Changing the way we think about wounds: A challenge for 21st century medical practice

Lusher, Joanne; Murray, Esther; Chapman-Jones, David

doi:10.1111/iwj.12866

Cited by 6 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Self-reported dietary intake using the 3-day food diaries (Table 1 ) showed the baseline value for zinc was significantly different in the PGX® group compared to the control group. As this is a baseline value, its significance is probably not related to an increase in dietary fibre, and could be explained by simple misreporting or poor zinc status in overweight and obese [ 33 , 34 ]. All other micronutrients for self-reported dietary intake data at baseline, showed no significant differences compared to control at p < 0.05.…”

Section: Discussionmentioning

confidence: 99%

“…While these results may reflect differences or changes in dietary intake (respectively), it may potentially be the result of inaccurate self-reporting [ 33 ]. It is well known that overweight and obese participants frequently under-report dietary intake in self-reported food diaries [ 35 ], therefore these results may be due to simple misreporting of 3-day food diaries completed by participants as opposed to any actual changes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Micronutrient status of individuals with overweight and obesity following 3 months’ supplementation with PolyGlycopleX (PGX®) or psyllium: a randomized controlled trial

Pal

McKay

et al. 2022

BMC Nutr

View full text Add to dashboard Cite

Background Safe and effective weight control strategies are needed to curtail the current obesity epidemic worldwide. Increasing dietary fibre has shown positive results with weight loss as well as in the reduction of metabolic syndrome risk factors. However, fibre can act as an inhibitor to the bioavailability of micronutrients in the gastrointestinal tract. While there is a substantial amount of scientific research into psyllium fibre, PolyGlycopleX (PGX®) is a novel fibre and as yet the effects of PGX® on micronutrient status is not well researched. Aim To determine whether 3-months’ supplementation with 15 g of psyllium or PGX® fibre daily affects micronutrient status of overweight and obese adults. Methods Overweight and obese individuals with a BMI between 25–40 kg/m2 and aged between 18 and 65 years, but otherwise healthy, were instructed to consume a 5 g sachet of psyllium, PGX® fibre or a rice flour placebo three times a day for 52 weeks as part of a larger long-term study. Blood sample data for the first 3 months were analysed for associations between serum micronutrient levels and psyllium fibre and/or PGX® supplements. Results No significant differences between fibre supplement groups and micronutrient status were found after 3 months at p > 0.05. Dietary intake of vitamin C was significantly lower for PGX® at 3 months compared to baseline and compared to control (p < 0.05). Folate was significantly lower in the control group after 3 months (p < 0.05). In the psyllium group, folate, sodium, zinc and magnesium intake decreased after 3 months (p < 0.05). A limitation of dietary intake data (tertiary measure) is the potential for inaccurate self-reporting, although reduced nutrient intake could be due to the satiating effect of dietary fibre. Conclusions There were no significant between group differences in serum micronutrient concentrations after a 3-month psyllium fibre or PGX® supplementation intervention of 15 g per day. Fibre supplementation is unlikely to compromise the nutritional status of overweight and obese individuals in the short term. Further research is recommended to monitor micronutrient status over a longer period or with a higher fibre dosage.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Micronutrient status of individuals with overweight and obesity following 3 months’ supplementation with PolyGlycopleX (PGX®) or psyllium: a randomized controlled trial

Pal

McKay

et al. 2022

BMC Nutr

View full text Add to dashboard Cite

show abstract

“…In most recent years, wounds have been estimated to cost health services up to $96 billion globally [4] and this this figure is only set to rise due to self-compromising lifestyle and behavioral factors that lead to wound-promoting illnesses (for example obesity and diabetes) [5]. Pain has traditionally and consistently been dismissed as an overlooked aspect in wound care [6], yet pain has a detrimental and often devastating impact on wound healing [7] that negatively compromises an already weakened immune system [8].…”

Section: Opinionmentioning

confidence: 99%

Unquestionable Wound Pain: Call for A Care-Plan Reform

Lusher

Murrell

Changa

et al. 2020

GJAPM

View full text Add to dashboard Cite

“…Elements determining wound outcomes are recognized to be multifactorial and linked to a number of intrinsic and extrinsic determinants which include: the presence of comorbidities, nutritional status, level of activity, and psychological factors such as mood or motivation; as well as the availability and quality of underpinning evidence, effective transfer of evidence to practice and knowledge, and education and skill of clinicians delivering care. [1][2][3] Although any of these factors would in themselves represent a potential area of focus for a study, the importance of ensuring high-quality evidence, education and clinician knowledge and skill cannot be overemphasized in this capacity; with links between outcomes and clinician skill being widely acknowledged. 2,4 The negative and growing impact of wounds is, therefore, a primary concern for current research in wound care.…”

Section: Introductionmentioning

confidence: 99%

A reflexive thematic analysis of the patterns of knowing in wound management amongst specialist and generalist nurses

Welsh

Lusher

2022

Nursing Forum

View full text Add to dashboard Cite

Little is currently understood about the nature of nurses' knowledge in the context of wound management or the impact of limitations in evidence and education on clinical and educational outcomes. Aim:The purpose of this study was to gain a rich and detailed understanding of the origins and nature of knowledge in generalist and specialist nurses with a key role in the delivery of wound management.Design: A qualitative reflexive thematic analysis was carried out on data gathered.Method: Semi-structured interviews with five wound management specialists and five wound management generalist nurses were carried out between July 2019 and May 2020. Chinn and Kramer's patterns of knowing ( 2015) was applied as a conceptual framework from which to explore nursing knowledge in the context of wound management.Results: Seven main themes and 16 subthemes were generated: the bigger picture; the smaller picture; it all comes together at the bedside; show me the evidence; industry: a political football; do good not harm; the power isn't ours; and I'm not that creative…but. Conclusion:The knowledge that nurses apply in wound management is multidimensional, contextual, and highly integrated; with components that are unique from nursing knowledge in the wider sense. Although the patterns of knowing in wound management are well integrated, they are not equally represented and the types of knowledge that nurses demonstrate is not consistently aligned with those that they value.Impact: Significant distinctions were not found between wound management specialist and generalists, however specific traits were identified in the knowledge development of those working in a community role and industry represents a unique influencing factor in the context of wound management knowledge formation.

show abstract

Changing the way we think about wounds: A challenge for 21st century medical practice

Abstract: Changing the way we think about wounds: A challenge for 21 st century medical practice.

Cited by 6 publications

References 17 publications

Micronutrient status of individuals with overweight and obesity following 3 months’ supplementation with PolyGlycopleX (PGX®) or psyllium: a randomized controlled trial

Micronutrient status of individuals with overweight and obesity following 3 months’ supplementation with PolyGlycopleX (PGX®) or psyllium: a randomized controlled trial

Unquestionable Wound Pain: Call for A Care-Plan Reform

A reflexive thematic analysis of the patterns of knowing in wound management amongst specialist and generalist nurses

Contact Info

Product

Resources

About