scholarly journals Application of International Best Practice Guideline in Diabetic Ulcer Patients

2019 ◽  
Vol 3 (1) ◽  
pp. 50-62
Author(s):  
Mayusef Sukmana ◽  
Roni Sianturi ◽  
Muhammad Aminuddin
Keyword(s):  
Practice Guideline ◽  
Best Practice ◽  
Assessment Tool ◽  
Health Workers ◽  
Wound Care ◽  
Sampling Technique ◽  
Assessment Tools ◽  
Base Temperature ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Background: Diabetic ulcer is one of the complications of Diabetes mellitus. Assessment of diabetic ulcers is done as a basis in determining wound care and therapy provided so that it needs to know its characteristics.Purpose: This study was to determine the characteristics of wounds assessment tools diabetic ulcer International Best Practice Guideline (IBPG).Method: The study design was descriptive with a case study approach, the sampling technique was purposive sampling carried out in May 2019 with three respondents. The instrument used is the wound assessment tool International Best Practice Guideline which contains: sensation, callus, wound base, temperature and location.Results: Respondents 1 experienced neuroiskemic injuries. Respondent 2 suffered neuropathic injuries and Respondent 3 had ischemic injury.Conclusion: Characteristics of ulcers based on the International Best Practice Guidelines respectively, neuroiskemic, neuropathic and ischemic ulcers. Health workers are expected to apply a more detailed assessment of diabetic ulcers so that they can determine the appropriate treatment.

scholarly journals Efektifitas Perawatan Luka Modern Kombinasi Mendengarkan Musik Klasik Terhadap Penyembuhan Ulkus Diabetik Di Rumah Luka Surabaya

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Imroatul Farida ◽  
Diyah Arini ◽  
Risca Putri Mardayati
Keyword(s):  
Treatment Group ◽  
Classical Music ◽  
Chronic Wounds ◽  
Wound Care ◽  
Healing Process ◽  
Sampling Technique ◽  
Wound Complications ◽  
Control Group ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Diabetic ulcer need a long time for its healing process, failure during healing process of chronic wounds caused by necrotic tissue which becomes something foreign object for body and infected wounds. Proper wound care is needed to prevent wound complications. In this modern day, dressings combination of classical music becomes one of the diabetic ulcer therapy, this study aims to analyze the affectivity dressing combination of classical music to the acceleration of healing of diabetic ulcers at Rumah Luka Surabaya. Design of this study uses Quasi Experimental that is done by pre-test post-test in  treatment group and control group. Total population in this study is 35 patients with diabetic ulcers in the Rumah Luka Surabaya, using random sampling from Probability sampling technique and obtained 32 people as sample which divided into 2 groups: 16 people in control group and 16 groups in treatment group. Furthermore tested by using Two sample T test that results are modern influences dressing combination of classical music to healing diabetic ulcers are indicated by p 0.001 <α 0:05 means there is an influence of classical music therapy in the treatment group. The implications of this study can serve as a reference for future studies related to wound healing. In addition, further studies should be done to reinforce the concept centers on a diabetic ulcer care in managing diabetic ulcers in patients with diabetes mellitus.Keywords: Classic Music, Diabetic Ulcer, Modern Dressing

EFEKTIVITAS PERAWATAN ULKUS DIABETIKUM TERHADAP PENERIMAAN DIRI PASIEN DIABETES MELITUS TIPE II DI ASRI WOUND CARE CENTRE MEDAN

2019 ◽  
Vol 4 (2) ◽  
pp. 178
Author(s):  
Elis Anggeria ◽  
Patimah Sari Siregar
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Wound Care ◽  
Type Ii Diabetes Mellitus ◽  
P Value ◽  
Type Ii ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Self Acceptance ◽  
Ulcer Treatment

<p><em>Diabetes mellitus (DM) is a group of metabolic diseases characterized by high levels of glucose in the blood (hyperglycemia) that occurs due to impaired insulin secretion, decreased insulin action, or a result of both. Self-acceptance is the ability and desire of individuals to live with all the characteristics themselves against diabetes mellitus. This study aims to determine the effectiveness of diabetic ulcer treatment on self-acceptance of Type II Diabetes Mellitus patients at Asri Wound Care Center Medan. This study uses quantitative research methods with a quasi-experimental design through the one-group pretest-posttest design approach. The population in the study as many as 20 people, with sampling techniques using saturated sampling, the research sample amounted to 20 people. This study uses a nonparametric statistical test that is paired t-test. The results of research on self-acceptance of patients with type II diabetes mellitus before treatment of diabetic ulcers showed that the majority of self-acceptance was not good, and the self-acceptance of patients after treatment of diabetic ulcers obtained the majority of good self-acceptance. The effectiveness of diabetic ulcer treatment on self-acceptance of type II diabetes mellitus patients obtained significance value p-value = 0.00 (p-value &lt;0.05) then H0 was rejected. This means that there are differences in self-acceptance of type II Diabetes mellitus patients before and after diabetic ulcer treatment at Asri Wound Care Center Medan. Future researchers are expected to discuss more deeply about the factors that affect the self-acceptance of diabetes mellitus patients who are undergoing treatment for diabetic ulcers.</em></p>

scholarly journals Faktor-Faktor Yang Berhubungan Dengan Perilaku Pencegahan Ulkus Diabetikum Pada Penderita Diabetes Mellitus

2019 ◽  
Vol 2 (3) ◽  
pp. 108
Author(s):  
Rola Oktorina ◽  
Aria Wahyuni ◽  
Ervina Yanti Harahap
Keyword(s):  
Diabetes Mellitus ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Health Workers ◽  
Bivariate Analysis ◽  
Diabetic Ulcer ◽  
Low Socioeconomic ◽  
Diabetic Ulcers ◽  
Prevention Behavior ◽  
Ulcer Complications

<span>DM sufferers continue to increase every year. Diabetic ulcers are a common complication that often occurs in DM patients. complications prevention behavior that must be performed by DM patients in order to prevent complications. This study aims to determine the factors related to the behavior of prevention of diabetic ulcers in patients with diabetes mellitus at Achmad Mochtar Bukittinggi Hospital in 2019<br />This type of research is analytic descriptive with cross sectional study approach. The population in this study was 334 people. Sampling using accidental sampling technique with a sample size of 35 people. Data collection in this study used a questionnaire sheet. Data analysis included univariate and bivariate analyzes using the chi-square test.<br />The results showed that 62.9% of respondents had low knowledge, 88.6% had no ulcers, 51.4% were low socioeconomic. The results of bivariate analysis showed that there was a relationship between knowledge (p = 0.038, OR = 6) and socioeconomic status (p = 0.028, OR = 6.417) with the prevention behavior of diabetic ulcer complications, whereas the ulcer experience variable was not related to the prevention behavior of diabetic ulcer complications (p = 0.619).<br />It was concluded that knowledge and socioeconomic status were significantly related to the prevention of diabetic ulcers in DM patients. It is expected that all parties, especially health workers, will maximize education and counseling for DM patients, especially in the low knowledge group and with low socioeconomic status.</span>

scholarly journals DIFFERENCES OLD PERINEAL WOUND HEALING POST HECTING WITH ANESTHESIA AND WITHOUT ANESTHESIA IN POSTPARTUM MOTHERS IN BPM "Y" AND BPM "G" LUBUK ALUNG 2015

2018 ◽  
Vol 9 (1) ◽  
pp. 49
Author(s):  
Angelia Rovina Septya ◽  
Debby Ratno Kustanto
Keyword(s):  
Wound Healing ◽  
Design Research ◽  
Health Workers ◽  
Wound Care ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Bivariate Analysis ◽  
P Value ◽  
Not Given ◽  
Normal Delivery

Tailoring perineum is the effort to improve the function of the reproductive organs of women with rupture during childbirth. The use of anesthesia in suturing perineal laceration is dear mother's care. Practical experience in D-III of Midwifery, anesthetic administration before done throughout the midwife with the grounds for granting anesthesia can slow wound healing. This study aims to determine whether there are differences in wound healing post heating perineum between the mother given anesthesia before suturing the perineum with mothers who are not given anesthesia before suturing the perineum. This type of research is pre-experimentation, design research group intact comparison. research conducted on 1 October to 20 October 2015 in BPM "G" and BPM "Y" Lubuk Alung with a total sample of six people, the sampling technique accidental sampling. Data analysis was done by Independent T statistical test. The results showed long wound healing using anesthesia is 10 days while the healing of wounds that do not use anesthesia is 6 days. Bivariate analysis results can be concluded there is a difference in the rate of wound healing between the mother given anesthetic before action is taken by the mothers perineal suturing were not given anesthesia before action is taken perineal suturing with a P value of Value 0.013 (<0.05). Health workers must increase their skills and communication in case of normal delivery in order to rupture perineum reduced and teach patients how to wound care of perineal is good and right that wound healing is rapid and normal in hope of decreasing the risk of infection during childbirth.

scholarly journals The Effect Of Wound Care With Palm Sugar On Diabetic Ulcer Repairing In Type 2 Diabetes Patients

2021 ◽  
Vol 1 (12) ◽  
Author(s):  
Devi Ratnasari ◽  
Eva Daniati ◽  
Eti Suliyawati ◽  
Zahara Farhan
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Wound Care ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Quasi Experimental ◽  
Palm Sugar ◽  
Improve Wound Healing

Diabetic ulcers are one of the most common complications of type 2 diabetes mellitus. Diabetic ulcers are infected sores that develop in the lower extremities. Proper diabetic foot wound care methods will improve wound healing. One of the efforts to treat the complement to prevent infection is wound care with palm sugar. Palm sugar contains antibiotic-like substances such as vitamin C, riboflavin, vitamin A, and ascorbic acid. Dr. Slamet Garut's study aims to determine the effectiveness of wound care with palm sugar media against the repair of diabetic ulcers in patients with type 2 diabetes mellitus after hospitalization in 2021. The study used a quasi experimental research design with one group pretest and posttest design (Pre-action) and one group of subjects receiving palm sugar therapy on diabetic ulcer wounds (Post-action). The researcher used consecutive sampling techniques, samples that met the inclusion criteria could have 8 people. The wounds were treated with palm sugar for two weeks. The findings revealed that wound care with palm sugar had an effect on the repair of diabetic ulcers in patients with type 2 diabetes mellitus, with a Pvalue = 0.000. Then it is possible to conclude that treating wounds with palm sugar affects the improvement of diabetic ulcers.

scholarly journals Using the Model for Improvement to implement the Critical-Care Pain Observation Tool in an adult intensive care unit

2018 ◽  
Vol 7 (4) ◽  
pp. e000304 ◽  
Author(s):  
Mairi Mascarenhas ◽  
Michelle Beattie ◽  
Michelle Roxburgh ◽  
John MacKintosh ◽  
Noreen Clarke ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Pain Assessment ◽  
Best Practice ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Self Report ◽  
Process Measures ◽  
Adult Intensive Care Unit

Managing pain is challenging in the intensive care unit (ICU) as often patients are unable to self-report due to the effects of sedation required for mechanical ventilation. Minimal sedative use and the utilisation of analgesia-first approaches are advocated as best practice to reduce unwanted effects of oversedation and poorly managed pain. Despite evidence-based recommendations, behavioural pain assessment tools are not readily implemented in many critical care units. A local telephone audit conducted in April 2017 found that only 30% of Scottish ICUs are using these validated pain instruments. The intensive care unit (ICU) at Raigmore Hospital, NHS Highland, initiated a quality improvement (QI) project using the Model for Improvement (MFI) to implement an analgesia-first approach utilising a validated and reliable behavioural pain assessment tool, namely the Critical-Care Pain Observation Tool (CPOT). Over a six-month period, the project deployed QI tools and techniques to test and implement the CPOT. The process measures related to (i) the nursing staff’s reliability to assess and document pain scores at least every four hours and (ii) to treat behavioural signs of pain or CPOT scores ≥ 3 with a rescue bolus of opioid analgesia. The findings from this project confirm that the observed trends in both process measures had reduced over time. Four hourly assessments of pain had increased to 89% and the treatment of CPOT scores ≥3 had increased to 100%.

scholarly journals STRESS PASIEN DENGAN ULKUS KAKI DIABETIKUM DI AL HIJRAH WOUND CARE CENTER JOMBANG

2020 ◽  
Vol 6 (1) ◽  
pp. 128-136
Author(s):  
Fahruddin Kurdi ◽  
Anja Hesnia Kholis ◽  
Nurul Hidayah ◽  
Maya Fitriasari
Keyword(s):  
Diabetic Foot ◽  
Nuclear Family ◽  
Wound Care ◽  
Ulcer Patient ◽  
Care Center ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Diabetic Ulcer ◽  
Psychological Burden ◽  
Diabetic Ulcers

ABSTRACT Diabetic foot ulcer is a complication of mellitus. The complication can cause psychological problems that cause stress for patient. The severity of diabetic foot ulcer will increase stress in patients. To deal with stress that needs to be overcome by reducing stress independently, besides the support system of the family is needed to help reduce stress and psychological burden. The purpose of this research is to explore how stress is experienced by diabetic foot ulcer patient.                 This research is a qualitative research with phenomenology approach. Participants were diabetic ulcer who come for wound care treatments at Al Hijrah wound care center, as well as the nuclear family as additional informants. Data is taken with a thorough interview, observation.                 The results obtained from two participants that stress due to diabetic ulcers is a condition related to physical and psychological conditions that cause participants to increase stress, such as: body image disorders, immobility, fear to amputation and cost difficulties.                 The main effort to reduce stress is pray, read the Al Quran, dzikr and ask for help to health services in the hope that the stress can reduced independently and does not cause worse complications. It is hoped that further research will examine more deeply the stress experienced by patients with diabetic ulcers.  

scholarly journals The Fitness Barometer: A Best Practice Example for Monitoring Motor Performance With Pooled Data Collected From Practitioners

2021 ◽  
Vol 9 ◽  
Author(s):  
Tanja Eberhardt ◽  
Klaus Bös ◽  
Claudia Niessner
Keyword(s):  
Motor Performance ◽  
Best Practice ◽  
Assessment Tool ◽  
Age Groups ◽  
Mean Value ◽  
Assessment Tools ◽  
Chi Square ◽  
Motor Test ◽  
Significant Difference ◽  
Chi Square Test

Introduction: Motor Performance (MP) in children is an important resource for their future active lifestyle and health. Monitoring of MP is crucial to derive information of trends and to implement specific programs on the base of current MP levels. A variety of MP assessment tools exist, making it difficult to determine a “gold-standard” for assessment and to compare the findings. In Germany, the German Motor Test 6–18 (GMT 6–18) and Kinderturntest Plus 3–10 (KITT+ 3–10) are widely used MP assessment tools. The aim of this paper is to show which key questions can be answered within the context of a best practice example of a MP assessment tool and what can be derived from this for a practical application (the Fitness Barometer).Methods: The raw data of the Fitness Barometer was collected with the MP assessment tools GMT 6–18 and KITT+ 3–10 from 2012 through 2020. Data was pooled anonymously with the e-Research infrastructure MO|REdata and categorized into percentiles for MP and BMI. Overall, we included data of 23,864 children for the statistical analyses. T-tests for independent samples, percentage frequency analysis, descriptive statistics (chi- square-test) and single analysis of variance were conducted.Results and Discussion: Children tested reached a mean value of 57.03 (SD = 18.85). Of the sample, 12.7% children were overweight or obese and there is a significant difference between age groups [χ(4)2 = 178.62, p &lt; 0.001, Cramer V = 0.09; n = 23.656]. The relationship between BMI category and mean value of MP was significant [F(4,19,523) = 224.81, p &lt; 0.001]. During 2020, the year of the COVID-19 pandemic, mean value of endurance and speed decreased [Welch's F(1,573) = 8.08, p = 0.005; Welch's F(1,610) = 35.92, p &lt; 0.001]. The GMT 6–18 and KITT+ 3–10 are valid, objective, reliable, and economic MP assessment tools for monitoring MP levels and derive added practical value. Specific programs and interventions should focus on the findings of these. The Fitness Barometer is a best practice example how a standardized assessment tool of monitoring MP point to trends on which practical evidence-based suggestions can be derived with many various partners and expertise.

Abstract 16831: Identifying Barriers to Hypertension Care: Development and Validation of a Behavioral Assessment Tool for Optimizing Linkage and Retention to Hypertension Care in Kenya (LARK Hypertension Study)

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Alexandra Douglas ◽  
Jackson Rotich ◽  
Peninah Kiptoo ◽  
Kennedy K Lagat ◽  
Kennedy Mutai ◽  
...  
Keyword(s):  
Focus Groups ◽  
Behavioral Change ◽  
Assessment Tool ◽  
Health Workers ◽  
Behavioral Assessment ◽  
Study Groups ◽  
Assessment Tools ◽  
Rater Agreement ◽  
Qualitative Feedback ◽  
Development And Validation

Introduction: Hypertension is the leading risk factor for global mortality. Hypertension treatment rates are low, partly due to inadequate linkage and retention to care. The LARK Study evaluates the use of community health workers (CHWs), equipped with a behavioral assessment and a tailored behavioral change strategy, to improve linkage and retention to hypertension care in Kenya. Here we describe the development and validation of the assessment tool used by CHWs to identify patients’ barriers to care, facilitating behavioral change communication. Methods: We derived behavioral assessment items from prior research on barriers to hypertension care in Kenya. Patients, CHWs, and clinicians scored each item for clarity and representativeness, and provided qualitative feedback during focus groups. A content validity index (CVI), representing inter-rater agreement of scores, was calculated for each item. Multivariable linear mixed-effects models were used to compare CVIs and level of modification (none, minor, major, or deleted) by participant category. Results: We tested 70 items in 9 focus groups. Mean CVIs were greater than 0.9 in all study groups (Table). Multivariable adjustment revealed that patients and CHWs had significantly higher CVIs than clinicians. Despite this, qualitative feedback from patients and CHWsled to higher item modification rates. 37 items were retained in the linkage assessment and 57 items in the retention assessment. Conclusions: The mean CVI was greater than 0.9 in all study populations, indicating excellent inter-rater agreement of the overall clarity and representativeness of assessment items. However, CVI alone could not account for modifications suggested during qualitative discussions. A combination of quantitative and qualitative methods yielded the most informative evaluation of assessment items. These findings may be relevant to the validation of similar assessment tools in other low-resource settings.

scholarly journals Best Practice Standards in Animal-Assisted Interventions: How the LEAD Risk Assessment Tool Can Help

Animals ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 974
Author(s):  
Victoria L. Brelsford ◽  
Mirena Dimolareva ◽  
Nancy R. Gee ◽  
Kerstin Meints
Keyword(s):  
Risk Assessment ◽  
Animal Welfare ◽  
Large Scale ◽  
Best Practice ◽  
Assessment Tool ◽  
Controlled Trial ◽  
Research Field ◽  
Assessment Tools ◽  
Safety Standards ◽  
Randomised Controlled

Animal-assisted interventions (AAI) in educational and other settings have steadily increased over the last fifty years and a steep rise in AAI has been observed in many countries and settings in recent years. Surprisingly, while different providers and organisations provide a range of guidelines, no unified, standardised guidelines or risk assessment tools for AAI exist. This means that in practice AAI takes place in an unregulated manner and without a gold standard of best practice. In addition, knowledge of which interventions are effective is still scarce and the mechanisms of successful interventions are not yet fully understood. This is partly due to AAI being a relatively new research field and standards of research and practice have often lacked rigour in the past. Furthermore, knowledge and experience of providers undertaking interventions varies greatly as there is no standardised training either. We address the striking lack of standardised guidelines and procedures. In all AAI, high importance should be placed on safety and welfare of all involved. Children and other AAI participants, staff and animals should be given equal consideration when assessing risks and welfare needs. To ensure safe AAI worldwide, we provide urgently needed guidelines on best practice in relation to risk assessment, safeguarding and animal welfare priorities. The guidelines were developed for a large-scale longitudinal, randomised controlled trial AAI project and are relevant to AAIs within educational and other settings. We also provide the first set of comprehensive risk assessment and animal welfare tools to achieve consistent welfare and safety standards for best practice across educational and other settings around the world.

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