August’s 5 on 5 features wound care resources.
- Oropallo A, et al. Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus. (2021).
“Excessive levels of bacteria impede wound healing and can lead to infectious complications. Unfortunately, clinical signs and symptoms of elevated bacterial burden are often unreliable. As a result, point–of–care fluorescence imaging, used to detect critical bacterial burden in wounds, is becoming widely recognized and adopted by clinicians across the globe as an accepted and added component of wound assessment protocol. A Delphi method was employed to establish consensus guidelines describing fluorescence imaging use. A multidisciplinary panel of 32 wound experts (56% MD, 22% podiatrist, 12.5% nurses/nurse practitioners) representing multiple sites of service (e.g., hospital outpatient, inpatient, private office, long-term care) completed two rounds of online questionnaires. The Delphi included key topics, including competencies required to perform imaging, clinical indications for imaging (e.g., signs/symptoms present, procedures warranting imaging), frequency of imaging, and a clinical workflow algorithm. Describing their clinical experiences of imaging impact, >80% reported changes in treatment plans, 96% reported that imaging-informed treatment plans led to improved wound healing, 78% reported reduced rates of amputations, and 83% reported reduced rates of microbiological sampling. The guidelines provided here will help to standardize use of fluorescence imaging among wound care providers and enhance the quality of patient care.”
- Agency for Clinical Innovation. Organisational models of care for chronic wound. (2021).
An evidence review on “organisational models to deliver chronic wound care and prevention” and recommendations for “wound care organisations in preventing or managing chronic wounds.”
Systematic reviews in the Cochrane Library on various topics related to wounds.
- Nurses Specialized in Wound, Ostomy and Continence Canada. Debridement: Canadian best practice recommendations for nurses. (2021).
“A core finding that emerged during the development of these best practice recommendations (BPR) was the inconsistent requirements for nurses to initiate and perform debridement across provinces/territories and health care settings. The apparent need for consistent and standardized debridement practices for nurses was identified as essential to facilitate optimal clinical outcomes and safety for patients and Canadian nurses. This document is intended for the three categories of nurses in Canada, registered nurse (RN), nurse practitioner (NP), and registered/licensed practical nurse (RPN/LPN).”
- Canadian Patient Safety Institute. Hospital harm improvement resource pressure ulcer. (2021).
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