Pressure redistribution devices: What works, at what cost and what's next?
This article discusses the development and usage of pressure redistribution devices (PRDs) and their impact on the prevention and treatment of pressure ulcers within the NHS. The article outlines the history of the development of these devices and discusses the reasons for a lack of substantial evidence in support of the use of these devices, their impact on the NHS on cost and perceived outcome. The article describes the typical usage profile in a 500 bed NHS hospital and concludes with a view as to how that may change in the future. (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - May 31, 2013 Category: Internal Medicine Authors: Michael J. Clancy Tags: Basic Research Papers Source Type: research
Calendar of Events
August 2013 16th Annual European Pressure Ulcer Advisory Panel Meeting, Vienna, Austria (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - May 1, 2013 Category: Internal Medicine Source Type: research
Not just quantity: Gluteus maximus muscle characteristics in able-bodied and SCI individuals – Implications for tissue viability
Abstract: Study aim: Some individuals with spinal cord injury (SCI) remain pressure ulcer (PU) free whilst others experience a recurring cycle of tissue breakdown. Detailed analysis of gluteal muscle characteristics may provide insights to local tissue viability variability. The study hypothesis was that SCI individuals have altered muscle composition compared to able-bodied (AB).Materials: Ten AB and ten SCI received a supine pelvic CT scan, with contrast.Methods: Cross-sectional area (CSA) and overall muscle volume were derived using image analysis. Gluteal muscle tissue type was classified at the S2/S3 sacral vertebrae ...
Source: Journal of Tissue Viability - April 23, 2013 Category: Internal Medicine Authors: Gary A. Wu, Kath M. Bogie Tags: Basic Research Papers Source Type: research
Skin blood flow dynamics and its role in pressure ulcers
Abstract: Pressure ulcers are a significant healthcare problem affecting the quality of life in wheelchair bounded or bed-ridden people and are a major cost to the healthcare system. Various assessment tools such as the Braden scale have been developed to quantify the risk level of pressure ulcers. These tools have provided an initial guideline on preventing pressure ulcers while additional assessments are needed to improve the outcomes of pressure ulcer prevention. Skin blood flow function that determines the ability of the skin in response to ischemic stress has been proposed to be a good indicator for identifying people...
Source: Journal of Tissue Viability - April 22, 2013 Category: Internal Medicine Authors: Fuyuan Liao, Stephanie Burns, Yih-Kuen Jan Tags: Basic Research Papers Source Type: research
Editorial
I was delighted to attend the recent NPUAP Conference in Houston last month with a number of colleagues from the Editorial Board. The focus of this year's meeting was Deep Tissue injury (DTI), convened by Professor Joyce Black, who has written authoritatively on the subject over the last decade. The first day was devoted to scientific presentations by the usual European suspects describing the state-of-art knowledge on its aetiology and various technologies designed for either early detection or monitoring its progression. It is evident we have learned a great deal about this important condition associated as it is with a ...
Source: Journal of Tissue Viability - April 22, 2013 Category: Internal Medicine Authors: Dan Bader Tags: Editorial Source Type: research
Morphological characteristics of the human skin over posterior aspect of heel in the context of pressure ulcer development
This study was undertaken to identify the morphological characteristics of the skin over posterior aspect of heel in the context of pressure ulcer development. Human skin tissues were obtained from four different sites of the body of 4 aged subjects postmortem: posterior aspect of heel, plantar aspect of heel, sacrum and centre of gluteus maximus. The skin samples were processed for the examination using light microscopy and scanning electron microscopy. The posterior aspect of heel was characterized by a thicker epidermis, denser distribution and larger diameter of capillaries in the papillary layer, 3-dimensional archite...
Source: Journal of Tissue Viability - April 5, 2013 Category: Internal Medicine Authors: Hiromi Arao, Tatsuo Shimada, Satsue Hagisawa, Martin Ferguson-Pell Tags: Basic Research Papers Source Type: research
Performance and ease of use evaluation of a new surgical post-operative foam island dressing in 14 patients undergoing elective gynaecological surgery
Conclusion: Ensuring best patient outcomes and meeting individual needs remains the cornerstone of nursing practice. Reducing the risk of surgical site infections (SSI) remains a focus for NHS Trust throughout the UK particularly as Gynaelogical procedures require mandatory surveillance by the Health Protection Agency 1(The importance of patient comfort and ability to tend to hygiene needs is fundamental). The evaluated dressing has a flexible island pad allowing further tensile stretch and conformability when in situ. This was demonstrated in this study by both clinicians and patients in blister prevention, conformability...
Source: Journal of Tissue Viability - April 3, 2013 Category: Internal Medicine Authors: Elaine Gibson, Claire Stephens Tags: Basic Research Papers Source Type: research
Elliptical posts allow for detailed control of non-equibiaxial straining of cell cultures
Conclusion: The result allows scientists and experimentalists to apply detailed control of the strain tensor applied to tissue samples in two dimensions. (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - March 20, 2013 Category: Internal Medicine Authors: Christian Gammelgaard Olesen, Christian Pablo Pennisi, Mark de Zee, Vladimir Zachar, John Rasmussen Tags: Basic Research Papers Source Type: research
Acknowledgement to Reviewers 2012
Consistent quality of papers published in the Journal of Tissue Viability can only be maintained with the cooperation of a number of expert referees. The Editors-in-Chief would like to thank all those who have donated the hours necessary to review, evaluate, and comment on manuscripts; their conscientious efforts have allowed the journal to maintain its tradition of excellence. We are grateful to the following reviewers for their contributions during 2012. (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - February 6, 2013 Category: Internal Medicine Source Type: research
New wound care HTC launches
The National Institute for Health Research (NIHR) has recently established eight new Healthcare Technology Co-operatives (HTCs) – with the aim of fostering innovation in areas of unmet needs. (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - February 5, 2013 Category: Internal Medicine Authors: Peter Vowden Tags: Letter to the Editor Source Type: research
Pressure ulcer prevention and treatment knowledge of Jordanian nurses
Conclusion: Although pressure ulcer care is well known by nurses, inappropriate pressure ulcer interventions were reported in use. (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - February 5, 2013 Category: Internal Medicine Authors: Mohammad Y.N. Saleh, Mahmoud Al-Hussami, Denis Anthony Tags: Basic Research Paper Source Type: research
Calendar of Events
April 2013 TVS 2013 Annual Conference (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - February 1, 2013 Category: Internal Medicine Source Type: research
3-dimensional buttocks response to sitting: A case report
Conclusion: The complex deformation of buttocks tissue seen in this case study may help explain the inconsistent results reported in finite element models. 3D imaging of the seated buttocks provides a unique opportunity to study the actual buttocks response to sitting. (Source: Journal of Tissue Viability)
Source: Journal of Tissue Viability - December 26, 2012 Category: Internal Medicine Authors: Sharon Eve Sonenblum, Stephen H. Sprigle, John McKay Cathcart, Robert John Winder Tags: Case Report Source Type: research
