المؤلفون: Catherine R. Ratliff, David V. Strider

المصدر: The Nurse Practitioner. 48:35-40

مصطلحات موضوعية: General Nursing

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::5a25f5b58929398009fa98ad6ab9d269Test
https://doi.org/10.1097/01.npr.0000000000000004Test

المؤلفون: Catherine R, Ratliff, Stephanie, Yates, Laurie, McNichol, Mikel, Gray

المصدر: Journal of Wound, Ostomy & Continence Nursing. 49:331-346

مصطلحات موضوعية: Advanced and Specialized Nursing, Medical–Surgical Nursing, Lower Extremity, Humans, Lymphedema, Vascular Diseases, Algorithms, Varicose Ulcer

الوصف: The Wound, Ostomy and Continence Nurses (WOCN) Society charged a task force with updating the venous leg ulcer (VLU) algorithm to include the addition of lymphedema with the new title of "Compression for Lower Extremity Venous Disease and Lymphedema (CLEVDAL)." As part of the process, the task force was charged to develop consensus-based statements to serve as clinical guidance related to CLEVDAL. The 3-member task force assisted by a moderator completed a scoping literature review to identify recommendations supported by research to qualify as evidence-based and to identify areas where guidance is needed to provide CLEVDAL. Based on the findings of the scoping review, the WOCN Society convened a panel of experts to develop consensus statements to direct care for those with lower extremity venous disease and lymphedema. These consensus statements underwent a second round of content validation with a different panel of clinicians with expertise in venous disease and lymphedema management. This article reports on the scoping review and subsequent evidence-based statements, along with the generation and validation of consensus-based statements to assist clinical decision-making in the CLEVDAL algorithm.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bdbd43ac5621eab48fd3afb3468bfaefTest
https://doi.org/10.1097/won.0000000000000889Test

المؤلفون: Virginia Rovnyak, Catherine R. Ratliff

المصدر: Journal of Wound, Ostomy & Continence Nursing. 48:504-509

مصطلحات موضوعية: Adult, Male, Adolescent, media_common.quotation_subject, Young Adult, Quality of life, Surveys and Questionnaires, Humans, Medicine, Prospective Studies, Young adult, Prospective cohort study, Aged, media_common, Aged, 80 and over, Advanced and Specialized Nursing, Wound Healing, integumentary system, business.industry, Middle Aged, Southeastern United States, humanities, Middle age, Test (assessment), Medical–Surgical Nursing, Quality of Life, Etiology, Female, Analysis of variance, Worry, business, Demography

الوصف: Purpose To describe health-related quality of life (HRQoL) using the Wound-Quality of Life (Wound-QoL) questionnaire for those individuals referred to an academic medical center wound clinic. Design Prospective, descriptive study. Subjects and setting One hundred eleven participants receiving care in an academic medical center wound clinic in the Southeastern United States. The sample comprised 67 males (60.4%) and 44 females (39.6%) with wounds of 6 major etiologies. Methods From June 2019 through May 2020, a convenience sample of 111 individuals completed the Wound-QoL questionnaire at the initial visit to the wound clinic. The Wound-QoL questionnaire is a valid and reliable tool consisting of 17 questions related to wound-QoL measured on a 5-point Likert scale, ranging from 0 (not at all affected) to 4 (very much affected). The questions are assigned to the 3 subscales: "body," "psyche," and "everyday life." The Wound-QoL individual items, subscales, and the total wound score (TWS) were calculated as mean values of the item scores, ranging from 0 to 4, where higher values correspond to decreased HRQoL. The TWS is defined as the sum of the 17 item responses, with values ranging from 0 to 68. Descriptive and parametric statistics were used to analyze the data from the Wound-QoL questionnaire. Results The mean TWS was approximately 3 points higher for Whites (n = 84) than for Blacks (n = 27) (32.42, SD = 17.96 vs 29.51, SD = 19.39), but this difference was not significant (P = .473). An independent-samples t test of TWS versus sex was not significant (P = .446). The TWS by age category was significant (P = .015), showing differences in mean scores based on age category. We found that the youngest (ages 17-39 years) and oldest (ages 70-98 years) participants were less bothered by their wounds in almost all respects than those in the middle age range (ages 40-69 years). The individual item means varied between 0.84 and 2.72, out of a possible range of 0 to 4. The highest means were for items on the emotional subscale with means from 1.93 to 2.72. Analysis of variance was used to examine the TWS and the 3 subscales over the 6 wound types; none were found to be significant (TWS: P = .454, body: P = .722, psyche: P = .452, everyday life: P = .087). Conclusion Wound-QoL questionnaire scores indicated that the greatest impact of a wound on HRQoL was on the emotional subscale. These 4 items are related to the individual expressing worry, fear, unhappiness, or frustration with wound healing. The Wound-QoL questionnaire may be used to evaluate the impact the wound has on the individual's HRQoL.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7849c491a106edbb708ffa0b860716e9Test
https://doi.org/10.1097/won.0000000000000824Test

المؤلفون: Mikel Gray, Catherine R. Ratliff, Kelly Jaszarowski, Margaret Goldberg, Laurie McNichol, Joyce Pittman

المصدر: Journal of Wound, Ostomy & Continence Nursing. 48:219-231

مصطلحات موضوعية: Adult, Content validation, Consensus, Consensus Development Conferences as Topic, Ostomy, Best practice, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Nursing, Colostomy, Humans, Medicine, 030212 general & internal medicine, Societies, Medical, Advanced and Specialized Nursing, integumentary system, Ileostomy, business.industry, Task force, Consensus conference, Surgical Stomas, Skin Care, Medical–Surgical Nursing, Peristomal Skin, business

الوصف: The Wound, Ostomy, and Continence Nurses (WOCN) Society identified the need to define and promote peristomal skin health. A task force was appointed to complete a scoping literature review, to develop evidence-based statements to guide peristomal skin health best practices. Based on the findings of the scoping review, the Society convened a panel of experts to develop evidence- and consensus-based statements to guide care in promoting peristomal skin health. These consensus statements also underwent content validation using a different panel of clinicians having expertise in peristomal skin health. This article reports on the scoping review and subsequent 6 evidenced-based statements, along with the generation and validation of 19 consensus-based statements, to assist clinical decision-making related to promoting peristomal skin health in adults.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aa2b8c11b51a8336faf0193812f636a5Test
https://doi.org/10.1097/won.0000000000000758Test

المؤلفون: Catherine R. Ratliff

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 49(4)

مصطلحات موضوعية: Advanced and Specialized Nursing, Medical–Surgical Nursing, Spinal Cord, Humans, Therapeutic Irrigation, Constipation, Fecal Incontinence, Spinal Cord Injuries

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::20bcd0be909ea4c73bfea296ce10080bTest
https://pubmed.ncbi.nlm.nih.gov/35809015Test

المؤلفون: Phyllis A. Bonham, Glenda Brunette, Lea Crestodina, Linda R. Droste, Arturo González, Teresa J. Kelechi, Catherine R. Ratliff, Myra F. Varnado

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 49(3)

مصطلحات موضوعية: Advanced and Specialized Nursing, Adult, Medical–Surgical Nursing, Lower Extremity, Ostomy, Diabetes Mellitus, Humans

الوصف: This article provides an executive summary of the Wound, Ostomy, and Continence Nurses Society's (WOCN) "2021 Guideline for Management of Patients With Lower-Extremity wounds Due to Diabetes Mellitus and/or Neuropathic Disease." This executive summary presents an overview of the systematic process used to update and develop the guideline and recommendations from the guideline for screening and diagnosis, assessment, and management and education of patients with lower-extremity wounds due to diabetes mellitus and/or neuropathic disease. In addition, the executive summary provides suggestions for implementing recommendations from the guideline. The guideline is a resource for WOC nurse specialists and other nurses and health care professionals who work with adults who have/or are at risk for lower-extremity wounds due to diabetes mellitus/neuropathic disease. The complete guideline includes the evidence and references supporting the recommendations, and it is available in print and electronically from the Wound, Ostomy, and Continence Nurses Society, 1120 Rt 73, Suite 200, Mount Laurel, New Jersey, 08054; Web site: www.wocn.org.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33c20162bc6cbb8890c803a880906ca1Test
https://pubmed.ncbi.nlm.nih.gov/35523243Test

المؤلفون: Robbin Shifflett, Cindy Kennedy, Catherine R. Ratliff, April Howell

المصدر: Journal of Wound, Ostomy, and Continence Nursing

مصطلحات موضوعية: Male, Quality management, medicine.medical_treatment, Pneumonia, Viral, Telehealth, 030204 cardiovascular system & hematology, Professional remote visits, 030218 nuclear medicine & medical imaging, Betacoronavirus, 03 medical and health sciences, 0302 clinical medicine, COVID Special Section, Health care, medicine, Humans, Outpatient clinic, Pandemics, Hospital readmissions, Aged, Advanced and Specialized Nursing, Service (business), Televideo, Rehabilitation, SARS-CoV-2, business.industry, COVID-19, Video calls, medicine.disease, Triage, Diabetic Foot, Telemedicine, Medical–Surgical Nursing, Workflow, Diabetes Mellitus, Type 2, Wounds, Female, Medical emergency, Coronavirus Infections, business

الوصف: Background Prior to the COVID-19 pandemic, the Cardiovascular Surgery (CV) service of an academic medical center conducted a quality improvement project to decrease readmissions to the hospital from 2 rehabilitation facilities using telehealth via video calling. This initiative became of great importance with the COVID-19 pandemic because it helped the CV service better navigate and more efficiently meet the patient care needs associated with patient care restrictions. The CV service had to quickly evaluate and implement measures to reduce the rate of transmission of the coronavirus, which included adapting the clinic workflow to comply with state and federal recommendations. To minimize the interruption of clinical services and the associated revenue, a rapid transition from outpatient clinic visits to telehealth visits was implemented. Cases Two cases reports of patients with wounds managed with 2 different telehealth platforms are described. Doxy.me platform allows the provider to e-mail or text a link to their personal waiting room for patients to join the video call. The second platform is Cisco Jabber platform to connect directly to the nursing unit at a skilled nursing or rehabilitation facility. Conclusion Health care systems have had to adjust the manner in which they triage, evaluate, and care for patients using telehealth platforms that do not rely on in-person clinic visits during the COVID-19 pandemic. There are multiple telehealth platforms that require careful planning and treatment implementation. Each health care agency needs to choose the one or ones that function the best in their care setting.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dd7bddd361fda25d7ba5763cfd419fb4Test
https://doi.org/10.1097/won.0000000000000692Test

المؤلفون: Catherine R. Ratliff

المصدر: Journal of Vascular Nursing. 38:72-75

مصطلحات موضوعية: Male, medicine.medical_specialty, Heel, medicine.medical_treatment, 030204 cardiovascular system & hematology, Amputation, Surgical, Vascular Nursing, 03 medical and health sciences, 0302 clinical medicine, Wheelchair, Humans, Medicine, Aged, Retrospective Studies, Peripheral Vascular Diseases, Pressure Ulcer, 030504 nursing, Pressure injury, business.industry, Vascular surgery, Sacrum, Medical–Surgical Nursing, Cross-Sectional Studies, medicine.anatomical_structure, Lower Extremity, Amputation, Emergency medicine, Female, 0305 other medical science, business, Risk assessment

الوصف: Individuals with peripheral arterial disease who have undergone below or above knee amputations have limited mobility and may sit for long periods of time in a wheelchair, increasing their risk for pressure injury. The aim of this descriptive cross-sectional research study was to retrospectively review the charts of those patients with peripheral arterial disease undergoing lower limb amputations from 2016 to 2017 at a major academic medical center to determine the frequency of pressure injury. Hospital data were used to identify patients discharged from 2016 to 2017 with primary International Classification of Diseases (10th Revision) codes for below knee amputations/above knee amputations and pressure injury (ulcer). From 2016 to 2017, 46 patients were admitted to the inpatient vascular surgery service for a below or above knee amputation. Seventeen of those patients had documented pressure injuries at hospital discharge for a frequency of 37%. There were 11 males and 6 females with age range of 44 to 82 years with a mean age of 66 years. There was a total of 19 pressure injuries (2 patients had 2 pressure injuries). Ten of those 19 pressure injuries were present on admission to the hospital and 9 pressure injuries were hospital-acquired pressure injuries. Thirteen of the 19 pressure injuries (68%) were on the sacrum. Three of the pressure injuries (16%) were on the heel. Two (11%) were ischial pressure injuries with one knee (5%) pressure injury. Risk assessment is an essential part of vascular nursing practice that aims to identify individuals at risk for pressure injury with appropriate interventions to prevent their occurrence. Vascular nurses should be encouraged to educate patients/family members on the increased risk of pressure injuries in those undergoing amputation during hospitalization and after discharge to prevent them from occurring.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7d399edbfb353f0ab74e10d1c436909aTest
https://doi.org/10.1016/j.jvn.2020.02.003Test

المؤلفون: Catherine R. Ratliff

المصدر: Journal of Wound, Ostomy & Continence Nursing. 46:543-546

مصطلحات موضوعية: medicine.medical_specialty, Erythema, medicine.medical_treatment, Neurosurgical Procedures, 030207 dermatology & venereal diseases, 03 medical and health sciences, Wound care, Postoperative Complications, 0302 clinical medicine, medicine, Humans, 030212 general & internal medicine, skin and connective tissue diseases, Aged, Advanced and Specialized Nursing, Wound Healing, Debridement, integumentary system, Wound dehiscence, business.industry, Granulation tissue, medicine.disease, Pyoderma Gangrenosum, Spine, Surgery, Medical–Surgical Nursing, medicine.anatomical_structure, Pathergy, Female, medicine.symptom, business, Surgical incision, Pyoderma gangrenosum

الوصف: BACKGROUND Postsurgical pyoderma gangrenosum (PSPG) is a rare autoimmune, neutrophilic dermatosis that results with the occurrence of pyoderma gangrenosum (PG) within surgical incisions. Presenting symptoms include erythema and pain at the surgical incision with wound dehiscence. The clinical appearance of the PSPG wound (similar to PG) shows raised with dusky red or violaceous (violet-colored) wound edges and undermining with little or no evidence of granulation tissue. "Pathergy" is the term used to describe worsening of the wound in response to trauma such as debridement. Postsurgical pyoderma gangrenosum should be suspected in postoperative wounds, which continue to become progressively worse despite broad-spectrum antibiotics, good wound care, and surgical debridement. CASE A clinical case study of a patient with PSPG from spine surgery is described. CONCLUSION Postsurgical pyoderma gangrenosum should be suspected in postoperative wounds, which continue to become progressively worse despite broad-spectrum antibiotics, good wound care, and surgical debridement.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4a2a050ea84c01f7258dbda7507b8d43Test
https://doi.org/10.1097/won.0000000000000587Test

المؤلفون: Adam J. Katz, Hulan Shang, Haley Gittleman, Jill S. Barnholtz-Sloan, Catherine R. Ratliff, Ning Yang, Noah Prince, Vladimir Vincek, Nicholas G. Roney, Rodney K. Chan, Justine Pierson, J Christian Brown, Victoria Hatem

المصدر: Plastic and Reconstructive Surgery, Global Open, Vol 8, Iss 5, p e2830 (2020)
Plastic and Reconstructive Surgery Global Open

مصطلحات موضوعية: medicine.medical_specialty, business.industry, medicine.medical_treatment, Scar tissue, lcsh:Surgery, Placebo-controlled study, Adipose tissue, Scars, lcsh:RD1-811, Autologous Fat Transfer, Surgery, medicine, Fat grafting, Original Article, Autologous fat grafting, medicine.symptom, business, Saline

الوصف: Background:. Autologous fat transfer—also referred to as fat grafting—has been reported to provide beneficial effects to overlying scar and skin. Despite procedural frequency, there is a paucity of high-level evidence guiding the surgeon in technique, patient selection, and efficacy. Methods:. A multicenter, double-blinded, randomized, internally placebo-controlled trial was performed with an aim to qualitatively and quantitatively evaluate the impact of autologous fat transfer on the quality of overlying scar tissue. Fat-grafted scars were evaluated and compared with paired, saline-injected “control” scars. Subjective and objective metrics were evaluated in treated sites for 12 months after treatment. Results:. Blinded qualitative results demonstrated a statistically significant improvement in scar quality over time in fat-grafted scars. However, these improvements were not found to be statistically different from changes noted in scars treated with saline. In addition, objective metrics did not statistically differ between saline-injected and autologous fat-grafted scars. Conclusions:. Our results demonstrate that autologous fat grafting can improve the qualitative profile of a scar from both the patient and observer perspectives. However, there was no difference in improvement when compared with scars that were treated with saline in a randomized and blinded fashion. These results demonstrate that any improvements in scar quality related to fat grafting are also achieved using saline and suggest that mechanisms other than cell activity may be at play. Additional randomized, blinded, placebo-controlled trials are required to either corroborate or contest the putative beneficial effect(s) of adipose tissue on scar remodeling.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::80dd7ee59df066ced77cb1fb94f4b6e8Test
https://pubmed.ncbi.nlm.nih.gov/33154872Test