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Tissue Viability

Leg ulcer service provision in NHS hospitals

This audit aims to explore current leg ulcer services including the provision of compression therapy for inpatients affected by leg ulcers in hospitals..

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...

The challenges of wound management for hidradenitis suppurativa

Painful chronic wounds appear with discharge, odour, and complications such as infection and tunnelling, which can lead to scarring and disfigurement (Figure 2). Often reduced mobility and physical...

The benefits of using a first generation SEM scanner versus an equipment selection pathway in preventing HAPUs

At the start of the PU improvement work in 2012–2013 there was a rise in reporting of all PU in acute sites, as was expected. Once improvement work started to identify effective strategies, 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...

The influence of anaemia on pressure ulcer healing in elderly patients

Anaemia is defined by the World Health Organization (WHO)(2011) as a blood disorder in which haemoglobin levels are below 120 g/litre in females and 130 g/litre in males. This is a condition...

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...

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