Clinical Notes

Best of the Best 2016

Electrical stimulation and pressure ulcer healing in SCI patients
A systematic review of eight clinical trials of 517 patients with spinal cord injury (SCI) and at least one pressure ulcer indicates that electrical stimulation increases the healing rate of pressure ulcers. Wounds with electrodes overlaying the wound bed seem to . . .

July/August 2016 Vol. 5 No. 4

Management of biofilm recommendations
The Journal of Wound Care has published “Recommendations for the management of biofilm: a consensus document,” developed through the Italian Nursing Wound Healing Society.
The panel that created the document identified 10 interventions strongly recommended for clinical practice; however, panel members noted that, “there is a . . .

May/June 2016 Vol.5 Nov.3

Moldable skin barrier effective for elderly patients with ostomy
A study in Gastroenterology Nursing reports that compared to a conventional skin barrier, a moldable skin barrier significantly improves self-care satisfaction scores in elderly patients who have a stoma. The moldable skin barrier also caused less irritant dermatitis and the . . .

March/April 2016 Vol. 5 No.2

Self-management ostomy program improves HRQOL
A five-session ostomy self-care program with a curriculum based on the Chronic Care Model can improve health-related quality of life (HRQOL), according to a study in Psycho-Oncology.
“A chronic care ostomy self-management program for cancer survivors” describes results from . . .

January/February 2016 Vol. 5 No. 1

Value of systematic reviews and meta-analyses in wound care

“Systematic reviews and meta-analyses—literature-based recommendations for evaluating strengths, weaknesses, and clinical value,” in Ostomy Wound Management, discusses evidence-based practice and how systematic reviews (SRs) and meta-analyses (MAs) can help improve management of wound care patients . . .

November/December 2015 Vol. 4 No. 6

Modified Braden risk score proposed
A study in Ostomy Wound Management states the risk classification of patients using Braden Scale scores should comprise three (rather than five) levels: high risk, with a total score ≤11; moderate risk, with a total score of 12 to 16; and mild risk, with a . . .

Best of the Best 2015 Vol. 4 No. 5

Mild compression diabetic socks safe and effective for lower extremity edema
Diabetic socks with mild compression can reduce lower extremity edema in patients with diabetes without adversely affecting arterial circulation, according to a randomized control trial presented at the American Diabetes Association 75th Scientific Sessions Conference.

“Control of lower extremity . . .

July/August 2015 Vol. 4 No. 4

Leg revascularization fails to improve outcomes in nursing home patients
Lower-extremity revascularization often fails to improve outcomes in nursing home patients, according to an article in JAMA Internal Medicine.

“Functional outcomes after lower extremity revascularization in nursing home residents: A national cohort study” found that few patients are alive . . .

May/June 2015 Vol. 4 No. 3

Factors affecting medication adherence in patients with diabetes identified
Factors associated with better adherence to antidiabetic medications taken by patients with diabetes include older age, male sex, higher education, higher income, use of mail-order vs. retail pharmacies, primary care vs. nonendocrinology specialist prescribers, higher daily total pill burden, and . . .

March/April 2015 Vol.4 No.2

Guidelines for optimal off-loading to prevent diabetic foot ulcers

“The management of diabetic foot ulcers through optimal off-loading,” published in the Journal of the American Podiatric Medical Association, presents consensus guidelines and states the “evidence is clear” that off-loading increases healing of diabetic foot ulcers.

The article . . .