◽  
Vol 29 (5) ◽  
pp. 245-259 ◽  
Author(s):  
Amit Gefen ◽  
Karen Ousey
Keyword(s):  
Health Professionals ◽  
Pressure Ulcers ◽  
Wound Care ◽  
Skin Damage ◽  
Frontline Staff ◽  
Consensus Document ◽  
Simple Strategy ◽  
Digital Format ◽  
Introductory Article ◽  
Novel Coronavirus

The 2019 novel coronavirus disease (COVID-19) pandemic has brought the effects of device-related pressure ulcers (DRPU) into sharp focus. With the increased use of personal protective equipment (PPE), including face masks, continuous positive airway pressure (CAPP) masks and other devices, the incidence of DRPUs among health professionals and patients alike has risen starkly. As such, the Journal of Wound Care (JWC) consensus document, Device-related pressure ulcers: SECURE prevention, published in February 2020, is more relevant than ever. To help support patients and frontline health professionals, JWC is republishing the consensus in a digital format, along with a new introductory article outlining the DRPU risks posed by PPE and other medical devices used by patients and health professionals during the pandemic, and how the skin damage can be avoided. The aim is to provide frontline staff with a clear, simple strategy on how to prevent the risk of personal skin damage and/or DRPU during the pandemic, as well as point them in the direction of more indepth guidance on long-term strategies for prevention, for both themselves and patients.

Using a novel breathable silicone adhesive (Sil2™ technology) in stoma appliances to improve peristomal skin health: answering the key questions

2020 ◽  
Vol 29 (16) ◽  
pp. S16-S21
Author(s):  
Fiona Le Ber
Keyword(s):  
Skin Damage ◽  
Skin Injury ◽  
Moisture Management ◽  
Silicone Adhesive ◽  
Peristomal Skin ◽  
Medical Adhesive ◽  
Key Questions ◽  
Stoma Care

Fiona Le Ber answers some of the questions that stoma care nurses may have regarding this novel silicone adhesive based technology, which helps to avoid medical adhesive related skin injury (MARSI) and moisture-associated skin damage (MASD). Whereas hydrocolloid stoma appliances absorb moisture, this has a non-absorptive method of moisture management that prevents peristomal skin becoming damp and excoriated

Medical adhesive-related skin injury

2020 ◽  
Vol 29 (6) ◽  
pp. S20-S26
Author(s):  
Sinéad Kelly-O'Flynn ◽  
Luxmi Mohamud ◽  
Dale Copson
Keyword(s):  
Health Professionals ◽  
Main Function ◽  
Physical Barrier ◽  
Skin Injury ◽  
Skin Preparation ◽  
Informed Decisions ◽  
Prevention And Treatment ◽  
Repeated Applications ◽  
Harmful Substances ◽  
Medical Adhesive

The skin's main function is to act as a physical barrier against harmful substances. Medical adhesive-related skin injury (MARSI) is a prevalent and under-reported condition that compromises the skin's integrity. Repeated applications and removal of appliances can increase the likelihood of MARSI occurring. Prevention and treatment are key to ensure appropriate skin preparation, product appliance and removal. The use of structured approaches is imperative and there is a need to increase the awareness of MARSI among patients and health professionals to ensure that informed decisions are made.

Prevalence of medical adhesive-related skin injury at peripherally inserted central catheter insertion site in oncology patients

2018 ◽  
Vol 19 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Huihan Zhao ◽  
Yu He ◽  
Huiqiao Huang ◽  
Ying Ling ◽  
Xuemei Zhou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Insertion Site ◽  
Skin Damage ◽  
Skin Injury ◽  
Oncology Patients ◽  
Cross Sectional ◽  
Skin Injuries ◽  
Frequent Event ◽  
Independent Risk Factors ◽  
Medical Adhesive

Introduction: The aim of our study was to identify the prevalence and risk factors of medical adhesive-related skin injuries (MARSI) at peripherally inserted central catheters (PICC) insertion site in oncology patients. Methods: A cross-sectional observational study lasting two weeks was carried out in four inpatient departments. Skin assessment data and photographs of skin were collected during PICC maintenance. Other related information came from medical records. The skin injuries were classified by dermatologists and PICC specialized nurses. MARSI prevalence was calculated and the associated factors were analyzed statistically. Results: All 419 patients were included. The prevalence of total MARSI at PICC insertion site was 125, (29.83%), including mechanical skin injury (73, 17.42%), contact dermatitis (CD) (39, 9.31%), moisture-associated skin damage (11, 2.63%), folliculitis (2, 0.48%). Multivariate analysis identified two independent risk factors for MARSI including age ≥50 y (p = 0.031, odds ratio [OR] = 4.521, 95% confidence interval [CI] [1.389, 20.620]) and hematologic malignancies (p = 0.000, OR = 2.514, 95% CI [1.590,3.97]. Oxaliplatin and arsenic trioxide infusion through PICC, history of skin allergies was associated with CD, with p = 0.020, OR = 3.492, 95% CI (1.220, 9.990); p = 0.003, OR = 4.565, 95% CI (1.661,12.547); p = 0.000, OR = 12.333, 95% CI (3.669, 41.454), respectively. Conclusions: MARSI at PICC insertion site is a frequent event among oncology patients. Epidemiological data and independent risk factors are presented in our study, which provide a basis for future study in this area.

Medical eponyms: redeeming or not the long-standing tradition

2021 ◽  
pp. postgradmedj-2021-140420
Author(s):  
Yandy Marx Castillo Aleman
Keyword(s):  
Broad Spectrum ◽  
Health Professionals ◽  
Healthcare Workers ◽  
Scientific Community ◽  
Medical Literature ◽  
Current Status ◽  
Clinical Settings ◽  
International Consensus ◽  
Semantic Classification ◽  
Medical Background

BackgroundHealthcare workers often use terms such as Apgar, Babinski or Glasgow in their routine duties. These terms are used worldwide; they are universal and recognised in various languages. Medical eponyms are immutable by the nature; they save valuable time by streamlining communication among health professionals. However, some of these terms lack accuracy and lead to confusion.Objective and methodsThis perspective article aims to analyse the current status of the divergent trends about redeeming (or not) the long-standing tradition of using medical eponyms. Multiple positions regarding the use of these terms have been expressed in the medical literature, and these are summarised in the manuscript. Although, this compilation is based primarily on the author’s medical background and experience.ResultsThere is an interesting debate in the scientific community about the suitability of certain eponyms. Defenders and detractors argue a broad spectrum of points, but there is still no international consensus. The use of classical, ethical and well-recognised medical eponyms will remain a cornerstone in daily clinical settings, textbooks and medical journals. However, their use can be inconsistent or confused in specific conditions, and they can be influenced by local geography and culture.ConclusionsThere is a need to refrain from using unethical and controversial eponyms throughout the whole of science. Further academic and scientific efforts should be addressed to provide a structural systematisation, semantic classification and etymological categorisation on the use of medical eponyms.

Helping Women Victims of Intimate Partner Violence: Comparing the Approaches of Two Health Care Settings

2009 ◽  
Vol 24 (2) ◽  
pp. 193-203 ◽  
Author(s):  
Judy C. Chang ◽  
Raquel Buranosky ◽  
Diane Dado ◽  
Patricia Cluss ◽  
Lynn Hawker ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Women Victims ◽  
Health Professionals ◽  
Partner Violence ◽  
General Medicine ◽  
Intimate Partner ◽  
Comfort Level ◽  
Clinical Settings ◽  
Health Care Settings ◽  
Semistructured Interviews

Health professionals from two different clinical settings were asked about their comfort level in dealing with intimate partner violence (IPV). Focus groups and semistructured interviews were used to gather information. Staff in an obstetrics and gynecology setting relatively rich in IPV resources described feeling capable dealing with IPV. The staff in a general medicine setting dedicated to women’s health but without a focus on IPV and with fewer supports described discomfort and difficulty dealing with IPV. Presence of systemic prioritization of and resources for IPV were described as contributing to the confidence in addressing the issue. Other necessary elements identified included (a) on-site resources, (b) adequate time, (c) focused IPV training, and (d) a team or systemic approach.

scholarly journals Peristomal Medical Adhesive-Related Skin Injury

2019 ◽  
Vol 46 (2) ◽  
pp. 125-136 ◽  
Author(s):  
Kimberly LeBlanc ◽  
Ian Whiteley ◽  
Laurie McNichol ◽  
Ginger Salvadalena ◽  
Mikel Gray
Keyword(s):  
Skin Injury ◽  
Medical Adhesive

Explaining Depression in Clinical Settings: Shortcomings and Dangers of Simplified Analogies

2017 ◽  
Vol 19 (1) ◽  
pp. 51-64 ◽  
Author(s):  
William Schultz
Keyword(s):  
Clinical Practice ◽  
Health Professionals ◽  
Clinical Settings ◽  
Chemical Imbalance

In clinical settings, explanatory analogies of depression are frequently used to communicate etiology. This article reviews two common explanatory analogies: the chemical imbalance analogy and the diabetes analogy. This article examines evidence that these analogies are inaccurate and potentially harmful. It is argued that health professionals should avoid such analogies in clinical practice. Some implications of this argument are explored.

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