News Wounds update
Two different bandaging methods equivalent for healing leg ulcers Quality assurance procedures were
A recent study comparing four- layer (4LB) and short-stretch bandaging (SSB) techniques has found that both methods are equally successful for treating leg ulcers in community care settings. The study was based in Canada,
where quality of life scores are lower than average for those with leg ulcers. Published in Bio Med Central Nursing, researchers assessed 424 individual patients suffering from leg ulcers until their wounds healed. Registered nurses (RNs) were
required to use an evidence- informed protocol for treating the leg ulcers, and 215 exclusively used the 4LB bandaging method for compression, while the 209 others used the SSB.
followed to ensure their proper use. It was found that 41% of patients using 4LB Profore and 21% using SSB Comprilan bandages had issues with their bandages, such as discomfort from tight application. With RNs trained in the principles
Image: Bandage roll. Credit: exfordy on Flickr.
Average healing time using the 4LB bandaging method took 62 days, while SSB took 77. Profore® (Smith and Nephew) was used
for the 4LB technique, and the cotton short- stretch bandages, Comprilan® (Smith and Nephew) was used for the SSB method.
of leg ulcer care and bandaging techniques, it was found that the bandages compared in this study (the largest to date) were equally as effective. Overall, the majority of the
patients were more satisfied with their treatment than in previous trials, as the nurses' skills were more up-to-date and they performed quality of care check-ups on a more regular basis. To read the study, click here.
Hong Kong’s first pressure ulcer prevention programme to reduce pressure ulcer prevalence
Hong Kong has launched its first ever pressure ulcer prevention programme to train non-licenced carers in nursing homes and ultimately reduce pressure ulcer prevalence. A group of 41 non-licenced
care providers were trained in pressure ulcer prevention
after having an initial skills and knowledge test. After six weeks, the care providers were assessed again and it was found that pressure ulcer prevalence dropped from 9% to 2.5%. Although the programme
increased the carers' work loads, it improved their motivation and skill, as well as developing heightened communication skills within the staff. Additional studies in the
Image: Nursing home, Ching Chung Koon temple complex, Hong Kong. Credit: Price Roy on Flickr.
future will help develop and expand further pressure ulcer prevention training for wound care clinicians based in Hong Kong. Click here to see the study.
Therapeutic insoles prevent diabetic foot ulceration
A new therapeutic insole has been shown to reduce pressure on the forefront of the feet, helping to prevent diabetic foot ulceration. A study in the British Journal of Diabetes and Vascular Disease shows that Liqua Care® (Pro Body Scandanavia) therapeutic insoles cushion the feet by preventing forefront pressure while also enhancing tissue oxygenation, which protects against tissue breakdown. The insoles are made of a non-toxic
liquid which moves between several compartments, redistributing pressure based on foot movement. In the study, 21 diabetic patients were
fitted for and wore the insoles eight hours a day for two weeks. Pressure on the feet was reduced by 21.5% and tissue oxygenation was improved by 5% after just two weeks of use. To read the study, click here.
www.woundsinternational.com
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