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Wound Practice & Research: Journal of the Australian Wound Management Association
Papers 290
1 page of 29 pages (290 results)
Published on Mar 31, 2019
David W. Brett1
Estimated H-index: 1
(Smith & Nephew)
Source Cite
Venous leg ulcers (VLUs) are ulcers that occur on the lower leg due to venous insufficiency (disease). Colour duplex ultrasound, performed by specialists is considered the gold standard for diagnosing venous disease. Ankle brachial pressure index (ABPI) or toe brachial pressure index (TBPI) are performed using Doppler ultrasound to identify potential arterial involvement and evaluate eligibility for compression therapy. The CEAP Classification System is used internationally and is a valid and re...
Collagen-based dressings are advanced wound dressings that provide an extracellular matrix to support tissue and microcirculation growth. Collagen dressings are able to change the wound biochemistry through modulation of protease activity, creating an environment more favourable for healing (Level 1). Oxidised regenerated cellulose (ORC) is commonly combined with collagen to create a collagen-based composite dressing with enhanced ability to reduce protease activity (Level 4). Collagen dressings...
This case study illustrates the importance of collaboration in complex care across the hospital - community continuum to improve the patient experience The team engaged the patient by building rapport and trust, providing education, and implementing evidence-based care. These contributed to better outcomes for this patient, who had severe chronic venous leg ulceration and poor treatment concordance. Our objectives were to promote ulcer healing and increase treatment concordance by engaging the p...
Introduction: Incontinence-associated dermatitis (IAD) is caused by chemical and physical irritation from excrement in contact with skin. Though IAD is a risk factor for pressure injury development and can occur simultaneously, inconsistencies and gaps within the literature remain. Background: Psychosocial assessments are essential to holistic assessment of a person with a wound to ensure positive impacts are maximised and the negative influence on wound healing minimised. However, there has bee...
Chronic venous insufficiency (CVI) leads to blood pooling in the lower venous system that can also lead to oedema. Symptoms can be exacerbated by standing or sitting for long periods and can be relieved by wearing compression therapy. Elevation is thought to be a lifestyle strategy that could relieve oedema by promoting more effective capillary and lymphatic function and venous return thereby improving symptoms of venous disease and promoting VLU healing. Regular skin hygiene promotes skin integ...
T Fernandez , Xanthe L. Strudwick7
Estimated H-index: 7
+ 2 AuthorsAllison J. Cowin24
Estimated H-index: 24
Introduction: The next generation of wound dressings will actively participate in the wound healing process, helping the body to heal itself. For deep and/or chronic wounds a dermal scaffold is often required prior to the application of a skin graft or other therapy that encourages re-epithelialisation and the restoration of the barrier function. The aim of this study was to determine if electrospinning and plasma polymerisation could be used to generate a scaffold that would support fibroblast ...
Acute and chronic wounds constitute a considerable care challenge and a financial burden on the health system and wounded individuals, regardless of care setting. The explicit and implicit costs associated with chronic wounds can be monumental, as are the detrimental impacts on a person's quality of life and wellbeing. A nurse practitioner (NP) coordinated Advanced Wound Assessment Service was established by Silver Chain in Perth, in March 2013. Ongoing successful client outcomes for those with ...
Robyn Rayner4
Estimated H-index: 4
Keryln Carville14
Estimated H-index: 14
+ 1 AuthorsSatvinder S. Dhaliwal34
Estimated H-index: 34
Background: To describe the profile of aged care residents and to examine those variables that were associated with skin tears. Method: A representative sample of 200 elderly residents were recruited into this cross-sectional study, which was conducted between February and December 2014 from four aged care facilities in Western Australia. The resident's history of skin tears over the preceding 12-months was compared with their demographics (age, gender, place of birth) and a broad range of clini...