Management and antisepsis in wound care: The experience of an Italian region (Liguria) in the treatment of older people affected by chronic ulcers

Liguria is one of the Italian regions with the highest percentage of elderly people. The European Union declared the region as a “reference site”, for experimenting cutting-edge solutions and assistance models in health management of elderly people. Chronic ulcers become a problem of considerable importance looking at the number of involved elderly patients and of the necessary resources for their care, as well for the impact on the patient’s quality of life, due to the painful and limiting nature of the pathology. This study aims to evaluate the appropriate wound management in older people affected by chronic ulcers. A group of wound care experts operating in the Liguria region met with the aim of reviewing the epidemiology of chronic skin lesions, analyzing the diagnostic/therapeutic approach currently in use, focusing on the importance of the antisepsis in wound management. In Liguria region general practitioners reported a 3.9% prevalence of chronic skin lesions in 2018, and up to 7.35% in women over 85 years; about 90% of the lesions managed at home were pressure lesions. An overall assessment of the patient and the lesion, appropriate cleansing and antisepsis phases and a multidisciplinary management are essential to facilitate the wound’s healing process among the elderly.

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the Study of Parishek With Kwath In Wound Managment By Two Different Methods Of Kwath Preparation

National Journal of Research in Ayurved Science ◽

10.52482/ayurlog.v8i04.664 ◽

2020 ◽

Vol 8 (04) ◽

Author(s):

GANESH JOJARE

Keyword(s):

Clinical Significance ◽

Wound Care ◽

Healing Process ◽

Wound Management ◽

Preparation Methods ◽

Surgical Practice ◽

Regular Practice

In the management of post operative ano rectal wounds Sits bath plays gold Slandered role in wound management. In Ayuevedic surgical Practice, wound-wash is given with various decoctions. Acharya Sushruta has described Shastiupakramas (60 procedures) for management of Wound. In CSMSS Ayurved Mahavidyalaya in Regular Practice Thriphala Kwath is being used. This study involves two different preparation methods of Triphala Kwath and there clinical significance. The present study aimed to evaluate the “Effect of Vran Dhavan(Parishek) in Wound Care and healing process”.

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Telemedicine for wound management

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.101330 ◽

2012 ◽

Vol 45 (02) ◽

pp. 412-417 ◽

Cited By ~ 7

Author(s):

Ravi K. Chittoria

Keyword(s):

Health Care ◽

Chronic Wounds ◽

Wound Care ◽

Cost Effective ◽

Skin Lesions ◽

Wound Management ◽

Care Practice ◽

Telemedicine Technology ◽

Store And Forward ◽

Financial Burdens

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.

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Modern wound care application in diabetic wound management

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20170178 ◽

2017 ◽

Vol 5 (2) ◽

pp. 702

Author(s):

. Rohmayanti ◽

Estrin Handayani

Keyword(s):

Diabetic Patient ◽

Wound Care ◽

Healing Process ◽

Wound Complication ◽

Wound Management ◽

Management Approach ◽

Wound Healing Process ◽

Diabetic Patients ◽

Diabetic Wound ◽

Wound Size

Diabetes mellitus is a group of metabolic disease which facilitates diabetic wound foot. To prevent long diabetic wound complication and worse condition it is needed wound care for diabetic patient. Modern bandage has been used for recent wound care technique. The principles of modern wound care product are maintaining and watching over the humid environment of the wound to facilitate the wound healing process, maintaining liquid tissue deprivation and cell decease. This research was aimed to find out how modern wound bandage is applied to the diabetic patient and to find out the influence in healing wound phase. This research is qualitative research using phenomenology approach, 4 wound diabetic patients who were hospitalized for 2 weeks using modern wound care method in Magelang regency were participated. The participants were elected using purposive sampling method. Observation and interview were used to obtain data, data was analyzed using explanation building method. The results of this research have 4 topics which are wound examination, type of modern bandage, the way of wound care, and the influence toward the wound. Bates-Jensen Wound was used for the wound examination, the type of bandage used were hydrogel and wound ointment, TIME management approach was used in wound care, and the wound care influences the decreasing of wound size, wound proliferation and granulation. Modern bandage application of diabetic wound influences the decreasing of wound size, wound proliferation and granulation. Paramedic is suggested to use modern wound care method in diabetic wound management.

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Wound care with traditional, complementary and alternative medicine

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.101331 ◽

2012 ◽

Vol 45 (02) ◽

pp. 418-424 ◽

Cited By ~ 45

Author(s):

Ananda A. Dorai

Keyword(s):

Wound Healing ◽

Alternative Medicine ◽

Traditional Medicine ◽

Care Management ◽

Wound Care ◽

Healing Process ◽

Wound Management ◽

Care Practice ◽

Wound Therapy ◽

The Ideal

ABSTRACTWound care is constantly evolving with the advances in medicine. Search for the ideal dressing material still continues as wound care professionals are faced with several challenges. Due to the emergence of multi-resistant organisms and a decrease in newer antibiotics, wound care professionals have revisited the ancient healing methods by using traditional and alternative medicine in wound management. People′s perception towards traditional medicine has also changed and is very encouraging. The concept of moist wound healing has been well accepted and traditional medicine has also incorporated this method to fasten the healing process. Several studies using herbal and traditional medicine from different continents have been documented in wound care management. Honey has been used extensively in wound care practice with excellent results. Recent scientific evidences and clinical trials conducted using traditional and alternative medicine in wound therapy holds good promise in the future.

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HUBUNGAN ANTARA TINGKAT KEPATUHAN PERAWAT TERHADAP SOP (STANDAR OPERASIONAL PROSEDUR) PERAWATAN LUKA DENGAN PROSES PENYEMBUHAN LUKA PASIEN PASCABEDAH DI RSUD dr. H. ANDI ABDURRAHMAN NOOR

Nursing Science Journal (NSJ) ◽

10.53510/nsj.v2i2.70 ◽

2021 ◽

Vol 2 (2) ◽

pp. 55-64

Author(s):

Farhandika Putra, Muhammad Suhada

Keyword(s):

Wound Healing ◽

Wound Care ◽

Statistical Tests ◽

Healing Process ◽

Wound Management ◽

Rank Test ◽

Wound Healing Process ◽

P Value ◽

Cross Sectional ◽

Operational Procedure

SOP is a procedure or stage that is standardized and must be passed to complete a particular work process and is part of the nurses' skills in applying their knowledge. Injuries are a break in the continuity of a tissue caused by an injury or surgical process. The wound healing process is influenced by several factors, one of which is wound management such as wound care. The aim of this study was to determine the correlation between the level of nurse obedience to SOP (Standard Operational Procedure) wound care with the wound healing process after surgery. This type of study was a correlation with using cross sectional design. The samples in this study were 20 nurses and 20 patients by using purposive sampling technique. This study was conducted in the RSUD dr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu. The results of study indicated that the level of nurse obedience in the very obedient category was (40%) and the results of observations in the wound healing process were (55%) at the level of the category that was not good. After statistical tests by using the Spearman Rank test obtained P value of 0.032 <(0.05). The conclusion of this study, that there was correlation between the level of nurse obedience to SOP (Standard Operational Procedure) wound care with wound healing process after surgery.

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The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review

Geriatrics ◽

10.3390/geriatrics6040105 ◽

2021 ◽

Vol 6 (4) ◽

pp. 105

Author(s):

Mathieu Dallaire ◽

Guillaume Gagnon ◽

Émilie Fortin ◽

Josée Nepton ◽

Anne-France Severn ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Older People ◽

Postural Control ◽

Elderly People ◽

Postural Instability ◽

Current Evidence ◽

Men And Women ◽

Significant Difference ◽

The Impact

Introduction: Parkinson’s disease is most prevalent among elderly people, 65 years and over, and leads to an alteration in motor control associated with postural instability. Current evidence shows that postural control decreases with the aging process. In addition, postural control is more altered in healthy aged men than in women. Until today, few studies have evaluated the combined impact of Parkinson’s disease and sex on postural control. This review has allowed to evaluate the impact of Parkinson’s disease and sex on postural control measurements in elderly people. Methodology: Studies have been selected from two main databases: PubMed and EBSCO using the keywords “Parkinson”, “postural control OR balance” and “sex”. Articles related to the evaluation of postural control, including men and women with Parkinson’s aged over 65 years old, regardless of stage, were included (n = 179). Articles were excluded if not written in French or English or not presenting original content. Results: Ten (10) studies out of 179 that fulfilled inclusion and exclusion criteria were reported in the final analysis, which cumulates a total of 944 individuals with Parkinson’s (410 women). In general, results show greater postural instability among people with Parkinson’s compared to healthy subjects, and this according to different objective measurements using stabilographic parameters from force platforms. Only two studies out of ten evaluated postural control while briefly considering distinctions between sex, but without showing a significant difference between men and women with Parkinson’s. Parkinson’s severity, length of time of Parkinson’s disease and cognitive state of the person are the three variables with a negative impact on postural control. Conclusion: Older people with Parkinson’s disease have greater postural instability. Sex does not seem to influence the postural control of elderly people with Parkinson’s, although more studies are necessary.

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The Impact of Old Age Allowance on Elderly People’s Socio-Economic Life: A Study of Kumal Community in Lamjung

Prithvi Journal of Research and Innovation ◽

10.3126/pjri.v2i0.29892 ◽

2020 ◽

Vol 2 ◽

pp. 1-8

Author(s):

Gopal Prasad Sedhai

Keyword(s):

Older People ◽

Elderly People ◽

Old Age ◽

Economic Life ◽

Poor People ◽

Chi Square ◽

Income Sources ◽

The Government ◽

The Right ◽

The Impact

This study focuses on the response of elderly people on the old age allowance and its impact on socio-economic issues. The allowance is the cash provided by the government of Nepal as a social security allowance to the people of age 70 years and above. Both qualitative and quantitative data has been used in this study from complete enumeration. The information was collected from three municipalities: Sundar Bazar Municipality, Maddhye Nepal Municipality, and Rainas Municipality of Lamjung District. A face-to-face interview method was applied to collect information regarding social and economic aspects from all 51 elderlies of Kumal respondents who received allowance. Chi-square test was applied to find out the factors associated with satisfaction of elderly people. Most of the respondents felt that the allowance is negligible and administrative difficulties like error in date of birth in citizenship, delay in receiving, inaccessibility to bank due to ageing, etc. in receiving the allowance. People who were satisfied with this allowance reported that it was a privilege from the government and they can use this money on their own. This finding is based on a single ethnic group of small area and cannot be generalized to whole population but explored some idea how the allowance is perceived in Nepal. The allowance establishes the right of older people and essential for poor people to fulfil their daily needs. The government should take some initiatives for better management of the allowance with other processes rather than cash distribution and take more initiation for very poor older people who have no other income sources.

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Quercetin and its Natural Sources in Wound Healing Management

Current Medicinal Chemistry ◽

10.2174/0929867325666180713150626 ◽

2019 ◽

Vol 26 (31) ◽

pp. 5825-5848 ◽

Cited By ~ 6

Author(s):

Nicoletta Polera ◽

Mariateresa Badolato ◽

Filomena Perri ◽

Gabriele Carullo ◽

Francesca Aiello

Keyword(s):

Wound Healing ◽

Wound Repair ◽

Chronic Wounds ◽

Wound Care ◽

Biological Activities ◽

Healing Process ◽

Wound Management ◽

Wound Healing Process ◽

Impaired Wound Healing ◽

Care Research

Giving a glance to the report of Wound Care Market by Product updated in 2017, we can see that wound care market is expected to reach USD 22.01 billion by 2022 from USD 18.35 billion at a CAGR of 3.7%. Numerous factors are driving the growth of this market, including the increasing prevalence of chronic wounds and acute wounds, increasing aged population, rising R&D activities and advancement in the field of wound care research. Advanced wound management products are accounted for the largest market share in 2017. These evidences mean that the wound care research represents a Clinical Emergency other than an interesting Marketing tool. Drug therapies so far fight efficaciously with the opportunistic pathologies derived from chronic wounds, although an unsolved challenge is still finding a useful remedy to correct the impaired wound healing process and overcome the chronic wound state, to avoid bacterial rising and severe pain. Traditional medicinal plants have been widely used in the management of wounds and different plant extracts have been evaluated for their wound healing properties through both in vitro and in vivo studies. Their phytochemical components in particular quercetin, contribute to their remedial properties in wound repair. Quercetin has important biological activities related to the improvement of the wound healing process. The present review discusses and focuses on the latest findings of the wound healing properties of quercetin, alone or as a part of plant extract, and its role as a new frontier in wound repair.

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Utilizzo di staminali da tessuto adiposo nelle lesioni cutanee croniche: esperienza clinica/Use of adipose tissue stem cells in chronic skin lesions: clinical experience

Italian Journal of Wound Care ◽

10.4081/ijwc.2018.24 ◽

2018 ◽

Vol 2 (2) ◽

Author(s):

Fabrizio Moffa ◽

Alberico Balbiano da Colcavagno ◽

Elia Ricci

Keyword(s):

Stem Cells ◽

Adipose Tissue ◽

Chronic Wound ◽

Wound Care ◽

Local Treatment ◽

Skin Lesions ◽

Complex Process ◽

Number Of Patients ◽

Global Vision ◽

Chronic Skin

La guarigione di una ferita cronica è un processo articolato e complesso, che richiede una visione clinica globale del paziente. Tuttavia, il trattamento locale del letto della ferita riveste un’importanza fondamentale. Sempre più ormai si parla di medicina rigenerativa di tipo induttivo come mezzo per stimolare le cellule senescenti all’interno di una lesione cutanea cronica, in particolare mediante l’utilizzo delle cellule staminali mesenchimali. Il tessuto adiposo autologo rappresenta una fonte di cellule staminali e la tecnologia Lipogems® ne rende possibile la sua applicazione clinica. In questo studio vengono analizzati i risultati ottenuti con tale metodica che, seppur con i limiti di un numero ancora non consistente di pazienti, sono comunque incoraggianti nel proseguire lungo questa strada, considerata da molti come l’ultima frontiera nel wound care. The healing of a chronic wound is an articulated and complex process, requiring a patient’s clinical global vision. However, local treatment of the wound bed is of fundamental importance. More and more now we talk about regenerative medicine as a means to stimulate senescent cells in a chronic skin lesion, particularly through the use of mesenchymal stem cells. Autologous adipose tissue is a source of stem cells and Lipogems® technology makes it possible for its clinical application. In this study we analyze the results obtained with this method that, even with the limits of a not yet substantial number of patients, they are still in encouraging continue along this road, considered by many as the last frontier in wound care.

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Injectable Hydrogels for Chronic Skin Wound Management: A Concise Review

Biomedicines ◽

10.3390/biomedicines9050527 ◽

2021 ◽

Vol 9 (5) ◽

pp. 527

Author(s):

Mazlan Zawani ◽

Mh Busra Fauzi

Keyword(s):

Chronic Wounds ◽

Wound Care ◽

Skin Wound ◽

Wound Management ◽

Diabetic Patients ◽

Key Factors ◽

Injectable Hydrogel ◽

The Government ◽

Chronic Skin ◽

Care Costs

Diabetic foot ulcers (DFU) are a predominant impediment among diabetic patients, increasing morbidity and wound care costs. There are various strategies including using biomaterials have been explored for the management of DFU. This paper will review the injectable hydrogel application as the most studied polymer-based hydrogel based on published journals and articles. The main key factors that will be discussed in chronic wounds focusing on diabetic ulcers include the socioeconomic burden of chronic wounds, biomaterials implicated by the government for DFU management, commercial hydrogel product, mechanism of injectable hydrogel, the current study of novel injectable hydrogel and the future perspectives of injectable hydrogel for the management of DFU.

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