This document describes the implementation of a wound care program across multiple hospital sites to standardize practices and improve outcomes. An initial assessment found clinical wound care was inconsistent, outdated, and costly. A collaborative was formed to develop evidence-based guidelines and address barriers like resistance to change. Techniques to spread adoption like appointing a program manager and local committees helped standardize processes. Compliance with guidelines improved significantly for leg ulcers, though complete adherence remained low. Early results showed potential for improved healing times and decreased costs as standardized practices increased. The program aimed to empower clinicians and improve patient outcomes and quality of life through evidence-based wound care.
Resource Nurse Program.A Nurse-Initiated, Evidence-Based Program to Eliminate...GNEAUPP.
✔ El programa Enfermera de Recursos alienta al personal de enfermería a explorar los factores causales relacionados con el desarrollo de la PU.
✔ enseñanza / aprendizaje de igual a igual es una estrategia efectiva para llegar a las enfermeras de cabecera.
✔ Las enfermeras de recursos tienen el poder de cambiar la práctica.
✔ El programa de la enfermera de recursos es una manera rentable de reducir Hapus.
Assesment and management of venous leg ulcersGNEAUPP.
This nursing best practice guideline provides recommendations for the assessment and management of venous leg ulcers. It was developed through a review of the best available evidence and consensus of a panel of nurses and stakeholders. The guideline aims to promote evidence-based, holistic and multidisciplinary care of patients with venous leg ulcers. Key recommendations include comprehensive assessment of venous leg ulcers and underlying venous disease, treatment with compression therapy and dressings tailored to the wound, and education of patients and healthcare providers on best practices for venous leg ulcer management.
Role of multi-layer foam dressings with Safetac in the prevention of pressure...GNEAUPP.
This document reviews evidence from clinical and laboratory studies on the use of multi-layer foam dressings with Safetac in preventing pressure ulcers. It finds that:
1) Randomized controlled trials and other clinical studies show these dressings can reduce pressure ulcers on areas like the sacrum and heels when used prophylactically.
2) Laboratory studies indicate these dressings can mediate the effects of pressure, friction, and shear on the skin through their multilayer structure and composition.
3) Taken together, the evidence suggests these dressings may be beneficial for clinicians, healthcare providers, and patients when used as part of standard prevention strategies.
Best Practice Statement Principles of wound management in paediatric patientsGNEAUPP.
This document provides guidance on wound management principles for pediatric patients. It discusses key differences in pediatric and neonatal skin that require special considerations in wound care. The causes of wounds in pediatric patients include trauma, medical devices, and certain skin conditions. A thorough assessment of the wound and any factors that could delay healing is important. Wound documentation and management should be tailored to the individual patient. Regular reassessment is needed to monitor progress and watch for signs of infection. Managing pain and anxiety is also a priority, given their impact on the healing process.
The document is a quick reference guide for the prevention and treatment of pressure ulcers published by the National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance. It provides concise summaries and recommendations based on an evidence review. The guide defines key terms, outlines risk assessment and prevention strategies like nutrition, repositioning and support surfaces. It also covers treatment methods such as wound dressings, debridement and biophysical agents. Special populations like bariatric and critically ill individuals are addressed as well.
Optimising venous leg ulcer services in a changing NHS: A UK consensus.GNEAUPP.
This document provides guidelines for optimizing venous leg ulcer services in a changing NHS. It recommends that venous leg ulcer services should:
- Provide rapid assessment and diagnosis to determine appropriate treatment and referrals.
- Aim to prevent new ulcers, heal existing ulcers quickly, and prevent recurrences through a multidisciplinary team approach and integrated care pathways.
- Plan services considering prevalence, integration with other services, roles and training, accessibility, equipment needs, and costs to deliver high-quality and efficient care.
Resource Nurse Program.A Nurse-Initiated, Evidence-Based Program to Eliminate...GNEAUPP.
✔ El programa Enfermera de Recursos alienta al personal de enfermería a explorar los factores causales relacionados con el desarrollo de la PU.
✔ enseñanza / aprendizaje de igual a igual es una estrategia efectiva para llegar a las enfermeras de cabecera.
✔ Las enfermeras de recursos tienen el poder de cambiar la práctica.
✔ El programa de la enfermera de recursos es una manera rentable de reducir Hapus.
Assesment and management of venous leg ulcersGNEAUPP.
This nursing best practice guideline provides recommendations for the assessment and management of venous leg ulcers. It was developed through a review of the best available evidence and consensus of a panel of nurses and stakeholders. The guideline aims to promote evidence-based, holistic and multidisciplinary care of patients with venous leg ulcers. Key recommendations include comprehensive assessment of venous leg ulcers and underlying venous disease, treatment with compression therapy and dressings tailored to the wound, and education of patients and healthcare providers on best practices for venous leg ulcer management.
Role of multi-layer foam dressings with Safetac in the prevention of pressure...GNEAUPP.
This document reviews evidence from clinical and laboratory studies on the use of multi-layer foam dressings with Safetac in preventing pressure ulcers. It finds that:
1) Randomized controlled trials and other clinical studies show these dressings can reduce pressure ulcers on areas like the sacrum and heels when used prophylactically.
2) Laboratory studies indicate these dressings can mediate the effects of pressure, friction, and shear on the skin through their multilayer structure and composition.
3) Taken together, the evidence suggests these dressings may be beneficial for clinicians, healthcare providers, and patients when used as part of standard prevention strategies.
Best Practice Statement Principles of wound management in paediatric patientsGNEAUPP.
This document provides guidance on wound management principles for pediatric patients. It discusses key differences in pediatric and neonatal skin that require special considerations in wound care. The causes of wounds in pediatric patients include trauma, medical devices, and certain skin conditions. A thorough assessment of the wound and any factors that could delay healing is important. Wound documentation and management should be tailored to the individual patient. Regular reassessment is needed to monitor progress and watch for signs of infection. Managing pain and anxiety is also a priority, given their impact on the healing process.
The document is a quick reference guide for the prevention and treatment of pressure ulcers published by the National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance. It provides concise summaries and recommendations based on an evidence review. The guide defines key terms, outlines risk assessment and prevention strategies like nutrition, repositioning and support surfaces. It also covers treatment methods such as wound dressings, debridement and biophysical agents. Special populations like bariatric and critically ill individuals are addressed as well.
Optimising venous leg ulcer services in a changing NHS: A UK consensus.GNEAUPP.
This document provides guidelines for optimizing venous leg ulcer services in a changing NHS. It recommends that venous leg ulcer services should:
- Provide rapid assessment and diagnosis to determine appropriate treatment and referrals.
- Aim to prevent new ulcers, heal existing ulcers quickly, and prevent recurrences through a multidisciplinary team approach and integrated care pathways.
- Plan services considering prevalence, integration with other services, roles and training, accessibility, equipment needs, and costs to deliver high-quality and efficient care.
Making the case for cost-effective wound managementGNEAUPP.
This document discusses cost-effective wound management and making the case for it. It begins by explaining the challenges in wound management, including increasing prevalence of wounds and difficulty collecting data on clinical efficacy, effectiveness, and costs. It then discusses common myths around cost-effectiveness, clarifying that cost-effective does not mean cheaper but provides benefits at a reasonable cost compared to alternatives. The document outlines different types of economic analyses used in healthcare, particularly cost-effectiveness analysis, and discusses understanding costs from various perspectives.
Pan Pacific Clinical Practice Guideline For The Prevention And Management Of ...GNEAUPP.
This document provides a summary of the Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injuries, which was published in 2012. The guideline was developed through an extensive review process and in collaboration with experts from Australia, New Zealand, Hong Kong, and Singapore. It aims to optimize the prevention, assessment, and treatment of pressure injuries across the healthcare systems of these regions. The guideline provides evidence-based recommendations on topics such as risk assessment, prevention, wound assessment and classification, interventions, and organizational considerations.
Prevencion de ulceras por presion y protocolo de tratamientoGNEAUPP.
This document provides a summary of the NGC-8962 guideline for pressure ulcer prevention and treatment. It was developed by the Institute for Clinical Systems Improvement (ICSI) and provides recommendations in the form of an inpatient and outpatient algorithm with 11 components and detailed annotations. The major recommendations include performing risk assessments using tools like the Braden or Braden Q scale, conducting skin inspections regularly, implementing prevention plans to reduce pressure and manage moisture/nutrition, and treating existing pressure ulcers with a comprehensive assessment and evidence-based interventions. Special considerations are provided for different patient populations and settings.
The nursing management of patients with venous leg ulcersGNEAUPP.
This document provides recommendations for the nursing management of patients with venous leg ulcers. It covers recommendations for assessment, compression therapy, cleansing, debridement, dressings, skin grafts, contact sensitivity, drug treatments, education and training. The recommendations are based on evidence from systematic reviews and clinical evidence, with recommendation statements graded based on the strength of evidence. The aim is to improve outcomes for patients with venous leg ulcers by reducing variations in practice.
The care of patients with chronic leg ulcerGNEAUPP.
The document provides guidelines for the assessment and treatment of patients with chronic leg ulcers. It discusses the importance of thoroughly assessing the patient, leg, and ulcer characteristics. This includes measuring ankle brachial pressure, ulcer size, edge and base description, and position. It recommends referring patients with certain features such as diabetes, arterial disease, rheumatoid arthritis, suspected malignancy, atypical ulcers, or non-healing ulcers. For treatment, it emphasizes using graduated compression therapy to improve venous insufficiency and heal uncomplicated venous ulcers. Elastic compression is the first choice treatment, and multilayer bandaging is recommended.
This document provides guidelines for the use of topical antiseptic and antimicrobial agents in wound management. It was developed by a multidisciplinary group of experts and is intended to help clinicians determine when, why, and how to appropriately use these agents. The document discusses the need to use antimicrobials in a targeted manner for short durations based on clinical signs of infection rather than arbitrary timelines. It also addresses issues like antibiotic resistance and the role of antiseptics in wound healing.
This Quick Reference Guide summarizes evidence-based guidelines for the prevention and treatment of pressure ulcers developed by the European Pressure Ulcer Advisory Panel and American National Pressure Ulcer Advisory Panel over 4 years. It provides definitions for pressure ulcers and classifications, as well as recommendations for assessment, wound care, dressings, infection treatment, and other areas. The full Clinical Practice Guideline contains more detailed analysis, research discussion, methodology, and acknowledgments.
Best Practice Statement Compression hosieryGNEAUPP.
The document provides guidance on best practices for compression hosiery. It summarizes key areas including full holistic assessment, hosiery classification and selection, application and removal, disease and service management, and roles and competencies. The full holistic assessment section emphasizes the importance of accurately diagnosing the underlying cause of edema through a qualified practitioner's initial assessment of the patient's condition, signs and symptoms, and risk factors. This assessment informs both the differential diagnosis and appropriate hosiery selection and treatment pathway.
Rischio Radiologico (Ernesto Mola e Giorgio Visentin)csermeg
1) The document discusses the responsibilities of family doctors in regards to justification and optimization of medical imaging according to the European BSS 2013 guidelines. It describes how family doctors can contribute to ensuring imaging examinations are justified based on clinical need and protocols are optimized to reduce radiation exposure.
2) The document outlines various ways family doctors can help with risk assessment, communication, and management including sharing guidelines, communicating with specialists, collecting patient exposure histories, and involving patients in decision making.
3) WONCA commits to cooperation across stakeholders to promote radiation protection culture through education and establish clear justification processes and clinical imaging guidelines.
This document provides a summary of the qualifications and experience of Dr. Eduardo Ibarguen-Secchia, including his medical education, leadership experience, teaching experience, clinical experience, credentials, awards, publications, affiliations and technical skills. He has over 30 years of experience as a pediatric gastroenterologist, founding his own private practice group and serving as medical director for other organizations. He has held teaching positions and received numerous awards and honors for his work.
Optimising wellbeing in people living with a woundGNEAUPP.
This document discusses optimizing wellbeing in people living with wounds. It defines wellbeing as having physical, mental, social, and spiritual/cultural components. Living with a wound can negatively impact wellbeing in many ways, such as through physical pain/odor, psychological issues like anxiety/depression, social isolation, and cultural/spiritual conflicts with treatment. The document advocates for a patient-centered approach that considers an individual's overall wellbeing, not just wound healing, and encourages shared decision making between clinicians and patients.
Holistic Management of Venous Leg UlcerationGNEAUPP.
The document provides guidance on holistic management of venous leg ulcers. It discusses assessment and diagnosis of venous leg ulcers, classification of compression products, holistic management including compression therapy, and prevention of ulcer recurrence. A thorough assessment is crucial to accurate diagnosis and treatment planning, and should include general health history, leg examination including arterial assessment, and wound/skin assessment. Appropriate compression therapy is emphasized as the standard treatment for venous leg ulcers.
A physician led bedside wound care program in post acute care reduces wound related hospitalizations, infections, and amputations over 85% and saves Medicare over $19,000 per patient.
This document provides information on a fall prevention evidence-based practice project conducted by nursing students at Alvernia University. It includes background information on the problem of falls in hospitals, learning objectives of comparing individual versus multi-component interventions, and a review of literature showing that multi-component programs are more effective at reducing falls than individual interventions. The document also outlines specific fall prevention interventions in place at Good Samaritan Hospital, including a fall risk letter, signage, alarms, and post-fall assessment. It emphasizes the importance of continuous re-evaluation of interventions to improve outcomes.
ADVANCES IN WOUND CARE: THE TRIANGLE OF WOUND ASSESSMENTGNEAUPP.
This document introduces the Triangle of Wound Assessment, a new framework for comprehensive wound assessment. It consists of separately evaluating the wound bed, wound edge, and periwound skin. This addresses limitations of prior tools by integrating assessment of the periwound skin and providing guidance on goals, care planning, and interventions. The Triangle of Wound Assessment facilitates early identification and treatment of issues in all three zones to improve patient outcomes. It provides a simple, intuitive way to consistently include periwound skin in wound assessment and document wound status over time.
This document is a resume for Imnas M. Williams, an experienced registered nurse. It summarizes her professional experience over 20 years working in hospitals, long term care facilities, and rehabilitation centers. It also lists her education credentials, which include a Master's degree in Nursing and an Associate's degree in Nursing. Her experience includes roles as a staff nurse, case manager, nursing supervisor, and charge nurse.
The manual is divided into 3 sections;
Section A composes topics on Basic Principle
Section B composes topics on Concept of Wound Care Management
Section C covers topics on Practical Aspect in Wound Care
The main objective of this manual is to provide useful simple practical guides to all healthcare providers of various categories working in different level of set up; who are involved in wound care and well being of our patients.
Estratégias sobre Segurança do Paciente: Cuidados de Saúde para todos, sempre...Proqualis
Aula de Itziar Larizgoitia Jauregui, Coordenadora de Pesquisa e Gestão do Conhecimento do Programa de Segurança do Paciente da Organização Mundial de Saúde (OMS), durante o II Seminário Internacional sobre Qualidade em Saúde e Segurança do Paciente - evento do Qualisus - nos dias 13 e 14 de Agosto de 2013, no Ministério da Saúde, em Brasília.
The document summarizes research on patient fall prevention strategies. It finds that while many fall risk assessment tools and interventions have been developed, there is little consensus on the most effective approach. The literature shows that assessment tools have limitations but clinical studies find they can still reduce falls when used correctly. The document concludes the most promising approach combines using a validated tool, properly selected and enforced interventions tailored for each patient, and monitoring the program over time.
¿Por qué la cura en ambiente húmedo debe limitarse sólo al tratamiento de las...GNEAUPP.
¿Por qué la cura en ambiente húmedo debe limitarse sólo al tratamiento
de las heridas crónicas? La evidencia clínica al servicio de la cura de los tatuajes
Efecto de un suplemento nutricional específico (Balnimax®) en la cicatrizació...GNEAUPP.
Este estudio evaluó el efecto de un suplemento nutricional específico llamado Balnimax® en la cicatrización de úlceras por presión y úlceras venosas de la extremidad inferior. El estudio incluyó 112 pacientes con 133 úlceras que recibieron el suplemento dos veces al día durante 8 semanas. Los resultados mostraron una reducción estadísticamente significativa en el tamaño de las úlceras a lo largo del tiempo, con una tasa de cicatrización completa del 43,6%. Los resultados fueron mej
Making the case for cost-effective wound managementGNEAUPP.
This document discusses cost-effective wound management and making the case for it. It begins by explaining the challenges in wound management, including increasing prevalence of wounds and difficulty collecting data on clinical efficacy, effectiveness, and costs. It then discusses common myths around cost-effectiveness, clarifying that cost-effective does not mean cheaper but provides benefits at a reasonable cost compared to alternatives. The document outlines different types of economic analyses used in healthcare, particularly cost-effectiveness analysis, and discusses understanding costs from various perspectives.
Pan Pacific Clinical Practice Guideline For The Prevention And Management Of ...GNEAUPP.
This document provides a summary of the Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injuries, which was published in 2012. The guideline was developed through an extensive review process and in collaboration with experts from Australia, New Zealand, Hong Kong, and Singapore. It aims to optimize the prevention, assessment, and treatment of pressure injuries across the healthcare systems of these regions. The guideline provides evidence-based recommendations on topics such as risk assessment, prevention, wound assessment and classification, interventions, and organizational considerations.
Prevencion de ulceras por presion y protocolo de tratamientoGNEAUPP.
This document provides a summary of the NGC-8962 guideline for pressure ulcer prevention and treatment. It was developed by the Institute for Clinical Systems Improvement (ICSI) and provides recommendations in the form of an inpatient and outpatient algorithm with 11 components and detailed annotations. The major recommendations include performing risk assessments using tools like the Braden or Braden Q scale, conducting skin inspections regularly, implementing prevention plans to reduce pressure and manage moisture/nutrition, and treating existing pressure ulcers with a comprehensive assessment and evidence-based interventions. Special considerations are provided for different patient populations and settings.
The nursing management of patients with venous leg ulcersGNEAUPP.
This document provides recommendations for the nursing management of patients with venous leg ulcers. It covers recommendations for assessment, compression therapy, cleansing, debridement, dressings, skin grafts, contact sensitivity, drug treatments, education and training. The recommendations are based on evidence from systematic reviews and clinical evidence, with recommendation statements graded based on the strength of evidence. The aim is to improve outcomes for patients with venous leg ulcers by reducing variations in practice.
The care of patients with chronic leg ulcerGNEAUPP.
The document provides guidelines for the assessment and treatment of patients with chronic leg ulcers. It discusses the importance of thoroughly assessing the patient, leg, and ulcer characteristics. This includes measuring ankle brachial pressure, ulcer size, edge and base description, and position. It recommends referring patients with certain features such as diabetes, arterial disease, rheumatoid arthritis, suspected malignancy, atypical ulcers, or non-healing ulcers. For treatment, it emphasizes using graduated compression therapy to improve venous insufficiency and heal uncomplicated venous ulcers. Elastic compression is the first choice treatment, and multilayer bandaging is recommended.
This document provides guidelines for the use of topical antiseptic and antimicrobial agents in wound management. It was developed by a multidisciplinary group of experts and is intended to help clinicians determine when, why, and how to appropriately use these agents. The document discusses the need to use antimicrobials in a targeted manner for short durations based on clinical signs of infection rather than arbitrary timelines. It also addresses issues like antibiotic resistance and the role of antiseptics in wound healing.
This Quick Reference Guide summarizes evidence-based guidelines for the prevention and treatment of pressure ulcers developed by the European Pressure Ulcer Advisory Panel and American National Pressure Ulcer Advisory Panel over 4 years. It provides definitions for pressure ulcers and classifications, as well as recommendations for assessment, wound care, dressings, infection treatment, and other areas. The full Clinical Practice Guideline contains more detailed analysis, research discussion, methodology, and acknowledgments.
Best Practice Statement Compression hosieryGNEAUPP.
The document provides guidance on best practices for compression hosiery. It summarizes key areas including full holistic assessment, hosiery classification and selection, application and removal, disease and service management, and roles and competencies. The full holistic assessment section emphasizes the importance of accurately diagnosing the underlying cause of edema through a qualified practitioner's initial assessment of the patient's condition, signs and symptoms, and risk factors. This assessment informs both the differential diagnosis and appropriate hosiery selection and treatment pathway.
Rischio Radiologico (Ernesto Mola e Giorgio Visentin)csermeg
1) The document discusses the responsibilities of family doctors in regards to justification and optimization of medical imaging according to the European BSS 2013 guidelines. It describes how family doctors can contribute to ensuring imaging examinations are justified based on clinical need and protocols are optimized to reduce radiation exposure.
2) The document outlines various ways family doctors can help with risk assessment, communication, and management including sharing guidelines, communicating with specialists, collecting patient exposure histories, and involving patients in decision making.
3) WONCA commits to cooperation across stakeholders to promote radiation protection culture through education and establish clear justification processes and clinical imaging guidelines.
This document provides a summary of the qualifications and experience of Dr. Eduardo Ibarguen-Secchia, including his medical education, leadership experience, teaching experience, clinical experience, credentials, awards, publications, affiliations and technical skills. He has over 30 years of experience as a pediatric gastroenterologist, founding his own private practice group and serving as medical director for other organizations. He has held teaching positions and received numerous awards and honors for his work.
Optimising wellbeing in people living with a woundGNEAUPP.
This document discusses optimizing wellbeing in people living with wounds. It defines wellbeing as having physical, mental, social, and spiritual/cultural components. Living with a wound can negatively impact wellbeing in many ways, such as through physical pain/odor, psychological issues like anxiety/depression, social isolation, and cultural/spiritual conflicts with treatment. The document advocates for a patient-centered approach that considers an individual's overall wellbeing, not just wound healing, and encourages shared decision making between clinicians and patients.
Holistic Management of Venous Leg UlcerationGNEAUPP.
The document provides guidance on holistic management of venous leg ulcers. It discusses assessment and diagnosis of venous leg ulcers, classification of compression products, holistic management including compression therapy, and prevention of ulcer recurrence. A thorough assessment is crucial to accurate diagnosis and treatment planning, and should include general health history, leg examination including arterial assessment, and wound/skin assessment. Appropriate compression therapy is emphasized as the standard treatment for venous leg ulcers.
A physician led bedside wound care program in post acute care reduces wound related hospitalizations, infections, and amputations over 85% and saves Medicare over $19,000 per patient.
This document provides information on a fall prevention evidence-based practice project conducted by nursing students at Alvernia University. It includes background information on the problem of falls in hospitals, learning objectives of comparing individual versus multi-component interventions, and a review of literature showing that multi-component programs are more effective at reducing falls than individual interventions. The document also outlines specific fall prevention interventions in place at Good Samaritan Hospital, including a fall risk letter, signage, alarms, and post-fall assessment. It emphasizes the importance of continuous re-evaluation of interventions to improve outcomes.
ADVANCES IN WOUND CARE: THE TRIANGLE OF WOUND ASSESSMENTGNEAUPP.
This document introduces the Triangle of Wound Assessment, a new framework for comprehensive wound assessment. It consists of separately evaluating the wound bed, wound edge, and periwound skin. This addresses limitations of prior tools by integrating assessment of the periwound skin and providing guidance on goals, care planning, and interventions. The Triangle of Wound Assessment facilitates early identification and treatment of issues in all three zones to improve patient outcomes. It provides a simple, intuitive way to consistently include periwound skin in wound assessment and document wound status over time.
This document is a resume for Imnas M. Williams, an experienced registered nurse. It summarizes her professional experience over 20 years working in hospitals, long term care facilities, and rehabilitation centers. It also lists her education credentials, which include a Master's degree in Nursing and an Associate's degree in Nursing. Her experience includes roles as a staff nurse, case manager, nursing supervisor, and charge nurse.
The manual is divided into 3 sections;
Section A composes topics on Basic Principle
Section B composes topics on Concept of Wound Care Management
Section C covers topics on Practical Aspect in Wound Care
The main objective of this manual is to provide useful simple practical guides to all healthcare providers of various categories working in different level of set up; who are involved in wound care and well being of our patients.
Estratégias sobre Segurança do Paciente: Cuidados de Saúde para todos, sempre...Proqualis
Aula de Itziar Larizgoitia Jauregui, Coordenadora de Pesquisa e Gestão do Conhecimento do Programa de Segurança do Paciente da Organização Mundial de Saúde (OMS), durante o II Seminário Internacional sobre Qualidade em Saúde e Segurança do Paciente - evento do Qualisus - nos dias 13 e 14 de Agosto de 2013, no Ministério da Saúde, em Brasília.
The document summarizes research on patient fall prevention strategies. It finds that while many fall risk assessment tools and interventions have been developed, there is little consensus on the most effective approach. The literature shows that assessment tools have limitations but clinical studies find they can still reduce falls when used correctly. The document concludes the most promising approach combines using a validated tool, properly selected and enforced interventions tailored for each patient, and monitoring the program over time.
¿Por qué la cura en ambiente húmedo debe limitarse sólo al tratamiento de las...GNEAUPP.
¿Por qué la cura en ambiente húmedo debe limitarse sólo al tratamiento
de las heridas crónicas? La evidencia clínica al servicio de la cura de los tatuajes
Efecto de un suplemento nutricional específico (Balnimax®) en la cicatrizació...GNEAUPP.
Este estudio evaluó el efecto de un suplemento nutricional específico llamado Balnimax® en la cicatrización de úlceras por presión y úlceras venosas de la extremidad inferior. El estudio incluyó 112 pacientes con 133 úlceras que recibieron el suplemento dos veces al día durante 8 semanas. Los resultados mostraron una reducción estadísticamente significativa en el tamaño de las úlceras a lo largo del tiempo, con una tasa de cicatrización completa del 43,6%. Los resultados fueron mej
Cuidados de enfermeria en la prevencion y tratamiento de las ulceras por presionGNEAUPP.
Este documento presenta la lista de autores de una guía de cuidados de enfermería para la prevención y tratamiento de úlceras por presión en un hospital. Agradece las contribuciones de varios profesionales a la guía y ofrece un índice de los contenidos que se abordarán, incluyendo la introducción, revisión conceptual, prevención, tratamiento, evaluación y bibliografía.
El documento proporciona una perspectiva histórica del tratamiento de úlceras y heridas a lo largo de la historia. Se describen los enfoques mágico-religiosos de los antiguos egipcios y griegos, el uso empírico de ungüentos y apósitos, y el desarrollo gradual de un enfoque más racional e higiénico bajo Hipócrates, Galeno y posteriormente. También se mencionan figuras clave como Ambroise Paré, Joseph Lister y el desarrollo de la cirugía moderna
Eficacia de los ácidos grasos hiperoxigenados en la prevención de las úlceras...GNEAUPP.
Conocer la eficacia de los ácidos grasos hiperoxigenados en
la prevención de las úlceras por presión. Determinar el nivel de evidencia
del uso de los ácidos grasos hiperoxigenados en la prevención de las
úlceras por presión. Material y método: Se realizó una búsqueda bibliográfica
en Cochrane library, The Joanna Briggs Institute, Pubmedmedline
y Cuiden, siendo solamente seleccionados ensayos clínicos. Para
su evaluación se han seguido las recomendaciones del Critical Appraisal
Skills Programme (CASPe) junto al sistema GRADE para la valoración
de la calidad de la evidencia y la fuerza de las recomendaciones.
Prevención de las úlceras por presión. ¿Cuánto se puede atribuir a los cambio...GNEAUPP.
Este documento presenta una tesis doctoral sobre la prevención de las úlceras por presión. La tesis explora cuánto de la prevención se puede atribuir a los cambios posturales. La introducción define las úlceras por presión y explica que constituyen un importante problema de salud pública. También describe brevemente la historia de las úlceras por presión y la dimensión actual del problema. El objetivo general de la tesis es determinar la efectividad de los cambios posturales en la prevención de úlceras por presión.
Este documento presenta un resumen del proceso de cicatrización de heridas y un recuerdo anatómico de la piel. Explica las tres fases del proceso de cicatrización: 1) fase inflamatoria caracterizada por hemostasia e inflamación, 2) fase proliferativa de reconstrucción del tejido granular a través de angiogénesis y fibroplastia, y 3) fase de maduración y remodelación donde se produce la epitelización y se reorganiza el colágeno. También describe las capas de la
4º Estudio Nacional de Prevalencia upp en EspañaGNEAUPP.
Objetivo: Establecer la prevalencia actual de úlceras por presión (UPP) en España mediante un estudio epidemiológico nacional.
Métodos: Se distribuyó un cuestionario a profesionales sanitarios de hospitales, centros sociosanitarios y atención primaria entre marzo y mayo de 2013.
Resultados: Se obtuvo una prevalencia de UPP del 7,87% en hospitales para adultos, 3,36% en unidades pediátricas, 13,41% en centros sociosanitarios y 0,44
Manual de protocolos y procedimientos en el cuidado de las heridasGNEAUPP.
Este manual presenta protocolos y procedimientos para el cuidado de heridas. Describe la anatomía y fisiología de la piel, incluyendo sus funciones y estructura. Explica el proceso de cicatrización, sus fases y factores que lo influyen. Incluye capítulos sobre diferentes tipos de heridas como úlceras, quemaduras y heridas especiales. También cubre técnicas de curación como aspiración, presión negativa y tratamientos autólogos.
Conferencia nacional de consenso sobre ulceras de la extremidad inferiorGNEAUPP.
Este documento presenta las conclusiones de una conferencia nacional de consenso sobre úlceras de la extremidad inferior. Se divide en cuatro secciones principales que tratan sobre úlceras de etiología venosa, isquémica y neuropática. Cada sección incluye recomendaciones sobre la epidemiología, fisiopatología, diagnóstico, tratamiento y prevención de cada tipo de úlcera. El documento proporciona pautas actualizadas y consensuadas para el manejo clínico de las úlceras de la extremidad inferior
Úlceras por humedad: diferenciación y prevenciónGNEAUPP.
Este documento trata sobre las úlceras por humedad y su diferenciación y prevención respecto a las úlceras por presión. Explica que el contacto prolongado de la piel con la humedad de las heces o la orina genera cambios estructurales y funcionales que debilitan la barrera cutánea y pueden causar lesiones. Los pacientes con mayor riesgo son los de edad avanzada, con incontinencia fecal y deterioro cognitivo. Se describen las escalas para evaluar el riesgo y las medidas preventivas como pañales
VALORACION Y CLASIFICACION DE FACTORES PRONOSTICOS EN LA CICATRIZACION DE LA ...GNEAUPP.
Este documento describe la evaluación y clasificación de factores pronósticos en la cicatrización de úlceras neuropáticas en pacientes diabéticos. La neuropatía periférica es el principal factor de riesgo para la ulceración y existen múltiples clasificaciones que evalúan el riesgo de úlcera según su profundidad, tamaño y otros factores. Sin embargo, no hay consenso sobre qué factores realmente influyen en la cicatrización. El objetivo de este estudio es diseñar una herramienta
Este protocolo establece las pautas para la prevención y tratamiento de úlceras por presión y heridas crónicas en el Complejo Hospitalario de Toledo. Describe la población objetivo, los objetivos, los profesionales involucrados, los recursos necesarios y los procedimientos de valoración del riesgo, prevención, diagnóstico y tratamiento. El protocolo proporciona algoritmos y anexos con detalles adicionales sobre cada paso del proceso de atención de úlceras por presión.
Prevencion y cuidados locales de heridas cronicasGNEAUPP.
Este manual presenta información sobre el cuidado de heridas crónicas. Define una herida crónica como aquella que tarda más de 6 semanas en cicatrizar. Describe la anatomía de la piel, incluyendo la epidermis, dermis e hipodermis, y explica los procesos de cicatrización y cuidados locales requeridos para las heridas crónicas. El manual proporciona una guía completa para la evaluación y tratamiento de este tipo de heridas.
Manual de prevencion y tratamiento de las uppGNEAUPP.
Este documento presenta un protocolo para la prevención y tratamiento de úlceras por presión. Define las úlceras por presión y explica factores como la etiología, estructura de la piel, clasificación, localizaciones comunes y valoración de riesgo usando la escala de Braden. Detalla medidas preventivas como cambios posturales y un protocolo de prevención. Cubre cuidados como limpieza, evaluación del estado de la herida y selección de apósitos, así como fases de curación. Proporciona pautas para m
Cuidado de personas con ulceras por presion o riesgo de padecerlasGNEAUPP.
Este documento presenta una guía de práctica clínica para el cuidado de personas con úlceras por presión o riesgo de padecerlas. Incluye una lista de autores, colaboradores y revisores externos que participaron en la elaboración de la guía. También indica que la guía fue evaluada y aprobada por la Conselleria de Sanitat de la Generalitat Valenciana y por la Asociación Nacional de Enfermería Dermatológica e Investigación del Deterioro de la Integridad Cutánea.
- Hoag Memorial Hospital transformed care delivery from service lines to physician-led programs focused on specific conditions to improve outcomes and lower costs.
- The stroke program improved treatment, reduced length of stay and costs, and achieved excellent clinical outcomes like 63% of patients returning to independence.
- The maternity program created specialized units, standardized care pathways, and partnered with OBs and pediatricians to lower c-section rates and improve satisfaction.
- Organizing around programs instead of departments better integrates specialists, coordinates care, and measures value through outcomes and costs rather than just processes.
This document discusses leadership for patient engagement in the NHS. While the NHS has focused on public consultations and one-off engagement initiatives, true culture change is required to make services patient-centered. Leaders face challenges in shifting beliefs, attitudes, and behaviors away from disease-focused care toward responsive, empowering care centered around patients' needs and preferences. Successful approaches require strategic, system-wide efforts to engage patients in shared decision-making, self-management of long-term conditions, and improving quality by understanding patients' perspectives. Isolated projects are easier than changing mainstream practice to prioritize the patient experience in all interactions and functions.
The document proposes developing an occupational therapy outreach service for elderly patients being discharged from medical assessment wards. Research shows elderly patients are often unprepared for discharge and lack communication between health services. The outreach program aims to facilitate smooth transitions, reduce readmissions, and relieve hospital bed pressures through home-based rehabilitation and empowering patients. Outcomes would be measured through tools like the Barthel Index to evaluate the program's effectiveness.
Meeting the challenge together... delivering care in the most appropriate set...NHS Improvement
Meeting the challenge together... delivering care in the most appropriate setting (October 2008). This document has been designed to support the pilot sites (now starting to test new ideas working with partners in primary care and social care) but will also be of interest to other organisations attempting to reform inpatient care (Published October 2008).
Operation Smile began investing more resources to obtain postoperative data in order to implement a global Surgical Outcomes Auditing System. This included restructuring personnel to focus on postoperative data collection and increasing direct contact with local foundations. An increase in submitted postoperative forms and images resulted from these efforts. Establishing an intern program and outcomes data coordinators further improved data compilation and collection from local missions. The investment in outcomes monitoring aims to demonstrate surgical quality and success.
Chris Bollen is a health management consultant who works part-time as a GP and director of GP training. He has over 25 years of experience in various healthcare roles. Through his consulting firm, BMP Healthcare Consulting, he provides advice on chronic disease management, men's health, aged care, and healthcare systems. Recent and current clients include several Medicare Locals for whom he has conducted reviews and written grant applications. Bollen has extensive experience leading quality improvement initiatives and change management projects in various healthcare settings. He has expertise in areas like clinical governance, education, and collaboration across primary, community and hospital care interfaces.
Seeking patient feedback an important dimension of quality in cancer careAgility Metrics
1) A patient satisfaction survey was conducted with cancer outpatients to identify areas for improvement. Wait times and contacting healthcare providers by telephone received the lowest satisfaction ratings, despite prior interventions to address wait times.
2) Patients followed by a nurse navigator reported higher satisfaction with wait times than those without a nurse navigator.
3) The survey found overall high satisfaction rates, but identified wait times and telephone contact as ongoing priorities for enhancing the patient experience.
Drhatemelbitar (1)MEDICAL CASE MANAGEMENTد حاتم البيطارد حاتم البيطار
1. The document discusses issues with the current healthcare system including lack of coordination between institutions, dehumanization of care, and rising costs.
2. It introduces case management as a promising solution, defined as a method that aims for continuity of services and quality clinical outcomes through efficient management of available resources for specific clientele.
3. Case management relies on thorough knowledge of client needs, estimating patient stay lengths, and planning coordinated treatment processes to improve care quality while controlling costs.
Strategies of addressing unwarranted variation in wound care NHS England
Strategies for Addressing Unwarranted Variation in Wound Care was a workshop that aimed to: 1) consider challenges and gaps in best wound care practices and outcomes, 2) explore opportunities to reduce variation in wound care, and 3) consider using electronic data capture to standardize wound assessments. The workshop included perspectives from clinical experts on unwarranted variation in wound care due to lack of standardized assessments and treatment protocols. It also featured an NHS trust's experience adopting an electronic wound assessment system to improve data collection, reduce variation, and help standardize wound care practices across settings.
Falls Prevention Program Development Report (4)Amanda Buschau
The document provides a consultation report on developing a falls prevention program at the Hellenic Home for the Aged. It includes recommendations for physical environmental changes like relocating the nursing station and increasing contrast in hallways. It also recommends organizational changes such as implementing regular falls screenings, optimizing communication about falls, and providing additional staff education on managing behaviors. The report evaluated current policies and gathered stakeholder input to provide evidence-based strategies to improve resident safety and reduce falls.
Kaiser Permanente Colorado has instituted several initiatives to better integrate primary and specialty care, including advice referrals (physician-to-physician consults), real-time virtual consults, identifying primary care liaisons, population management programs in specialty care, and educational opportunities for physicians. These efforts have led to growth in advice referrals and decreases in in-person referrals. KPCO has also implemented population health programs in specialty care to improve outcomes for patients with conditions like coronary artery disease. The initiatives are supported by Kaiser's comprehensive electronic health record system.
This monograph provides an assessment of the current hospital-physician landscape and outlines an innovative vehicle for advancing hospital-physician relationships that has the potential to improve care delivery and coordination, clinical quality, and patient cost. Our findings and recommendations address:• Changes in the market place.• The concept of an integrated medical staff model.• The role of operational clinical integration, enabled by an Electronic Medical• Record, toward creating virtual medical staffs.• Benefits to the hospital, physicians, patients and community.• What boards and senior management can do to move toward the model.
This document provides an overview of commissioning for value in healthcare. It discusses highlighting unwarranted variation in quality, outcomes, activity and spend using tools like the NHS Atlas of Variation. It emphasizes empowering patients through shared decision making using decision aids. It also covers engaging clinicians and commissioners to shift from "rationing" to "rational commissioning" and using information and insights to drive action and sharing of best practices. The goal is to increase value by focusing on health outcomes relative to total costs.
This document summarizes a research study that used the Intervention Mapping framework to develop a guiding framework for improving patient discharge from hospitals to primary care. The study conducted interviews and focus groups with patients, families, and providers to identify barriers to effective discharge. Key issues included lack of communication between hospital and primary care providers, incomplete discharge information, and lack of patient understanding. The study then defined desired outcomes, specific performance objectives, and change objectives needed to address the identified barriers. Finally, the study selected evidence-based methods and strategies to achieve the change objectives, such as discharge templates, medication reconciliation, and teach-back techniques. The resulting framework provides guidance for interventions to improve patient handovers between hospital and primary care.
Hesselink et al. BMC Health Services Research 2014, 14389ht.docxpooleavelina
Hesselink et al. BMC Health Services Research 2014, 14:389
http://www.biomedcentral.com/1472-6963/14/389
RESEARCH ARTICLE Open Access
Improving patient discharge and reducing
hospital readmissions by using Intervention
Mapping
Gijs Hesselink1*, Marieke Zegers1, Myrra Vernooij-Dassen1,2,3, Paul Barach4,5,6, Cor Kalkman4, Maria Flink7,8,
Gunnar Öhlén9,10, Mariann Olsson7,8, Susanne Bergenbrant11, Carola Orrego12, Rosa Suñol12, Giulio Toccafondi13,
Francesco Venneri13, Ewa Dudzik-Urbaniak14, Basia Kutryba14, Lisette Schoonhoven1, Hub Wollersheim1
and on behalf of the European HANDOVER Research Collaborative
Abstract
Background: There is a growing impetus to reorganize the hospital discharge process to reduce avoidable
readmissions and costs. The aim of this study was to provide insight into hospital discharge problems and
underlying causes, and to give an overview of solutions that guide providers and policy-makers in improving
hospital discharge.
Methods: The Intervention Mapping framework was used. First, a problem analysis studying the scale, causes, and
consequences of ineffective hospital discharge was carried out. The analysis was based on primary data from 26
focus group interviews and 321 individual interviews with patients and relatives, and involved hospital and
community care providers. Second, improvements in terms of intervention outcomes, performance objectives and
change objectives were specified. Third, 220 experts were consulted and a systematic review of effective discharge
interventions was carried out to select theory-based methods and practical strategies required to achieve change
and better performance.
Results: Ineffective discharge is related to factors at the level of the individual care provider, the patient, the
relationship between providers, and the organisational and technical support for care providers. Providers can
reduce hospital readmission rates and adverse events by focusing on high-quality discharge information, well-
coordinated care, and direct and timely communication with their counterpart colleagues. Patients, or their carers,
should participate in the discharge process and be well aware of their health status and treatment. Assessment by
hospital care providers whether discharge information is accurate and understood by patients and their community
counterparts, are important examples of overcoming identified barriers to effective discharge. Discharge templates,
medication reconciliation, a liaison nurse or pharmacist, regular site visits and teach-back are identified as effective
and promising strategies to achieve the desired behavioural and environmental change.
Conclusions: This study provides a comprehensive guiding framework for providers and policy-makers to improve
patient handover from hospital to primary care.
Keywords: Patient handoff, Patient discharge, Patient readmission, Intervention mapping, Adverse events
* Correspondence: [email protected]
1Radboud University Medical Center, Sc ...
Comment 1Development of an evidence-based practice project musJeniceStuckeyoo
Comment 1
Development of an evidence-based practice project must include the direct and indirect impact that will be encountered through implementation. Staff retention of newly hired nurses specific to the night shift is the focus of my project and its impact on the nurses, facility and community that is served. According to published reports, a supportive work environment, especially between managers and employees, creates a strong deterrent to nurses leaving an organization by improving perception of organizational support, employee engagement, team cohesion, and connection to the mission of the health-care setting (Kurnat-Thoma, Ganger, Peterson, & Channell, 2017).
Financial aspect
– staffing cost/turnover cost
Hospital staffing turnover is projected to 5% to 5.8% of total hospital annual operating budget and is largely driven by the loss and necessary replacement of qualified nurses according to Waldman, J., Kelly, F., Arora, S., Smith, H. (2010).
Proposal direct impact
– hospital revenue/staffing costs,
Proposal indirect impact
– patient outcomes, positive healing environment perception by staff/patients
Quality Aspect
– High turnover in any industry can be a concern, especially those that are customer-centric. Industries that deal with people’s health are in an even more precarious position. Institutions with high attrition must consider how a “revolving door” of care providers affects the quality of care an institution is able to provide, and the satisfaction of patients with their overall experience according to Arena (2018).
Proposal direct impact
–
Separation Costs – Continued benefits, temporary labor, overtime to existing employees
• Recruitment Costs – Job description, posting on job boards, screening candidates, interviewing candidates, assessing candidates
• Onboarding Costs – Orientation and training of new hire
Proposal indirect impact
–
Loss of productivity
• Lack of staff while positions are being filled
• Increased pressure on existing staff to cover and pick up the extra work often leading to burnout
• Patients receiving less attention
• Pressure on current staff to train and then gel with the new employees
• Lack and lag of knowledge with new employees concerning institutional practices, workplace norms, team behaviors, and patient knowledge, familiarity, and care experience
Clinical aspect
– unit cohesiveness/patient care
Many nurses leave their positions because of negative experiences with heavy or unrealistic workloads and due to feeling unheard and undervalued. Clinical nurses' sense of disempowerment can be related to lack of leadership interventions. Clinical nurses may feel that managers are insensitive to their staffing needs, don't support employee well-being, and don't invest enough in staff education or clinical advancement according to Linnen and Rowley (February 2014).
Proposal direct impact
– nurses will see themselves as stewards for their unit. “Nurses are leaders by virtue ...
Adult survivorship: from concept to innovationNHS Improvement
The National Cancer Survivorship Initiative (NCSI) is a partnership between the Department of Health, Macmillan Cancer Support and NHS Improvement. As part of this initiative, NHS Improvement is testing approaches to care and support that ensures that we are moving to a position of not only supporting recovery from their disease, but also their future health and wellbeing through sustaining that recovery. During the last few years a proof of principle has been established which if transferable from the test sites to other organisations will begin the process of spread across the NHS and provide national risk stratified effective pathways for breast, colorectal and prostate cancers.
This document summarizes a project to reduce central line-associated bloodstream infections (CLABSIs) in non-intensive care unit settings. The hospital conducted education and training for nurses on appropriate central line care and maintenance. This included videos, demonstrations and skills assessments. They also implemented chlorhexidine bathing and daily line audits. Following these interventions between January 2012 and July 2013, they observed a 67% reduction in CLABSIs in non-ICU patients. The conclusion is that standardizing education and care practices can help reduce infections from central lines outside the ICU.
Tackling Post-Ebola Health Recovery: Strengthening health system capacity to ...JSI
The document describes a program to support Ebola virus disease (EVD) survivors in Sierra Leone. It found that 10% more survivors were able to lead healthy lives due to the program's interventions. Stigma against survivors from healthcare workers decreased by 12%. The program helped reduce stigma through peer support from Survivor Advocates. However, advocates were terminated without the planned transition to community health workers. The document recommends ensuring transitions between short and long-term support mechanisms are properly planned and communicated. It also discusses improving survivors' access to services and drugs long-term through strengthened health systems.
Este documento proporciona recomendaciones sobre prácticas que no deben realizarse en el manejo de heridas crónicas basadas en la evidencia científica. Se elaboró por un panel de expertos y contiene recomendaciones sobre diagnóstico, lesiones relacionadas con la dependencia, lesiones de extremidades inferiores, control de infección y tratamiento local. El objetivo es mejorar la atención de pacientes con heridas crónicas evitando prácticas inseguras e inefectivas.
Este documento presenta recomendaciones para la toma de muestras microbiológicas de heridas crónicas. Explica que las heridas crónicas a menudo están colonizadas por bacterias formando biofilms, lo que requiere métodos específicos de muestreo. Describe los procedimientos recomendados para la toma de muestras con hisopo, punción-aspiración y biopsia de tejido para identificar microorganismos planctónicos y de biofilm. El objetivo es proporcionar pautas que permitan diagnosticar
Este documento técnico proporciona recomendaciones actualizadas sobre el manejo local de úlceras y heridas. Se dividen las recomendaciones en secciones como el cuidado de la piel, limpieza de heridas, desbridamiento, manejo de la carga bacteriana, facilitación de la cicatrización y terapias avanzadas. Para cada sección, se describen conceptos clave, recomendaciones de uso y productos específicos respaldados por evidencia científica. El objetivo es guiar a profesionales en la selección segura
Valoración y manejo de las lesiones por presión para equipos interprofesional...GNEAUPP.
Este documento presenta la tercera edición de las Guías de buenas prácticas para la valoración y manejo de las lesiones por presión para equipos interprofesionales. Incluye recomendaciones para la práctica clínica, la formación, el sistema de salud, las organizaciones y las políticas, así como estrategias para la implantación de las guías. El objetivo es proporcionar una atención de calidad para prevenir y tratar las lesiones por presión de forma segura y eficaz.
Este documento resume la actualización de la guía de prevención y tratamiento de las úlceras por presión en las Islas Baleares. La guía actualizada incluye recomendaciones basadas en evidencia científica para ayudar a los profesionales a prevenir y tratar estas úlceras de manera segura. Fue desarrollada por un grupo multidisciplinario de expertos y revisada por otros profesionales, con el objetivo de mejorar la atención a los pacientes.
Este documento presenta las conclusiones de la Conferencia Nacional de Consenso sobre las Úlceras de la Extremidad Inferior de 2018. Se revisan conceptos clave sobre úlceras, su clasificación, epidemiología, etiología, evaluación, criterios de cicatrización e infección, tratamiento local y factores que influyen en la cronicidad. Además, se analizan estrategias terapéuticas avanzadas, el impacto en la calidad de vida, el uso de telemedicina y consideraciones económicas sobre este problema de
CONFERENCIA NACIONAL DE CONSENSO SOBRE LAS ÚLCERAS DE LA EXTREMIDAD INFERIOR ...GNEAUPP.
Este documento presenta el resumen del Documento de Consenso 2018 de la Conferencia Nacional de Consenso sobre las Úlceras de la Extremidad Inferior. El documento está estructurado en cinco apartados que abordan las úlceras en función de su etiología y ofrece recomendaciones para el diagnóstico y tratamiento optimizados de los pacientes. Veintidós expertos participaron en la revisión y actualización del documento original de 2008 para mejorar la atención a los pacientes con úlceras en las extremidades inferiores.
Guía de actuación Pie diabético en CanariasGNEAUPP.
Este documento presenta una guía de actuación sobre el pie diabético en Canarias. Incluye información sobre la epidemiología, factores de riesgo y objetivos de prevención y tratamiento del pie diabético en personas con diabetes. Detalla los procedimientos de exploración, clasificación, tratamiento de úlceras y derivación a otros servicios. El objetivo final es mejorar la atención y reducir las tasas de amputación a través de la detección precoz, educación y coordinación entre los diferentes niveles asistenciales.
This document provides a summary of the Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury. The guideline was developed by an international team to provide evidence-based recommendations for assessing and preventing pressure injuries across various healthcare settings. It aims to optimize pressure injury prevention, assessment, and management. The guideline includes recommendations on risk assessment, prevention interventions like support surfaces and positioning, wound assessment and monitoring, pain management, and treatment interventions.
Guías de Práctica Clínica en Enfermedad Venosa CrónicaGNEAUPP.
Este documento presenta las guías de práctica clínica en enfermedad venosa crónica desarrolladas por expertos españoles. El documento describe la fisiopatología de la enfermedad venosa crónica, incluidos los cambios en el sistema venoso superficial y profundo, y explica que la hipertensión venosa producida por el reflujo y la obstrucción de las venas es el principal factor fisiopatológico. También cubre temas como la epidemiología, clasificación, diagnóstico, tratamiento médico, qu
DOCUMENTO DE POSICIONAMENTO GNEAUPP Nº 13 “Enfermeiras Consultoras em Feridas...GNEAUPP.
Este documento define e justifica o papel da enfermeira consultora em feridas crónicas. Argumenta que as feridas crónicas complexas requerem uma abordagem especializada e multidisciplinar. Define a enfermeira consultora como uma enfermeira com competências avançadas para fornecer cuidados de qualidade a pacientes com feridas crónicas. Discute as competências, áreas de atuação e modelos de equipas de apoio para enfermeiras consultoras em feridas crónicas.
DOCUMENTO DE POSICIONAMENTO GNEAUPP Nº 13 “Enfermeiras Consultoras em Feridas...GNEAUPP.
1) O documento discute a importância da criação da figura da enfermeira consultora em feridas crônicas para melhorar os cuidados a pacientes com este tipo de ferida.
2) É definida a enfermeira consultora como um profissional com amplos conhecimentos e habilidades para tomar decisões clínicas, preventivas e terapêuticas baseadas em evidências para o tratamento de feridas crônicas.
3) As principais competências de uma enfermeira consultora incluem liderança, consultoria, otimização de
Best Practice Statement Holistic Management of Venous Leg UlcerationGNEAUPP.
This document provides guidance on holistically managing venous leg ulcers. It emphasizes the importance of thorough assessment to accurately diagnose and treat patients. Assessment should consider potential risk factors and identify any signs of venous disease so appropriate management can begin promptly. The goal is to start treatment for all patients with lower limb wounds to prevent ulcer development and reduce the patient and healthcare burden. Ongoing management and prevention of recurrence are also priorities given ulcer recurrence rates of 18-28% within a year.
Best Practice Statement Holistic Management of Venous Leg UlcerationGNEAUPP.
The document provides guidance on holistic management of venous leg ulcers. It discusses assessment and diagnosis of venous leg ulcers, classification of compression products, holistic management including compression therapy, and prevention of ulcer recurrence. A thorough assessment is crucial to accurate diagnosis and treatment planning, and should include general health history, leg examination including arterial assessment, and wound/skin assessment. Appropriate compression therapy is emphasized as the standard treatment for venous leg ulcers.
GUÍA DE ACTUACIÓN PARA LA PREVENCIÓN Y CUIDADOS DE LAS ÚLCERAS POR PRESIÓNGNEAUPP.
Este documento presenta una guía para la prevención y cuidado de úlceras por presión. Explica la definición, clasificación y factores de riesgo de úlceras por presión, así como estrategias para la prevención incluyendo la evaluación del riesgo, nutrición, cuidado de la piel, control de humedad y manejo de la presión. También cubre el tratamiento de úlceras por presión existentes, incluyendo la monitorización, cuidados de la herida, terapias adicionales y situaciones especiales.
Este documento discute el papel de los biofilms en el retraso de la cicatrización de heridas crónicas. Explica que los biofilms son agregados de bacterias tolerantes al tratamiento protegidos por una matriz. Estos biofilms se encuentran con frecuencia en heridas crónicas no cicatrizadas y retrasan la cicatrización al proteger a las bacterias de los antimicrobianos y del sistema inmune. También explora los desafíos en la detección y tratamiento de los biofilms en las heridas, y cómo la investigación futura
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.