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Prevention

At a glance: pressure injuries

The causes of pressure injuries are multifactorial, and both external and internal factors can contribute to their development (Zaidi and Sharma, 2024)..

Using a prognostic medical device for early identification of pressure ulcers: protocol for study design

Designing a randomised trial to ascertain whether a medical device reduces the incidence of PUs through earlier adoption of preventive measures is challenging. This is largely because there is...

Parastomal hernia: an overview

For this overview, the authors wanted to analyse the incidence of PH, aetiology, prevention and conservative treatment. A further aim was to evaluate the impact of PH on QoL. In both cases, the aim...

Pressure ulcer prevention, patient positioning and protective equipment

A PU has been defined as ‘localised injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. A number of contributing...

Hypertrophic scar management

Since the 1950s, many scar assessment tools have been developed for burn scar assessment. The number of scar assessment tools available attests to the difficulty of finding one appropriate instrument....

Chlorhexidine (di)gluconate locking device for central line infection prevention in intensive care unit patients: a multi-unit, pilot randomized controlled trial

A detailed protocol describing the study methods was published and is publicly accessible (Zamir et al, 2020)..

Facial ulcers in patients with COVID-19 admitted to ICU: review of the evidence

A multi-case research study approach, using secondary data, was used to critically analyse the development of pressure ulcers in COVID-19 patients admitted to ICU and nursed in prone position. A case...

Convexity in stoma care: developing a new ASCN UK guideline on the appropriate use of convex products

The correct choice of pouch is essential and should be based on the type of stoma (colostomy, ileostomy or urostomy) created. A stoma appliance, also known as a bag or pouch, is generally made up of a...

The aetiology of medical device-related pressure ulcers and how to prevent them

The aetiology of MDRPUs is exemplified here through two common clinical scenarios—of a CPAP mask that is being used extensively in the current COVID-19 pandemic (Figure 2), and of a doughnut-shaped...

A narrative review of preventive measures for postoperative delirium in older adults

An initial search of two databases, CINAHL and PubMed, sourced 309 articles. Keywords included ‘delirium’, ‘acute confusion’, ‘intervention’, ‘nurs*, ‘patient’’, ‘preoperative’, ‘intraoperative’...

Simple steps to prevent hospital-acquired pneumonia in non-intubated patients: a quality improvement project

It is widely acknowledged that quality improvement projects (QIPs) advance health care and are integral to reaching the targeted outcomes that provide best possible care for patients (Charles et al,...

Preventing and managing device-related pressure ulcers in oncology

‘A DRPU involves interaction with a device or object that is in direct or indirect contact with skin, or implanted under the skin, causing focal and localised forces that deform the localised and...

Needlestick injuries: the role of safety-engineered devices in prevention

Occupational NSI awareness is an essential component of any healthcare system. Under the Health and Safety at Work etc Act 1974 and the Management of Health and Safety at Work Regulations 1999, the...

Static overlays for pressure ulcer prevention: a hospital-based health technology assessment

Our aim was to investigate the properties and consequences of implementing static overlays based on an observational study comparing AAM with two different types of static overlay. The results showed...

Acute kidney injury: a risk scoring system for general surgical patients

It has been suggested that worldwide up to 20% of people admitted to hospital either have or will develop AKI (Susantitaphong et al, 2013). Although the incidence in the UK may be lower, it can have...

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