Simplifying wound dressing selection for residential aged care

Rando, Tabatha; Kang, Ai Choo; Guerin, Michelle; Boylan, Jo; Dyer, Anthony

doi:10.12968/jowc.2018.27.8.504

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…Four KT-I initiatives examined cost. Three studies reported decreased service costs after program delivery 16,99,100 . Dollar figures were only reported in one cost outcome analysis 100 .…”

Section: Resultsmentioning

confidence: 99%

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Initiatives Targeting Health Care Professionals

Yarycky,

Castillo,

Gagnon

et al. 2024

The Clinical Journal of Pain

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Objectives: Pain is often undertreated in older adult populations due to factors such as insufficient continuing education and health care resources. Initiatives to increase knowledge about pain assessment and management are crucial for the incorporation of research evidence into practice. Knowledge translation (KT) studies on pain management for older adults and relevant knowledge users have been conducted; however, the wide variety of KT program formats and outcomes underscores a need to evaluate and systematically report on the relevant literature. Methods: Using a systematic review methodology, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycInfo, and Web of Science databases were searched from inception to June 2023. Pain-related KT programs targeted towards older adults, their informal caregivers and health care professionals were examined. Initiatives focusing on health care professionals are the focus of this review. Initiatives focusing on older adults are reported elsewhere. Results: From an initial 21,669 search results, 172 studies met our inclusion criteria. These studies varied widely in focus and delivery format but the majority were associated with significant risk of bias. In this report, we are focusing on 124 studies targeting health care professionals; 48 studies involving initiatives targeting older adults are reported elsewhere. Moreover, most programs were classified as knowledge mobilization studies without an implementation component. Across all studies, knowledge user satisfaction with the initiative and suitability of material presented were most commonly assessed. Patient outcomes, however, were underemphasized in the literature. Discussion: Patient and clinical outcomes must be a focus of future research to fully conceptualize the success of KT programs for older adult patients. Without implementation plans, disseminated knowledge does not tend to translate effectively to practice.

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“…Four KT-I initiatives examined cost. Three studies reported decreased service costs after program delivery 16,99,100 . Dollar figures were only reported in one cost outcome analysis 100 .…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported decreased service costs after program delivery 16,99,100 . Dollar figures were only reported in one cost outcome analysis 100 . One initiative reported the hiring cost of an interdisciplinary care leader but did not elaborate on the findings 90 …”

Section: Resultsmentioning

confidence: 99%

Initiatives Targeting Health Care Professionals

Yarycky,

Castillo,

Gagnon

et al. 2024

The Clinical Journal of Pain

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“…Once the skin has been damaged, even though it heals, the wound bed never reaches its original state of resistance to traction, becoming susceptible to new trauma 11 . In terms of nutrition, patients who presented malnutrition and hydration and low levels of serum albumin, were more prone to the appearance of lesions as the body mass index contributes to the increase in the dry characteristic of senile skin 16,20,21 .…”

Section: Risk Factorsmentioning

confidence: 99%

“…Prolonged or repeated exposure to humidity, using as an example the common exposure to urine, feces and wounds with drainage, in addition to the use of geriatric diapers, which, according to the literature, are factors that contribute to the friction and shearing of the skin, being other factors risk for this injury. In addition, inflammatory changes, as well as promoting bacterial growth by increasing the pH, can reduce the barrier function and affect wound healing, generating erythema and local sensitivity, which contributes to the progression of skin loss due to prolonged exposure 16 .…”

Section: Risk Factorsmentioning

confidence: 99%

Skin Tears in the Elderly

Spin

Vocci

Sardeli

et al. 2021

ESTIMA, Braz. J. Enterostomal Ther.

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Objectives: to identify in the scientific literature the knowledge produced about skin tears injuries in the elderly. Methods: it is an integrative literature review (2014-2019), carried out by searching the databases/platforms National Library of Medicine, Biomedical Answers and Biblioteca Virtual em Saúde, with descriptors and the Boolean operators “and” and “or ”. Results: from the bibliographic search, selection and analysis, eight articles made up the sample. For skin tears injuries in the elderly, four pillars of care emerged: maintenance of organic and tissue homeostasis with a focus on proper nutrition and hydration; avoid trauma to senile skin, providing a safe environment with suitable devices; and the systematization of health care and education for elderly skin care. Conclusion: as prevention mechanisms, primary prevention is achieved through a unique care plan and health education activities, focused on risk factors and vulnerabilities, minimizing damage and complications.

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“…healing by primary intention may improve healing rates. Rando et al, (2018) provide a useful protocol to facilitate wound healing in residential settings, which with adequate training carers could use.…”

Section: Assessingmentioning

confidence: 99%

Wound care in older adults

Carlin

2018

Br J Community Nurs

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 In order to achieve person-centred, holistic approach consider using a consultation model such as Calgary Cambridge (Silverman et al., 2005), Pendleton (2003) or a nursing model.  A nursing process such as: Assessing, Planning, Implementing and Evaluating (Yura and Walsh, 1978) provides structure to wound care interventions.  Wound care in older adults is highly complex. Consider wound dressing selection as a prescribing decision and establish the desired outcomes inclusive of the patient perspective. Reflective discussion: 1. Do you consider dressing selection as a prescribing decision? 2. Reflect on an occasion when you selected a dressing. How did you assess, plan, implement and evaluate this dressing selection? List the influencing factors that generated your decision. 3. Have you witnessed an increase in demand on community services for wound management in older adults? Table Click here to download Table Table 1.docx

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Simplifying wound dressing selection for residential aged care

Abstract: In summary, data collected from this project showed that the dressings were effective, performed well and simplified wound dressing selection for nursing staff.

Cited by 8 publications

References 11 publications

Initiatives Targeting Health Care Professionals

Initiatives Targeting Health Care Professionals

Skin Tears in the Elderly

Wound care in older adults

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