RN

Bundle Approach to Management of Bariatric Patient from Admission to Discharge

In an acute care facility the challenges faced by a bariatric patient raise awareness of the need to develop a protocol ensuring quality care that begins on admission and continues to dis...

02/01/2021

Management of open wounds with traditional Negative Pressure Wound Therapy (NPWT) in conjunction with a Y-connector

Management of large open wounds is a significant problem for clinicians. The use of traditional NPWT has been shown to be safe and effective1. In patients with more than one wound using a...

01/28/2021

Healing in Motion: A Case Study to treat Skin Tears in an Older Adult

A skin tear is described as a “ traumatic wound caused by mechanical forces, including removal of adhesives. Severity may vary by depth (LeBlanc et al, 2018)." Skin tears are a frequ...

01/28/2021

Beating Biofilm with Hypochlorous Acid Instillation with Negative Pressure Wound Therapy

Biofilm and the bacterial burden have been recognized as impediments to wound progression. The use of negative pressure wound therapy with instillation and dwell time (NPWTi-d) has gained...

01/28/2021

Aseptically Processed Meshed Reticular Dermal Matrix For Soft Tissue Reconstruction for Necrotizing Fasciitis: Case Report

Necrotizing infection carries a high mortality.1 If the patient survives, they typically have undergone multiple surgical debridements to assist in clearing the infection and necrotic tis...

01/28/2021

The use of Point-of-Care Bacterial Autofluorescence Imaging in the Management of Diabetic Foot Ulcers: A Pilot Randomised Controlled Trial

This is a single centre, pilot randomised controlled trial (RCT) in patients with a DFU, with blinded outcome assessment. Patients were randomised in a 1:1 allocation ratio to either tre...

01/28/2021

Improved Detection of Infection Using Bacterial Fluorescence Imaging Reveals the True Proportion of Infected Wounds in Long Term Care Facilities

10-54% of long term care (LTC) facility patients have a chronic wound1. Often, infections develop in these wounds due to delays in detection of high bacterial loads. Delays are attributed...

01/28/2021

Documentation of patient repositioning events: Comparison of Electronic Medical Record documentation and accelerometer-based wearable sensors

INTRODUCTION Repositioning documentation serves an important function for pressure injury root cause analysis[i], managing pressure injury (PrI) prevention programs and for litigation de...

01/28/2021

Aseptically Processed Placental and Dermal Tissue Matrices For Soft Tissue Reconstruction. A Review of 145 Cases

Surgical reconstruction of chronic wounds using soft tissue flaps is a routine approach to achieve closure. Due to the poor tissue quality, longstanding inflammation, bioburden and impai...

01/28/2021

Management of Lower Extremity Orthopedic Wounds With Exposed Hardware Using Negative Pressure Wound Therapy With Instillation

Negative pressure wound therapy with instillation and dwell time (NPWTi-d*), which provides wound cleansing to help remove debris, infectious materials, and exudate, has been reported to ...

01/28/2021