Evidence-based practice and support surfaces: are we throwing the baby out with the bath water?

Clark, Michael; Hiskett, Gill; Russell, Linda

doi:10.12968/jowc.2005.14.10.26848

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Other research is scant and even conflicting in outcomes. [12][13][14][15] Diarrhea presents a major challenge in the care of hospitalized patients. Fluid and electrolyte losses, increased hygiene needs, infection control issues, and alterations in skin integrity are problems that require nursing intervention.…”

Section: T He Surgical Intensive Care Unit (Sicu) At Vanderbiltmentioning

confidence: 99%

The Effect of a Pressure Ulcer Prevention Program and the Bowel Management System in Reducing Pressure Ulcer Prevalence in an ICU Setting

Benoît

Watts

2007

Journal of Wound, Ostomy &Amp; Continence Nursing

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The Braden score is a reliable predictor of a patient's potential for developing pressure ulcers. Moisture is 1 of 6 indicators considered when calculating a Braden score. Efforts to reduce the effects of moisture and enzymatic activity on skin from incontinent diarrhea have employed various types of nonstandardized and nonapproved approaches. Rigid rectal tubes and catheters designed for other purposes are among the devices being utilized. These devices may put the patient at risk for rectal necrosis and loss of sphincter tone, and their use has produced no demonstrable positive outcomes. Additionally, their use is limited to those patients who are experiencing active diarrhea. The Zassitrade mark Bowel Management System (BMS) developed by Zassi Medical Evolutions, Inc., has produced promising outcomes. While the BMS is useful in managing patients with diarrhea, it can also be used to modify formed stool in patients who have wounds that are likely to become contaminated with incontinent feces, or who are too hemodynamically unstable to turn for lengthy or frequent incontinence care.

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Section: T He Surgical Intensive Care Unit (Sicu) At Vanderbiltmentioning

confidence: 99%

The Effect of a Pressure Ulcer Prevention Program and the Bowel Management System in Reducing Pressure Ulcer Prevalence in an ICU Setting

Benoît

Watts

2007

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…By contrast the evidence base for alternating pressure therapy (AP) includes both contemporary and well-designed physiological studies [13e16] clinical outcome studies from speciality units such as critical care [17,18], burns [19], general medicine [20], and well-designed randomized controlled clinical trials (RCT) [10]. These findings are consolidated by the largest prospective clinical and cost-effectiveness study undertaken to date which recruited more than 2500 patients [22].…”

Section: Introductionmentioning

confidence: 99%

Comparing the effectiveness of a specialized alternating air pressure mattress replacement system and an air-fluidized integrated bed in the management of post-operative flap patients: A randomized controlled pilot study

Finnegan

Gazzerro

Finnegan

et al. 2008

Journal of Tissue Viability

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“…Alongside these considerations, the literature needs to provide evidence to support effectiveness of patient outcomes, patient comfort and economic implications. There is still lack of evidence from randomized controlled trials on support surfaces and they fail to highlight the most appropriate pressure redistributing support surfaces (Clark, Hiskett and Russell, 2005).…”

mentioning

confidence: 99%

Evaluation of patient outcomes: pressure ulcer prevention mattresses

Rafter

2011

Br J Nurs

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This article reports the findings of a small evaluation audit which compares the Dyna-Form Mercury Advance Mattress to that of the Softform Premier Active Mattress (a foam mattress with dynamic underlay). A small group of patients with similar co-morbidities who were an emergency admission were recruited to an evaluation audit. Their median age and Waterlow score indicated that these patients were at high risk of pressure ulcer development. All patients were given the same nursing care on the two mattresses and all were moved, handled and repositioned 2-4 hourly. Of the patients nursed on the Dyna-Form Mercury Advance mattress, three did not develop pressure ulcers. The two who already had pressure ulcers when they were recruited appeared to have healed within four days. Of the patients nursed on the Softform Premier Active mattress, three patients did not develop ulcers and two did. Although the sample size was small, the comprehensive assessment gave interesting results, particularly on the Dyna-Form Mercury Advance. A larger study may be of benefit to demonstrate efficacy of these products further.

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Evidence-based practice and support surfaces: are we throwing the baby out with the bath water?

Abstract: Cohort studies do not indicate the efficacy of an intervention but may give an indication of effectiveness--that is, the clinical outcomes that may be observed in routine clinical practice.

Cited by 3 publications

References 4 publications

The Effect of a Pressure Ulcer Prevention Program and the Bowel Management System in Reducing Pressure Ulcer Prevalence in an ICU Setting

The Effect of a Pressure Ulcer Prevention Program and the Bowel Management System in Reducing Pressure Ulcer Prevalence in an ICU Setting

Comparing the effectiveness of a specialized alternating air pressure mattress replacement system and an air-fluidized integrated bed in the management of post-operative flap patients: A randomized controlled pilot study

Evaluation of patient outcomes: pressure ulcer prevention mattresses

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