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Rippon MG, Rogers AA, Ousey K, Atkin L, Williams K. The importance of periwound skin in wound healing: an overview of the evidence. J Wound Care 2022; 31:648-659. [PMID: 36001708 DOI: 10.12968/jowc.2022.31.8.648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
DECLARATION OF INTEREST The authors have no conflicts of interest.
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Affiliation(s)
| | | | - Karen Ousey
- Institute of Skin Integrity and Infection Prevention, Department of Nursing and Midwifery, University of Huddersfield.,Adjunct Professor, School of Nursing, Faculty of Health at the Queensland University of Technology, Australia.,Visiting Professor, RCSI, Dublin, Ireland
| | | | - Kate Williams
- Department of Nursing and Midwifery, School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK
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Fernández LG, Matthews MR, Benton C, Buresch R, Sutherland A, Tillison N, Brooks J. Use of a novel silicone-acrylic drape with negative pressure wound therapy in anatomically challenging wounds. Int Wound J 2020; 17:1829-1834. [PMID: 32755012 PMCID: PMC7754137 DOI: 10.1111/iwj.13471] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 07/07/2020] [Accepted: 07/14/2020] [Indexed: 11/30/2022] Open
Abstract
Negative pressure wound therapy (NPWT) utilises a polyurethane drape with acrylic adhesive over foam dressings to create a seal. In anatomically challenging areas, ancillary products are frequently used. Additionally, health care providers are unable to reposition the drape once placed. A novel hybrid drape consisting of polyurethane film with acrylic adhesive and silicone perforated layer has been developed to allow for repositioning after initial placement and easy removal. This six-patient case series evaluates the use of NPWT with hybrid drape over anatomically challenging wounds. Three males and three females were treated. Dressing changes occurred every 2 to 3 days. Drape application, repositioning, and ability to maintain a seal were evaluated. During application, the drape was repositioned 1 to 2 times without periwound skin irritation in 4/6 wounds. Prior to initial application, ancillary products were applied to help create a seal. However, by the second or third application, ancillary products were no longer used in 4/6 wounds. None of the dressing applications resulted in negative pressure seal leaks. In these patients, health care providers could reposition the hybrid drape after initial placement without periwound skin irritation and successfully create a negative pressure seal without ancillary products in anatomically challenging wound locations.
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Affiliation(s)
- Luis G Fernández
- Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas, USA.,Department of Medicine and Nursing, University of Texas, Arlington, Texas, USA.,Department of Medical Education Health Science Center, Department of Physician Assistant Studies, University of North Texas, Fort Worth, Texas, USA
| | - Marc R Matthews
- Burn Emergency Services, Respiratory Care Services, Arizona Burn Center, Maricopa Medical Center, University of Arizona College of Medicine, Phoenix, Arizona, USA
| | - Carol Benton
- Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas, USA.,Department of Medicine and Nursing, University of Texas, Arlington, Texas, USA.,Department of Medical Education Health Science Center, Department of Physician Assistant Studies, University of North Texas, Fort Worth, Texas, USA
| | - Rebecca Buresch
- Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas, USA.,Department of Medicine and Nursing, University of Texas, Arlington, Texas, USA.,Department of Medical Education Health Science Center, Department of Physician Assistant Studies, University of North Texas, Fort Worth, Texas, USA
| | - Angela Sutherland
- Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas, USA.,Department of Medicine and Nursing, University of Texas, Arlington, Texas, USA.,Department of Medical Education Health Science Center, Department of Physician Assistant Studies, University of North Texas, Fort Worth, Texas, USA
| | - Natalie Tillison
- Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas, USA.,Department of Medicine and Nursing, University of Texas, Arlington, Texas, USA.,Department of Medical Education Health Science Center, Department of Physician Assistant Studies, University of North Texas, Fort Worth, Texas, USA
| | - Jenny Brooks
- Department of Surgery, Division of Trauma Surgery/Surgical Critical Care, University of Texas Health Science Center, Tyler, Texas, USA.,Department of Medicine and Nursing, University of Texas, Arlington, Texas, USA.,Department of Medical Education Health Science Center, Department of Physician Assistant Studies, University of North Texas, Fort Worth, Texas, USA
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Abstract
OBJECTIVE To validate the accuracy and reliability of Harikrishna Periwound Skin Classification (HPSC) for wound assessment. METHOD Post-basic students (staff nurses and medical assistants) were given real life pictures showing the wound and periwound area. The students were asked to classify all pictures according to the HPSC at zero months (before attachment) and after two months of attachment. The images were the same but the answers were never given or discussed after the first test. RESULTS A total of 30 post-basic students participated in the study, assessing wound 30 images. The results showed that there was an increase of 25.42% in accuracy of wound assessment using the HSPC after two months of clinical attachment compared to pre-attachment. The reliability of the HPSC in wound assessment 79.87%. CONCLUSION Health professionals have to be able to assess and classify wounds accurately to be able to manage them accordingly. Assessment and classifications of the periwound skin are important and need to be validated and integrated as a part of a full wound assessment. With experience and adequate training, health professionals are able to comprehensively assess wounds using the validated tool, to enable effective wound management and treatment, accelerating wound healing and improving the quality of life for patients.
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Affiliation(s)
- Harikrishna K R Nair
- Ministry of Health Malaysia, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur
| | - Sylvia Sy Chong
- Ministry of Health Malaysia, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur
| | - Abdul Manan Othman
- Ministry of Health Malaysia, Hospital Kuala Lumpur, Jalan Pahang, 50586 Kuala Lumpur
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