Treatment of 52 patients with a self-adhesive siliconised superabsorbent dressing: a multicentre observational study

2020 ◽  
Vol 29 (6) ◽  
pp. 340-349
Author(s):  
Simon Barrett ◽  
Mark Rippon ◽  
Alan A. Rogers
Keyword(s):  
Health Professionals ◽  
Wound Dressing ◽  
Wound Edge ◽  
Wear Time ◽  
Clinical Investigator ◽  
Silicone Adhesive ◽  
Beneficial Impact ◽  
Skin Conditions ◽  
Wound Bed Preparation ◽  
Positive Effect

Objective: To provide ‘in use’ clinical data to support exudate management in patients with moderately to highly exuding wounds with bordered superabsorbent wound dressing with a silicone adhesive interface. Method: This study was an open-labelled non-comparative study. Patients included in the study were selected by the clinical investigator(s) according to whether the patient required a dressing for the management of moderately to highly exuding wounds. Results: The primary aim of this study was to evaluate the clinical objective in relation to exudate handling (moderate to high) with a superabsorbent silicone border dressing (Zetuvit Plus Silicone Border; SAP silicone border dressing; designated RespoSorb Silicone Border in some countries). The SAP border dressing had met the clinical objectives relating to exudate management, affirmed by the health professionals with a yes response in 94% of cases. Additionally, the health professionals rated the handling of exudate as excellent/good (78%) and most (80%) reported that they would use the SAP silicone border dressing again. Allied to this was the fact that the SAP silicone border dressing improved the wound edge and periwound skin conditions (29% and 36% of patients, respectively). Regarding dressing retention, the SAP silicone border dressing retained its position in 72% of patients. For wear time, the largest proportion of dressing changes, both pre-study and during the evaluation period, was every third day (45% and 44%, respectively). But there was a shift to extended wear time with use of the SAP silicone border dressing with 72% of patients' dressing changes being every third day or longer. Conclusion: The SAP silicone border dressing was successful in managing wound exudate in moderately to highly exuding wounds and consequently this had a beneficial impact on the wound edge and periwound skin. Overall, there was a positive effect on wound bed preparation and in turn the healing response was progressive. This study has shown that the SAP silicone border dressing successfully controlled exudate and provided positive benefits when used in the treatment of patients with moderately to highly exuding wounds.

Biofilm management using monofilament fibre debridement technology: outcomes and clinician and patient satisfaction

2019 ◽  
Vol 28 (9) ◽  
pp. 608-622 ◽  
Author(s):  
Claas Roes ◽  
Leanne Calladine ◽  
Clare Morris
Keyword(s):  
Patient Satisfaction ◽  
Health Professional ◽  
Health Professionals ◽  
Best Practice ◽  
Online Survey ◽  
Antimicrobial Agents ◽  
Wound Management ◽  
Open Label ◽  
Eligibility Criteria ◽  
Wound Bed Preparation

Objective: Best practice in wound bed preparation and biofilm-based wound management includes debridement to create a clean wound bed and to assist in minimising the redevelopment of biofilm. Biofilm that is not removed inhibits healing and redevelops if not prevented from doing so with topical antimicrobial agents. Monofilament fibre debriding technology (MFDT) is used for effective and rapid mechanical debridement of loose material, slough and biofilm. The objective of this evaluation was to determine the clinical effect and consequential levels of health professional and patient satisfaction with the results of a biofilm pathway that included MFDT to achieve debridement. Methods: This non-comparative, open label evaluation was conducted in static and non-static wounds that required debridement. MFDT was used to debride in a two-week evaluation of a biofilm pathway. Wounds were debrided three times in week one and twice in week two. Each debridement was followed by treatment with an antimicrobial dressing. Other care included secondary dressings and compression delivered according to local practice, guidelines and formularies. After the clinical evaluation, health professionals were invited to complete an online survey of the clinical outcomes and their satisfaction with the biofilm pathway. Results: There were 706 health professionals who provided answers to the survey questions. Wound types evaluated were leg ulcers (67.4%), pressure ulcers (10%), dehisced surgical wounds (1.7%), diabetic foot ulcers (7.4%) and other wounds (13.4%). Of the wounds, 9% were reported as non-static despite the eligibility criteria. Not all wounds followed the pathway. The most frequently-used antimicrobial was silver. Non-antimicrobial products used included all-in-one dressings, other secondary dressings and compression. There was a change in 77% of wounds overall after two weeks. Change was reported almost equally for both static and non-static wounds. Health professionals who did or did not follow the pathway were ‘completely satisfied’ or ‘satisfied’ with the overall clinical outcome 96% and 95%, respectively. Of the patients, 77% were ‘completely satisfied’ or ‘satisfied’ with healing after following the pathway, as reported by the treating health professional. Conclusion: The biofilm pathway that includes MFDT appears effective. Wounds managed on the pathway were debrided effectively and healing progressed to the satisfaction of both health professionals and patients.

scholarly journals Reintroducing B. infantis to the cesarean-born neonate: an ecologically sound alternative to “vaginal seeding”

2020 ◽  
Vol 367 (6) ◽  
Author(s):  
Rebbeca M Duar ◽  
David Kyle ◽  
Rachel M Tribe
Keyword(s):  
Caesarean Section ◽  
Health Outcomes ◽  
Health Professionals ◽  
Gut Microbiome ◽  
Ecological Perspective ◽  
False Sense ◽  
Beneficial Impact ◽  
Infant Gut Microbiome

ABSTRACT There is a burgeoning literature highlighting differences in health outcomes between babies born vaginally and by caesarean section (c-section) This has led to the suggestion that infants born by c-section may benefit from vaginal swabbing/seeding. Here, we discuss from an ecological perspective that it is gut-adapted, not vagina-adapted microbes that are likely to take up residence in the gut and have the most beneficial impact on the developing neonate. Further, we caution the practice of ‘vaginal seeding’ may be potentially unsafe and also give parents and health professionals a false sense of action in restoring the infant gut microbiome following c-section. Instead, we argue that restoring B. longum subsp. infantis, which has evolved to colonize the infant gut, is a safe and ecologically-sound approach to restoring the gut microbiome of infants born by c-section.

Effect of an International Level I Fieldwork Experience on Interprofessional and Cultural Competencies

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505177p1-7512505177p1
Author(s):  
Brittany N. Saviers ◽  
Lavona S. Traywick ◽  
Julie Meaux
Keyword(s):  
Nursing Students ◽  
Health Professionals ◽  
Mixed Methods Research ◽  
Learning Opportunities ◽  
Short Term ◽  
Cultural Competencies ◽  
Fieldwork Experience ◽  
Multiethnic Population ◽  
Level I ◽  
Positive Effect

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Health professionals treat a growing multiethnic population. The results of this mixed-methods research showed the positive effect of a short-term Costa Rica study-abroad experience on interprofessional and cultural competencies, teamwork, and collaboration of OT and nursing students. OT educators can use these methods as a guide in their own programs to strive for collaborative mutual enrichment and to broaden learning opportunities focused on OT in a globally connected world. Primary Author and Speaker: Brittany N. Saviers Contributing Authors: Lavona S. Traywick, Julie Meaux

Coast Guard Transfer Monitoring Program*

1973 ◽  
Vol 1973 (1) ◽  
pp. 45-51
Author(s):  
J. V. Leotta ◽  
A. J. Taylor
Keyword(s):  
Puget Sound ◽  
Monitoring Program ◽  
Coast Guard ◽  
Pilot Program ◽  
Employee Morale ◽  
Effective Discharge ◽  
Beneficial Impact ◽  
Marked Decline ◽  
Transfer Procedures ◽  
Positive Effect

ABSTRACT The paper will discuss a pilot program conducted in the Seattle area. The program has shown that Coast Guard monitoring of significant bulk petroleum transfers has a positive effect on the prevention of intentional and accidental discharges. The six month study placed Coast Guard personnel at the site of 90% of the major transfer operations occurring in the Puget Sound area. The monitors observed transfer operations to insure that all applicable regulations were being observed. The pilot program had a beneficial impact on both the Coast Guard and the industry. Coast Guard personnel were able to develop expertise in petroleum transfer techniques and related environmental concerns involving the Coast Guard. The resulting degree of professionalism favorably affected other areas of Coast Guard involvement in waterfront activities and provided a closer relationship with industry and a mutual appreciation of responsibilities. A marked decline in unknown source discharges indicated that monitoring was also effective in educating owners and operators of responsibilities in reporting discharges under the FW PCA, as amended. The major benefit to industry was the assurance that its personnel were observing proper transfer procedures. In addition, training needs were more easily established, and the effectiveness of company training programs evaluated. Finally, employee morale improved with the realization of the importance and responsibility of their jobs. The paper discusses the establishment of a monitoring program nationwide. Insights gained in the Seattle effort will be related to the implementation of an effective discharge prevention program with a minimal burden on industry.

scholarly journals Viewing an alpine environment positively affects emotional analytics in patients with stress-related psychiatric disorders

2020 ◽  
Author(s):  
Katharina Hüfner ◽  
Cornelia Ower ◽  
Georg Kemmler ◽  
Theresa Vill ◽  
Caroline Martini ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Perceived Stress ◽  
Natural Environments ◽  
Self Assessment ◽  
Alpine Environment ◽  
Organizational Barriers ◽  
Increased Risk ◽  
Beneficial Impact ◽  
Dose Dependent ◽  
Positive Effect

Abstract Background: Patients with stress-related psychiatric (psychosomatic) disorders often don´t respond well to medical treatment and experience many side effects. It is thus of clinical relevance to identify alternative, scientifically based, treatments. Our approach is based on the recent evidence that urbanicity has been shown to be associated with an increased risk for mental disorders. Conversely green and blue environments show a dose-dependent beneficial impact on mental health. Methods: Here we evaluate the effect of viewing stimuli of individuals in an alpine environment on emotional analytics in 183 patients with stress-related psychiatric disorders and 315 healthy controls (HC). Emotional analytics (valence: unhappy vs happy, arousal: calm vs excited, dominance: controlled vs in control) were assessed using the Self-Assessment Manikin. Results: Patients showed significantly lower levels of resilience and significantly higher scores of self-perceived stress. Emotional analytics of patients indicated that they feel less happy, less in control and had higher levels of arousal than HC when viewing neutral stimuli. The comparison alpine>neutral stimuli showed a significant a positive effect of alpine stimuli on emotional analytics in both groups. Patients and HC both felt attracted to the scenes displayed in the alpine stimuli. Emotional analytics correlated positively with resilience and inversely with perceived stress. Conclusions: Preventive and therapeutic programs for patients with stress-related psychiatric disorders should take benefits of outdoor natural environments into account. Organizational barriers which are preventing the implementation of such programs in clinical practice need to be identified and addressed.

scholarly journals Will it ever grow back? The psychosocial impacts of alopecia

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Aryan Riahi
Keyword(s):  
Alopecia Areata ◽  
Health Professionals ◽  
Psychological Treatment ◽  
Family Physicians ◽  
Pharmacological Treatments ◽  
Androgenic Alopecia ◽  
Limited Effectiveness ◽  
Psychosocial Impacts ◽  
Skin Conditions ◽  
Clinical Complaint

Alopecia is a common clinical complaint in the offices of family physicians and dermatologists. Here, we discuss common subtypes of alopecia, including androgenic alopecia and alopecia areata. Unfortunately, few resources have been invested in researching the effectiveness of psychological treatment for alopecia Pharmacological treatments alone are not enough. Medications can be a frustrating experience for both patients and their physicians due to their limited effectiveness. A case is made for health professionals taking an all-encompassing approach with patients is critical for skin conditions including alopecia.

Implementing the Triangle of Wound Assessment framework to transform the care pathway for diabetic foot ulcers

2020 ◽  
Vol 29 (6) ◽  
pp. 363-369
Author(s):  
Silvia Blasco Gil
Keyword(s):  
Health Professionals ◽  
Diabetic Foot ◽  
Systematic Approach ◽  
Care Pathway ◽  
Treatment Options ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Wound Edge ◽  
Wound Assessment ◽  
Spanish Hospital

Treating patients with hard-to-heal wounds can be a daily challenge for health professionals. A systematic approach is needed to establish accurate management goals and treatment options. This should include a complete wound assessment that takes into account the wound aetiology and characteristics, as well as the patient as a whole. The Triangle of Wound Assessment is a holistic framework designed to assess and manage all wound areas—the wound bed, wound edge and periwound skin. The framework can be used to guide health professionals when evaluating a wound, setting management goals and selecting treatment options. This article describes the use of the Triangle in clinical practice. It shows how a Spanish hospital implemented the framework and how this led to its inclusion in the diabetic foot ulcer (DFU) care pathway used in the region. The article concludes with three case studies describing the clinical outcomes achieved following implementation of the Triangle when managing wounds.

The clinical impact of hydroresponsive dressings in dynamic wound healing: Part I

2021 ◽  
Vol 30 (1) ◽  
pp. 15-24
Author(s):  
Francois Sterpione ◽  
Karine Mas ◽  
Mark Rippon ◽  
Alan Rogers ◽  
Georges Mayeux ◽  
...  
Keyword(s):  
Wound Healing ◽  
Comparative Study ◽  
Wound Dressing ◽  
Wound Closure ◽  
Clinical Effectiveness ◽  
Clinical Impact ◽  
Wound Dressings ◽  
Primary Measurement ◽  
Clinical Healing ◽  
Wound Bed Preparation

Objective: Management of any wound, either acute or hard-to-heal, might involve the use of multiple and different wound dressings in its treatment. This approach is necessary to overcome the myriad of clinical challenges the wound presents, as well as any underlying comorbidities that might affect the clinical outcomes. This article describes the clinical effectiveness of a coordinated wound dressing treatment regimen. Method: This was an open-labelled non-comparative study involving patients with a variety of hard-to-heal and acute wounds of differing levels of severity, but all of which required removal of devitalised tissue to enable wound healing to progress. The first phase used the hydroresponsive wound dressing HydroClean (PAUL HARTMANN AG, Germany). The PUSH score was used as the primary measurement parameter. Results: A total of 86 patients (38 male/48 female), with a mean age of 67.7±21.7 years, took part in the study. The results showed that the hydroresponsive dressing was effective in managing wound exudate production and promoting wound cleansing and debridement, supporting good wound bed preparation. Wound closure was observed in 16/86 (18.6%) wounds at the end of the study (20 weeks). This enabled clinicians to switch to alternative wound dressings to promote subsequent clinical healing outcomes. Conclusion: In this study, the hydroresponsive wound dressing was highly effective in preparing a clean wound bed such that the next stage of wound healing could be supported.

Factors influencing the incidence of peristomal skin complications: evidence from a multinational survey on living with a stoma

2020 ◽  
Vol 18 (Sup4) ◽  
pp. S31-S38
Author(s):  
David Voegeli ◽  
Tonny Karlsmark ◽  
Eric Hans Eddes ◽  
Helle Doré Hansen ◽  
Rikke Zeeberg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Professionals ◽  
Healthcare Costs ◽  
Healthcare Spending ◽  
Frequent Contact ◽  
Factors Influencing ◽  
Survey Results ◽  
Peristomal Skin ◽  
Positive Effect

Leakage of stomal effluents underneath the baseplate or inappropriate removal of stoma appliances can cause peristomal skin complications (PSCs), which are known to have many negative implications for people with a stoma. While numerous studies have examined the causes of PSCs, less is known about what drives the risk of a PSC developing. To address this gap in knowledge, the largest multinational survey to date was conducted, including 4235 people with a stoma on four continents and in 13 countries. The survey revealed that, besides leakage, other factors, such as age, gender, time since surgery and type of stoma, also drive the risk of PSCs. The survey also revealed that having a PSC resulted in greater use of stoma accessories and more frequent contact with health professionals, increasing overall healthcare costs. Collectively, the survey results reveal a need for more awareness on the risk factors for PSCs, which subsequently could have a positive effect on healthcare spending.

Sign in / Sign up

Export Citation Format

Share Document