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

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.

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Moisture-associated skin damage: an overview of its diagnosis and management

Practice Nursing ◽

10.12968/pnur.2021.32.sup11.s11 ◽

2021 ◽

Vol 32 (Sup11) ◽

pp. S11-S15

Author(s):

Aby Mitchell ◽

Barry Hill

Keyword(s):

At Risk ◽

Health Professionals ◽

Wound Care ◽

Predisposing Factors ◽

Evidence Based ◽

Skin Damage ◽

Diagnosis And Management

This educational article introduces and explores moisture-associated skin damage (MASD) and the four forms it manifests as, namely, incontinence-associated dermatitis; intertriginous dermatitis; peristomal moisture-associated dermatitis; and peri-wound moisture-associated dermatitis. The aetiology and predisposing factors of each form are critically discussed, in addition to the treatments and interventions that can be used by nurses to support patient recovery. Nurses and other health professionals working with patients who are at risk of skin damage or who already require wound care, must be knowledgeable about all aspects of MASD. Fortunately, a plethora of evidence-based literature exists to support health professionals in their practice, although validated assessment and recording tools for incontinence-associated dermatitis are limited.

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Preventing medical adhesive-related skin injury (MARSI)

British Journal of Nursing ◽

10.12968/bjon.2021.30.15.s48 ◽

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.

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Moisture-associated skin damage: an overview of its diagnosis and management

British Journal of Community Nursing ◽

10.12968/bjcn.2020.25.sup3.s12 ◽

2020 ◽

Vol 25 (3) ◽

pp. S12-S18 ◽

Cited By ~ 2

Author(s):

Aby Mitchell ◽

Barry Hill

Keyword(s):

At Risk ◽

Health Professionals ◽

Wound Care ◽

Predisposing Factors ◽

Evidence Based ◽

Skin Damage ◽

Diagnosis And Management

This educational article introduces an explores moisture-associated skin damage (MASD) and the four forms it manifests as, namely, incontinence-associated dermatitis; intertriginous dermatitis; peristomal moisture-associated dermatitis; and peri-wound moisture-associated dermatitis. The aetiology and predisposing factors of each form are critically discussed, in addition to the treatments and interventions that can be used by nurses to support patient recovery. Nurses and other health professionals working with patients who are at risk of skin damage or who already require wound care, must be knowledgeable about all aspects of MASD. Fortunately, a plethora of evidence-based literature exists to support health professionals in their practice, although validated assessment and recording tools for incontinence-associated dermatitis are limited.

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COVID-19: Nutrition and functional outcomes for critical care survivors in a 400- bedded district general hospital in North London

Journal of the Intensive Care Society ◽

10.1177/17511437211025420 ◽

2021 ◽

pp. 175114372110254

Author(s):

Rachel Catlow ◽

Charlotte Cheeseman ◽

Helen Newman

Keyword(s):

Critical Care ◽

General Hospital ◽

Health Professionals ◽

Functional Outcomes ◽

Critical Care Unit ◽

Workforce Planning ◽

District General Hospital ◽

Allied Health Professionals ◽

Novel Coronavirus ◽

Rehabilitation Needs

Novel coronavirus disease (COVID-19) has resulted in huge numbers of critically ill patients. This study describes the inpatient recovery and rehabilitation needs of patients admitted with COVID-19 to the critical care unit of a 400 bedded general hospital in London, United Kingdom. The rehabilitation needs of our sample were considerable. It is recommended that the increase demand on allied health professionals capacity demonstrated is considered in future COVID-19-related workforce-planning.

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Social and Cognitive Psychology Theories in Understanding COVID-19 as the Pandemic of Blame

Frontiers in Psychology ◽

10.3389/fpsyg.2021.672395 ◽

2022 ◽

Vol 12 ◽

Author(s):

Ayoub Bouguettaya ◽

Clare E. C. Walsh ◽

Victoria Team

Keyword(s):

Cognitive Psychology ◽

Political Parties ◽

International Relations ◽

Health Communication ◽

Health Professionals ◽

Modern Society ◽

Racial Groups ◽

The Novel ◽

Social Psychological ◽

Novel Coronavirus

When faced with adverse circumstances, there may be a tendency for individuals, agencies, and governments to search for a target to assign blame. Our focus will be on the novel coronavirus (COVID-19) outbreak, where racial groups, political parties, countries, and minorities have been blamed for spreading, producing or creating the virus. Blame—here defined as attributing causality, responsibility, intent, or foresight to someone/something for a fault or wrong—has already begun to damage modern society and medical practice in the context of the COVID-19 outbreak. Evidence from past and current pandemics suggest that this tendency to seek blame affects international relations, promotes unwarranted devaluation of health professionals, and prompts a spike of racism and discrimination. By drawing on social and cognitive psychology theories, we provide a framework that helps to understand (1) the effect of blame in pandemics, (2) when people blame, whom they blame, and (3) how blame detrimentally affects the COVID-19 response. Ultimately, we provide a path to inform health messaging to reduce blaming tendencies, based on social psychological principles for health communication.

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End of life care for people with dementia: The views of health professionals, social care service managers and frontline staff on key requirements for good practice

PLoS ONE ◽

10.1371/journal.pone.0179355 ◽

2017 ◽

Vol 12 (6) ◽

pp. e0179355 ◽

Cited By ~ 13

Author(s):

Richard Philip Lee ◽

Claire Bamford ◽

Marie Poole ◽

Emma McLellan ◽

Catherine Exley ◽

...

Keyword(s):

Health Professionals ◽

End Of Life Care ◽

Social Care ◽

Care Service ◽

Good Practice ◽

Life Care ◽

Social Care Service ◽

Frontline Staff ◽

People With Dementia ◽

Service Managers

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Little bugs and wicked viruses: Communicating the COVID-19 pandemic through picturebooks for children

Journal of Science & Popular Culture ◽

10.1386/jspc_00022_1 ◽

2021 ◽

Vol 4 (1) ◽

pp. 3-19 ◽

Cited By ~ 1

Author(s):

Elizabeth F. Caldwell ◽

Sarah Falcus

Keyword(s):

Health Professionals ◽

Hand Washing ◽

The Novel ◽

Health Organizations ◽

Large Numbers ◽

The Social ◽

Public Health Organizations ◽

National Public Health ◽

Novel Coronavirus ◽

Staying At Home

The COVID-19 pandemic has led to the production of large numbers of books to educate children about the novel coronavirus and the measures to control its spread. The books have been produced by a wide variety of different individuals and organizations, from health professionals and educators to national public health organizations and the United Nations. This study provides a detailed analysis of 73 picturebooks about coronavirus/COVID-19 available in English and produced between March and June 2020. The analysis reveals that the books combine early scientific knowledge about the novel coronavirus with pre-existing connotations of germs to produce a specific, comprehensible cause for the social disruption produced by the pandemic. This portrayal is frequently used to mobilize children to be heroes and fight the virus through a number of behavioural measures, principally frequent hand washing and staying at home. The books also reveal adult anxieties about the nature of childhood and the uncertainty of the nature and timing of a post-pandemic future.

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Health professionals' perspectives on delivering patient-focused wound management: a qualitative study

Journal of Wound Care ◽

10.12968/jowc.2019.28.sup7.s4 ◽

2019 ◽

Vol 28 (Sup7) ◽

pp. S4-S13 ◽

Cited By ~ 1

Author(s):

Janet L. Kuhnke ◽

David Keast ◽

Sue Rosenthal ◽

Robyn Jones Evans

Keyword(s):

Health Care ◽

Health Professionals ◽

Best Practice ◽

Care Delivery ◽

Wound Care ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Wound Management ◽

Evidence Based ◽

Venous Leg Ulcer

Objective: This study examined the perspectives of health professionals on the barriers and solutions to delivery of patient-focused wound management and outcomes. Methods: A qualitative, descriptive study design was used. Participants were health-care managers, clinical leaders, nurses and allied health members who are part of wound care services. Open-ended surveys were distributed to participants in a series of learning workshops, and data analysed to identify leading themes. Results: A total of 261 participants took part and 194 surveys were returned (response rate: 74%). From the analysis five themes emerged: patient/family wound-related education; health professional wound-related education; implementation of evidence-based wound care and dissemination of evidence-based wound information across professions and contexts; teamwork and respectful communication within teams; and a higher value and priority placed on wound care through collaborative teams by managers, leaders and policymakers. Conclusion: Findings suggest that ongoing, system-wide education is needed to improve prevention, assessment, treatment and management of four wound types: venous leg ulcer (VLU), diabetic foot ulcer (DFU), pressure ulcer (PU) and surgical wounds. Health professionals are committed to delivering best practice in wound care. Participants identified that effective patient-focused, evidence-based wound care involves having a health-care system with a clear mandate to ensure wound care is a priority. A high value placed on wound care by managers and clinical leadership could transform the present systems. Additionally, effective and widespread dissemination of evidenced-informed practice information is crucial to positive patient outcomes. Education and team commitment for consistent and respectful communication would improve care delivery.

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