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Wound Management & Prevention Sep 2020This study aimed to describe the frequency of colostomy and ileostomy complications and types of nursing interventions as well as to examine patient and ostomy variables...
PURPOSE
This study aimed to describe the frequency of colostomy and ileostomy complications and types of nursing interventions as well as to examine patient and ostomy variables associated with early and late complications.
METHODS
The records of 572 patients who received ostomy care from a wound ostomy care (WOC) nurse between 2013 and 2017 were abstracted. Patient demographic and ostomy variables, early period (< 30 days after surgery) and late period (> 30 days after surgery) complications, as well as documented nursing interventions were retrieved. Percentages and rates, chi-square statistics, and logistic regression were used to analyze the data.
RESULTS
The mean patient age was 59.1 years (standard deviation [SD], 13.86), and the majority of patients were male (302 patients; 52.8%), married (454; 79.4%), and had a temporary (438; 76.6%) end colostomy (253; 44.2%). One (1) or more complications developed in 323 patients (56.5%) in the early period and in 207 patients (36.2%) in the late period. The most common complications in the early period were peristomal irritant contact dermatitis (PICD) (181; 31.6%) and mucocutaneous separation (135; 23.6%). PICD was also the most common complication in the late period (149; 26%). The risk of PICD was significantly higher in patients with a body mass index > 24.9 kg/m2 (odds ratio [OR] = 1.547), who had an ileostomy (OR = 1.654), or a temporary ostomy (OR = 1.728). Variables associated with an increased risk of mucocutaneous separation included obstacles to ostomy care (OR = 2.222), having an end ostomy (OR = 2.171), and ostomy height < 10 mm (OR = 1.964). Complications were treated by the WOC nurse in 67.5% of patients, and the most common intervention was application of skin barrier powder and wipe layers.
CONCLUSIONS
The rate of ostomy complications, especially PICD and mucocutaneous separation, in this study was high. Results confirm that patient and ostomy characteristics might significantly affect the risk of complications. The findings support the importance of outpatient follow-up by a WOC nurse. Explorative or randomized controlled studies are needed to identify optimal nursing strategies to decrease complication rates.
Topics: Aged; Chi-Square Distribution; Cohort Studies; Female; Humans; Male; Middle Aged; Nursing Care; Ostomy; Retrospective Studies; Risk Factors; Skin Care; Wound Healing
PubMed: 32903201
DOI: No ID Found -
JBI Database of Systematic Reviews and... May 2017Incontinence-associated dermatitis (IAD) is inflammation of the skin resulting from repeated contact with urine and/or feces. It causes pain, redness, swelling and... (Review)
Review
BACKGROUND
Incontinence-associated dermatitis (IAD) is inflammation of the skin resulting from repeated contact with urine and/or feces. It causes pain, redness, swelling and excoriation, and may lead to complications such as fungal skin infections and pressure injuries. It is important to prevent and treat IAD to avoid complications and improve patient outcomes. A number of products are available for protecting skin, but evidence on their effectiveness is limited.
OBJECTIVES
The current review aimed to establish the effectiveness of topical skin products in reducing the occurrence and/or severity of IAD.
INCLUSION CRITERIA TYPES OF PARTICIPANTS
Adult patients over the age of 18 years with incontinence and/or diarrhea.
TYPES OF INTERVENTION
Topical skin products as individual interventions or part of a skin care regimen.
TYPES OF STUDIES
Both published and unpublished study designs including randomized controlled trials, non-randomized controlled trials, quasi-experimental, before and after, prospective and retrospective cohort, case-control, analytical cross-sectional, descriptive study designs including case series, individual case reports and descriptive cross-sectional studies across all care settings for inclusion.
OUTCOMES
The primary outcome of interest was the absence or non-development, reduction or resolution, new development or increase in the occurrence of IAD or the increase in severity of IAD. The secondary outcome was any adverse effect caused by the skin care products used.
SEARCH STRATEGY
A three-step search strategy to find both published and unpublished papers was utilized in this review. Studies were limited to those published in English from 1980 to 2016.
METHODOLOGICAL QUALITY
Papers selected were assessed by two independent reviewers using the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI).
DATA EXTRACTION
Data were extracted using the standardized data extraction tool in JBI-MAStARI. The data extracted included specific details about the interventions, populations, study methods and outcomes.
DATA SYNTHESIS
Studies were assessed for methodological quality and statistical significance to determine validity and generalizability of study results. It was not possible to pool studies to conduct meta-analysis or test for heterogeneity.
RESULTS
There were a limited number of clinical trials that compared products for efficacy in preventing and treating IAD. Assessment tools and severity scores used to measure skin damage outcomes were dissimilar and prone to subjectivity. It was difficult to ascertain superiority of any individual product.
CONCLUSION
Information on barrier protective efficacy, side effects and cost can be valuable to both clinicians and care providers. More randomized controlled trials on product effectiveness for prevention and treatment of IAD are highly recommended.
Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Dermatitis; Dermatologic Agents; Fecal Incontinence; Female; Humans; Male; Middle Aged; Prospective Studies; Retrospective Studies; Severity of Illness Index; Skin; Skin Care; Skin Cream; Soaps; Treatment Outcome; Urinary Incontinence; Zinc Oxide
PubMed: 28498177
DOI: 10.11124/JBISRIR-2016-003015 -
International Wound Journal Apr 2018The aim of this study was to identify current research on turning frequencies of adult bed-bound patients and inform future turning practices for hospitals based on... (Review)
Review
The aim of this study was to identify current research on turning frequencies of adult bed-bound patients and inform future turning practices for hospitals based on evidence-based practice. We undertook a scoping review framework that provided a transparent and systematic methodology using 8 electronic databases (CINAHL, PubMed, Cochrane Library, ScienceDirect, PsycINFO, Scopus, ProQuest, and Web of Science) to identify articles published from 2000 to 2016. Articles were included if they focused on the prevention of hospital-acquired pressure ulcers related to the frequency of turning or repositioning of bed-bound patients. Literature search and data extraction were performed independently by 3 authors. The study followed the PRISMA guidelines. In total, 911 articles were identified, of which 10 were eligible. Of the eligible articles, 8 studies could not reach a conclusion on the effective frequency of turning and duration for repositioning patients to prevent the development of pressure ulcers. Only 2 studies found significant differences among the intervention and control groups. Results regarding turning and repositioning schedules are inconclusive; however, the topic needs further exploration to improve the outdated guidelines surrounding pressure ulcer prevention. This may, in turn, make the work of nurses more efficient and make treatment cost-effective for both the patients and the hospitals.
Topics: Adult; Aged; Aged, 80 and over; Bedridden Persons; Female; Humans; Male; Middle Aged; Moving and Lifting Patients; Patient Positioning; Practice Guidelines as Topic; Pressure Ulcer; Skin Care
PubMed: 29243356
DOI: 10.1111/iwj.12855 -
British Journal of Nursing (Mark Allen... Oct 2018Pressure ulcers (PUs) are caused by tissue damage when the blood supply to an area of skin is diminished as a result of pressure. Although most pressure ulcers are...
Pressure ulcers (PUs) are caused by tissue damage when the blood supply to an area of skin is diminished as a result of pressure. Although most pressure ulcers are preventable, all patients are at risk. Nurses have a central role in prevention and management of pressure areas. They should be able to assess patients' risk of developing PUs using evidence-based practice, recognised risk assessment tools and by completing a holistic assessment. Nurses must be able to identify the risk factors associated with developing PUs and implement appropriate measures to deliver harm-free care. Repositioning techniques, monitoring and ongoing care strategies are essential for pressure ulcer prevention in practice.
Topics: Adult; Humans; Pressure Ulcer; Skin Care
PubMed: 30281355
DOI: 10.12968/bjon.2018.27.18.1050 -
Journal of Wound Care Mar 2020
Topics: Humans; Practice Guidelines as Topic; Skin; Skin Care; Soft Tissue Injuries; Tissue Adhesives
PubMed: 32134695
DOI: 10.12968/jowc.2020.29.Sup3c.S1 -
Journal of Drugs in Dermatology : JDD Jun 2021The original article “The Skin Health and Beauty Pyramid” was published in 2014. In the last 7 years, many new skin care innovations have been developed that...
The original article “The Skin Health and Beauty Pyramid” was published in 2014. In the last 7 years, many new skin care innovations have been developed that were not available at the time of the first publication. New mechanisms of action for recently identified unmet skin aging needs along with novel ingredients have been commercialized that warrant the attention of dermatologists, skin care professionals, and patients. This article updates the original pyramid with these new concepts. J Drugs Dermatol. 2021;20(6):695-699. doi:10.36849/JDD.5883 THIS ARTICLE HAD BEEN MADE AVAILABLE FREE OF CHARGE. PLEASE SCROLL DOWN TO ACCESS THE FULL fTEXT OF THIS ARTICLE WITHOUT LOGGING IN. NO PURCHASE NECESSARY. PLEASE CONTACT THE PUBLISHER WITH ANY QUESTIONS.
Topics: Beauty; Humans; Skin; Skin Aging; Skin Care
PubMed: 34076396
DOI: 10.36849/JDD.2021.5883 -
Pediatric Annals Jan 2019The skin serves as a unique barrier from the outside world and undergoes critical changes during its development and maturation. This article reviews evidence-based... (Review)
Review
The skin serves as a unique barrier from the outside world and undergoes critical changes during its development and maturation. This article reviews evidence-based recommendations for the routine care of newborn skin that should be integrated into the pediatrician's practice. [Pediatr Ann. 2019;48(1):e11-e15.].
Topics: Female; Humans; Infant Care; Infant, Newborn; Male; Pediatricians; Practice Guidelines as Topic; Skin; Skin Care
PubMed: 30653637
DOI: 10.3928/19382359-20181211-01 -
Pediatric Dermatology Mar 2023Dry skin, also called xerosis (zee-ROW-sis), is one of the most common skin conditions.
Dry skin, also called xerosis (zee-ROW-sis), is one of the most common skin conditions.
Topics: Humans; Skin Diseases; Skin Care
PubMed: 36989165
DOI: 10.1111/pde.15304 -
Pediatric Annals Jan 2019
Topics: Dermatology; Humans; Infant, Newborn; Infant, Newborn, Diseases; Skin; Skin Care; Skin Diseases
PubMed: 30653636
DOI: 10.3928/19382359-20181210-02 -
Dermatologic Clinics Jan 2018The male cosmeceutical market is still underdeveloped. Although women embrace skin care as a part of general health, this concept has not gained wide male acceptance.... (Review)
Review
The male cosmeceutical market is still underdeveloped. Although women embrace skin care as a part of general health, this concept has not gained wide male acceptance. Shaving is probably the most beneficial daily grooming event men commonly undertake for skin appearance and may account for the failure of antiaging cosmeceuticals to attract attention in this segment. In addition, there are many physiologic differences between male and female skin, with less of a need for moisturization and photoprotection in men. This article highlights some of the differences between male and female skin along with the unique product attributes required to address these differences.
Topics: Cosmeceuticals; Hair Removal; Humans; Male; Sex Factors; Skin Care; Skin Cream; Skin Physiological Phenomena; Soaps
PubMed: 29108541
DOI: 10.1016/j.det.2017.09.003