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Tissue Viability

Preventing medical adhesive-related skin injury (MARSI)

The skin is the largest organ of the body and performs many critical functions. It is a physical barrier to microorganisms and irritants. The pH of the skin has an antimicrobial function, so assists...

Creating a system-wide culture of wound-care proficiency

Although COVID-19 has created challenges, it has also provided opportunities. There has been a growing focus on the need to support people to contribute to their own wound management. This has been...

Enabling patients with learning disabilities to self-manage lower limb lymphoedema

Regular reviews of the caseload were undertaken as the service developed over the pilot period, and it became apparent that 25–30% of patients being referred had either a diagnosed learning disability...

Self-harm wounds: assessment and management

The skin is the largest organ in the body and there are two main divisions; the outer epidermis and deeper dermis. The epidermis is made up of five layers of cells. The dermis is divided into two main...

The Red Legs RATED tool to improve diagnosis of lower limb cellulitis in the emergency department

The first author is employed as a Registered Advanced Nurse Practitioner (RANP) in tissue viability and dermatology in an acute hospital setting in Ireland. This article describes a recent RANP-led...

A nurse-led tissue viability service in Malta

In 1994-1995 during my follow-on degree course, I worked for a few months as a community nurse in our capital city of Valletta. It was like a baptism of fire. I think 50% of my time was dealing with...

Developing multidisciplinary education programmes in Uganda

When I learnt that my grandmother was weak and was bedbound, I thought I ought to utilize my 18 years of knowledge and skills in pressure area care obtained from my studies here in the UK..

Developing online training in wound care

The leg ulcer training plan was also priority, with plans to develop and implement this from September 2020, because leg ulcers are a Commissioning for Quality and Innovation (CQUIN) target for the...

Development and validation of a pocket guide for the prevention of diabetic foot ulcers

This study is based on evidence-based nursing practice and takes a methodological approach. The development and validation of the management model complies with the principles of the International...

Treating post-renal transplant surgical site infection with combination therapy: a case study

A 61-year-old Azerbaijani woman was admitted to Imam Khomeini hospital in Urmia, in north west Iran. She had a kidney transplant on 5 October 2018. The patient had a history of end-stage renal disease...

Wound assessment and dressing selection: an overview

Characteristics of the different phases of wound healing are visible in open wounds and those healing by secondary intention, but are less so in closed wounds. Inflammation begins with initial first...

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