Professionalization of nursing responsibilities in wound management by academization: From an accompanying nursing to evidence-based healing-related activities
Publication date: July 2013 Source:Wound Medicine, Volume 1 Author(s): Friederike Rösner In this article we want to point out why more and more people in Germany suffer from chronic wounds and what causes may underlie. Furthermore, the different levels of care in wound management and its spillover in trans-sectoral, interprofessional and interdisciplinary form will be described and the typical, inherent problems of the different partners in wound management in Germany will be mentioned. The discussion about the professionalization of nursing is an important topic, this includes the demand for university training, wit...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Proposal for assessment of the antimicrobial efficacy of undiluted medical honey: Using a standardized phase 2/step 2 in vitro stainless steel disc carrier test model
Conclusions It was demonstrated that the proposed standardized phase 2/step 2 in vitro stainless steel disc carrier test model is applicable for testing the antimicrobial activity of highly viscous and undiluted compounds such as medical honey. Undiluted medical honey exhibits a strong antimicrobial efficacy even under protein challenge after 1h, which increases to >6log10 for C. albicans, and >7log10 for Gr+ and Gr− bacteria. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Wet-to-dry phase 2.0
This article will show this established and widely-used method in an updated version. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Juggling risk to reduce amputations: The three-ring circus of infection, ischemia and tissue loss-dominant conditions
Publication date: July 2013 Source:Wound Medicine, Volume 1 Author(s): David G. Armstrong , Joseph L. Mills Wound classification systems have evolved from linear systems describing only one factor to more matrix-oriented, allowing wider clinical applicability. We suggest that, in a similar fashion to wound classification, a flexible long-term management philosophy should be dynamic and conceptually inclusive. We visualize amputation prevention as the management of three partially intersecting rings whose complex interplay competes for dominance at any given time during the life of the patient and his or her limb. The...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
The Yin and Yang of pre-operative screening for meticillin resistant and sensitive Staphylococcus aureus (MRSA and MSSA): Does the extra effort and cost of suppression reduce surgical site infections?
Publication date: July 2013 Source:Wound Medicine, Volume 1 Author(s): Charles E. Edmiston Jr. , David Leaper , Martin Kiernan The inappropriate use and overuse of antibiotics, together with the demographic changes of an ageing population, chronic diseases such as diabetes mellitus, increased patient contact with healthcare facilities, high bed occupancy rates and the increase in surgical procedures, have all contributed to the rise in prevalence of Healthcare Associated Infections. These are attributable to selection and emergence of multi-resistant organisms. Additionally, there is evidence that this surveillance ...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Cumulative Life Course Impairment (CLCI): A new concept to characterize persistent patient burden in chronic wounds
Publication date: July 2013 Source:Wound Medicine, Volume 1 Author(s): Matthias Augustin , Anke Mayer , Lisa M. Goepel , Katrin Baade , Kristina Heyer , Katharina Herberger Cumulative Life Course Impairment (CLCI) is a theoretical construct referring to the non-reversible burden of a chronic skin disease over time. In some patients and situations, this burden may lead to chronic impairment and missed opportunities and, finally, persisting psychosocial and personal damage. Chronic wounds such as leg ulcers, diabetic or ischemic foot ulcers and pressure ulcers are a heterogeneous group of chronic tissue defects whi...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Charcot arthropathy in children
We present series of 6 cases of neuropathic arthropathy in children from 4 to 18 years old (4 patients with spinal dysraphism and 2 patients with hereditary sensory neuropathy). In clinical picture history of minor trauma, limited swelling and progressive joint instability were predominant. Radiological investigation included standard plain radiographs, MRI and CT-scans for precise assessment of the extension of the pathological process. Nonsurgical management was a method of choice: bed rest, total-contact casts, orthotic wearing. Reeducation of children and family is crucial point in prevention and treatment of this cond...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Experience of application of local negative pressure in patients with periprosthetic infection
Publication date: November–December 2013 Source:Wound Medicine, Volumes 2–3 Author(s): V.N. Obolenskiy , P.S. Leval , S.N. Golev , A.A. Ermolov , T.V. Semenova Wound healing local negative pressure (NPWT) is one of the newest techniques used in the treatment of wounds. It allows you to speed up and optimize the healing process and reduce the cost of treatment. The authors introduce the reader to the results of treatment of patients with periprosthetic infection using the method of local negative pressure: more than half the use of NPWT in infectious complications replacement of large joints of recurrence were ...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
The concept and proposed definition of “wound simplification”
Publication date: November–December 2013 Source:Wound Medicine, Volumes 2–3 Author(s): Joseph L. Mills , David G. Armstrong Although an axiom of wound care is to achieve speedy, durable healing, there exists a small, but persistent, subset of patients for whom a more practical and achievable goal might not necessarily be to heal the wound, but rather to prevent its escalation. Similarly, there are patients with very large or complex wounds that may take months or even years to completely heal or may recur despite robust prevention efforts. When confronting such problematic conditions across the broad spectrum of ...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Polyurethane foam covering for wounds, burns and ulcers
Publication date: November–December 2013 Source:Wound Medicine, Volumes 2–3 Author(s): S.V. Smirnov , M.V. Shakhlamov , M.A. Litinsky , D.V. Yanshin , A.V. Sachkov , V.N. Obolensky An experience of a new wound covering based on “Locus” polyurethane foam use in topical treatment of skin injuries with various etiology which has shown high effectiveness and versatility. Treatment of the second-degree burns, bedsores, trophic ulcers, and chronic non-healing wounds resulted in a positive outcome assessed as an active phase change in the wound healing process. This covering goes well with antiseptics, enzymes, ...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Socio-economic impact on wound management—A pilot study at a Tertiary care Indian Hospital
Publication date: November–December 2013 Source:Wound Medicine, Volumes 2–3 Author(s): Maneesh Paul-Satyaseela , Althaf Chinna Hussain , Varghese Philip Although evaluating health is an important factor in managing the patients, there are other factors such as monthly income, number of dependents, cost of sickness, etc. all of which contribute to the socio-economic status of an individual, which impact the type of care sought and the type of healthcare facilities they go to. St. Martha's Hospital, Bangalore, India, is a tertiary hospital where patients come from mostly the middle and lower socio-economic populat...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Tissue expansion for plantar defect closure. Cadaveric model and case report
Conclusions Tissue expansion and wide skin mobilization allows to close defect of the most bearing area of the foot with good functional and aesthetical result. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Diagnosis of peripheral vascular disease for diabetic foot risk assessment
Discussion Normative data in a healthy younger population is an important adjunct to clinical reviews and the method used to determine abnormal blood flow. Of interest is that the ABPI results fall between 0.91 and 1.17 suggesting that the currently used lower cut-off of 0.9 is appropriate but that that the higher cut-off could be moved down from 1.3 for clinical decision making. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
The Too Few Toes principle: A formula for limb-sparing low-level amputation planning
Publication date: February 2014 Source:Wound Medicine, Volume 4 Author(s): John D. Miller , Michelle Zhubrak , Nicholas A. Giovinco , Joseph L. Mills , David G. Armstrong Both single and multiple toe amputations biomechanically alter foot function to varying degrees. In patients with diabetic neuropathy, these changes often lead to increases in deformity, plantar pressure and risk for ulceration, infection and reamputation. While a philosophy that strives to maximize limb length and function by performing the fewest and most distal amputations possible is likely a good one, we believe that a basic “formula” mi...
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
Diabetic foot syndrome: Our approach to the treatment of the patients
Publication date: February 2014 Source:Wound Medicine, Volume 4 Author(s): V.N. Obolenskiy , P.S. Leval , D.A. Ermolova , V.G. Protsko Readers are proffered by the authors to become acquainted with their diagnostic and treatment approach towards patients with diabetic foot syndrome. In addition, an overview of organizational solutions, medicinal products and dressing materials that are used, as well as treatment methods and surgical tactics is provided along with clinical examples. An algorithm of using topical treatment methods according to the phase of wound healing process is presented. (Source: Wound Medicine)
Source: Wound Medicine - December 8, 2014 Category: Journals (General) Source Type: research
