Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
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J Wound Ostomy Continence Nurs · May 2016
External Collection Devices as an Alternative to the Indwelling Urinary Catheter: Evidence-Based Review and Expert Clinical Panel Deliberations.
Multiple evidence-based guidelines have suggested clinicians consider external collection devices (ECD) as alternatives to indwelling catheters. Nevertheless, there is a dearth of evidence-based resources concerning their use. An expert consensus panel was convened to review the current state of the evidence, indications for ECDs as an alternative to an indwelling urinary catheter, identify knowledge gaps, and areas for future research. This article presents the results of the expert consensus panel meeting and a systematic literature review regarding ECD use in the clinical setting.
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J Wound Ostomy Continence Nurs · Mar 2016
Securement of the Indwelling Urinary Catheter: A Prevalence Study.
The aims of this study were 4-fold: (1) to examine the proportion of indwelling urinary catheters that were secured in an acute care setting; (2) to determine the proportion of secured catheters that were secured correctly; (3) to examine the association of catheter securement with type of unit, age, sex, and location of insertion; and (4) to determine the proportion of units with catheter securement products available on the unit. ⋯ Findings are consistent with other studies and indicate that catheter securement practices are inadequate despite several guidelines published on catheter care.
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J Wound Ostomy Continence Nurs · Nov 2015
Case ReportsFeasibility of 4% Topical Lidocaine for Pain Management During Negative Pressure Wound Therapy Dressing Changes in Pediatric Patients: A Case Study.
Opioid analgesics such as morphine are frequently used for pain management in pediatric patients undergoing dressing changes for negative pressure wound therapy (NPWT). While these medications reduce associated pain, they are also associated with adverse side effects ranging from constipation, headache, and dizziness to respiratory depression, chest wall rigidity, and death. Alternative analgesic approaches are needed for pediatric patients undergoing NPWT. ⋯ The 4% topical lidocaine reduced the pain associated with dressing changes during NPWT. No adverse side effects were observed.
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J Wound Ostomy Continence Nurs · Sep 2015
Comparative StudyComparison Study of Braden Scale and Time-to-Erythema Measures in Long-term Care.
The Braden Scale for Predicting Pressure Sore Risk is used to assess risk, and the Centers for Medicare & Medicaid guidelines suggest the use of a tissue tolerance procedure that detects time-to-erythema (TTE) to further refine tissue tolerance, a component of the Braden Scale. The aim of this study was to compare the Braden Scale and TTE as risk classification methods and their utility in identifying care planning interventions. ⋯ Study findings provide little support for tissue tolerance testing versus assessment using the validated Braden Scale for assessment of pressure ulcer risk. Study findings support the use of the Braden Scale to develop an individualized care plan based on the areas of risk.
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J Wound Ostomy Continence Nurs · Sep 2015
Observational StudyDevelopment and Psychometric Evaluation of the Symptom Intrusiveness Rating Scale Among Individuals Experiencing Pain Associated With Chronic Wounds.
The purpose of this study was to conduct validity and reliability testing of a novel quantitative instrument, the Symptom Intrusiveness Rating Scale (SyIRS), developed to assess health-related quality of life (HRQOL) based on individuals' perception of how symptoms associated with a chronic condition affect their quality of life. It was noted in a review of the literature that an instrument focusing on the impact of symptoms of HRQOL that can be used as a subjective assessment tool for all individuals with symptoms related to a chronic condition is currently not available. ⋯ The SyIRS is a valid and reliable instrument to use for assessing HRQOL based on the perceptions of the impact symptoms associated with a chronic condition.