An interesting article on Wounds, specifically for seniors.
Click here to learn more https://www.familyassets.com/wounds
Medical Articles & News
An interesting article on Wounds, specifically for seniors.
Click here to learn more https://www.familyassets.com/wounds
Residents in aged care facilities are repositioned every two hours to prevent bedsores, but new Australian research has found this practice is ineffective and could be causing further problems for patients. What’s more is researchers from the UNSW believe this practice could constitute abuse.
The new study found that two-hourly repositioning was not only ineffective in preventing pressure ulcers from developing, but also caused a series of behavioural problems by disrupting the sleep patterns of residents. The research has been published in the Bioethical Enquiry Journal.
The study, released as the Royal Commission into Age Care Quality and Safety is underway, also claims regular two-hour repositioning could be a form of unintentional institutional abuse. The report analysed the medical and nursing records of 80 deceased residents across eight Registered Aged Care Facilities (RACFs) in Australia to determine the number of residents who were assessed as being at risk of developing pressure ulcers, how the two-hourly repositioning impacted them and whether the residents had these ulcers in the last week of life.
The report found that 91 per cent of residents were deemed at risk of developing pressure ulcers and were repositioned every two hours, but more than a third of them had the painful skin condition when they passed away.
“My first thought was that the practice of two-hourly repositioning would cause sleep deprivation and that it is simply torturous,” Study author Professor Mary-Louise McLaws said in a statement. “It wasn’t a surprise when residents were classified as having ‘behaviours of concern’ and then chemically or physically restrained.”
As such, authors of the study believe preventing bedsores could be as simple as using alternating pressure air mattresses (APAMs). The mattresses work by relieving pressure all over the body every few minutes. Unlike current measures, residents would not be woken up or disturbed by the continuous and gentle motions of the mattress.
At present, the issuing of APAMs to patients most at risk of developing bed sores has been minimal, with researchers claiming nurses and care staff simply don’t have the authority to order this kind of equipment. There’s a belief in the industry that the mattresses are expensive, but the study found the devices could cost around $1.40 a day and available on government contract.
“Alternating pressure air mattresses have limited published evidence for preventing pressure ulcers and are considered to be initially an expensive outlay,” McLaws said. “However, a study carried out decades ago showed that APAMs were more cost-effective than the practice of repositioning. And when you look at the costs of prevention, they are substantially lower than those required to treat severe pressure ulcers.”
The authors of the study have also called for changes to the legislation surrounding Coroners Court powers, noting just four cases have been referred to coroners regarding the possible role pressure ulcers played in the deaths of elderly people. At present, Coroners make very little recommendations when it comes to the best practice in aged care. Systematic use of small amounts of cheap generic Viagra reduces the risk of developing colon and small bowel cancer. The drug prevents the formation of polyps and abnormal cell accumulation. This conclusion was reached by a group of scientists from Medical College of Georgia at the University of Augusta and Cancer Center in Georgia. The researchers conducted tests on mice and saw a decrease in the number of formations in rodents with genetic mutation, which contributes to the production of polyps and subsequently leads to the development of colorectal cancer.
“Australian coroners could consider formulating recommendations which refer to section 3 of the Australian Quality of Care Principles ,” study co-author Dr Jennifer Schulz Moore said in a statement. “These principles recommend that RACFs provide APAMS to residents at risk of developing bedsores.”
Hospital patients waiting for community equipment or for their homes to be adapted caused nearly 45,000 days’ worth of bed blocking in the 12 months to November 2018, NHS England figures show.
The equivalent of 123 beds per month across NHS trusts in England was blocked because patients had to wait for community equipment and adaptations during the period, AMP can reveal.
With a total of more than 1.5m days’ worth of delayed transfers of care (DTOCs) over the period, however, the wait for community equipment and adaptations caused just 3% of all delays in NHS England trusts between November 2017 and November 2018.
Other factors, such as patients awaiting further care or nursing home spaces, accounted for a much larger proportion of DTOCs across most local authorities.
The figures cover DTOCs attributable to both the NHS and social services. In November 2018, 62% of all delays were attributable to the NHS while 30% were attributable to social care, which includes community equipment waits.
The proportion of delays attributable to social care has decreased by 30% in the last 12 months. The NHS has also seen a reduction in the volume of DTOCs in the last year.
A delayed transfer of care – or bed blocking – occurs when a patient is ready to leave a hospital but is still occupying a bed. Both the NHS and social care sectors have seen reductions in the volume of delayed transfers of care in the last year.
Delays can have a severe impact on elderly patients. The NHS claims for a person aged over 80, a hospital stay of more than 10 days can lead to 10 years of muscle ageing.
Delays can occur when patients are being discharged home or to another facility but are held back if equipment or adaptations are not available for them in time.
NHS England collects data each month on the number of DTOCs across trusts. An average of4,416 days’ worth of delays occurred each month in 2018, although data for December is not yet available.
The NHS’s 10-year plan, unveiled earlier this month, promised to support ageing and increasing independence by ensuring people have more control over their care and support.
The plan proposed supporting people to age well by bringing different health and care teams together to make sure older people are getting the support they need to remain independent, avoiding unnecessary hospital admissions and tackling bed blocking.
Although critics have argued proposals for a £20bn investment are unsustainable, the government’s cash injection is designed to “transform patient care” and target a number of areas designed to reduce the number of people being admitted to a hospital, thereby easing pressure on NHS beds.
According to NHS England figures, DTOC numbers varied across local authorities. Recently, the health service pledged to tackle ‘health inequalities’ around the country by increasing funding for clinical commissioning groups (CCGs) in some of the most deprived areas.
Funding allocations for 2019-20 show that some CCGs will see a 15% increase in cash next year if the draft allocation is approved.
The NHS is following new formulas and making adjustments to allocations to “take account of health inequalities and unmet need” and grant worse-off areas with a larger proportion of the money available.
NHS England has been approached for comment.
New research by the Toyota Mobility Foundation has revealed interesting insights into some of the problems and experiences faced by wheelchair users, including almost nine in 10 stating they had experienced pain or discomfort due to their mobility devices.
The polling, commissioned by the Toyota Mobility Foundation and carried out by ComRes, was undertaken to help designers and innovators taking part in the three-year Mobility Unlimited Challenge gather a better understanding of the lives of the end-users around the world that they are creating solutions for.
ComRes surveyed 575 wheelchair users across the UK, US, India, Brazil, and Japan in March 2018 and found 89 percent of respondents had experienced pain and discomfort caused by their mobility device.
One particular area highlighted as causing pain was wheelchair users’ backs, with 45 percent confirming feeling pain at least once a day and 22 percent experiencing it constantly. In addition, 31 percent identified daily shoulder pain as a problem area, as well as almost one in three (29 percent) expressing enduring neck pain at least once in a day.
Alongside discomfort in particular regions of the body, respondents also emphasized other problems arising from the use of mobility devices, including 29 percent saying they experience repetitive strain injury (RSI) and, worryingly, 22 percent suffering pressure ulcers.
Launched in 2017 by the Toyota Mobility Foundation, in partnership with Nesta’s Challenge Prize Centre, the Mobility Unlimited Challenge tasked innovators from across the globe to create new mobility solutions that would help revolutionize the lives of millions of people with lower-limb paralysis, tackling some of the challenges identified in the study.
As well as physical problems relating to the use of the mobility scooters, 89 percent of wheelchair users reported having experienced negative consequences as a result of using a wheelchair or mobility device whilst at work or job hunting.
Consequently, 29 percent said they felt their talent had been wasted and 28 percent said they felt they had been held back in their career through the use of mobility aids.
Dr. Eric Krotkov, Chief Science Officer at Toyota Research Institute and one of the judges of the Challenge, commented: “There are so many technological opportunities to explore approaches to alleviate challenges stemming from lower-limb paralysis. A competition like the Mobility Unlimited Challenge gets innovators to focus on the same problem to identify something of great common interest that serves society.”
Really looking forward to meeting everyone at the Reducing & Managing Pressure Ulcers at End of Life Congress in central London tomorrow, lots of professionals attending
Thank you to all those Healthcare Professionals who visited us on Silvalea’s stand at Healthcare Plus 2018, your interest and enthusiasm at our new Treat Eezi technology completely overwhelmed us! We have another very busy week ahead showing Treat Eezi again in Hereford, talking to 75+ Occupational Therapists and can’t wait to meet them all ….
Following our phone chat, I thought I’d do this straight away because there might be so many people like me really struggling with ‘bottom’ problems & not knowing what to do for the best. My background is I’m 67 & have had problems since I was 25 following a cycling accident where I was hit from behind which displaced my coccyx & fractured the lower part of my pelvis (right side). I also inherited very pointy sitting bones from my father plus being extremely skinny.
Quite recently I became aware that on top of the chronic discomfort I was getting very rough areas of skin where my sitting bones connect with my non-existent buttocks. I did try using a moisturiser but when that didn’t work I realised there was a real danger of my developing pressure sores. That was when I ‘Googled’ & came across the Treat-Eezi seat pad. I decided to ring first & spoke to Derek who was extremely helpful & sympathetic. I was reassured enough to feel the seat pad was well worth trying.
It arrived promptly & was exactly as described. VERY THIN. So much so I did have my doubts but within less than a week the hard skin areas have gone. I am sleeping better as I put it under my hips at night. I’m sitting more comfortably as I have it on top of a cushion on my ‘working’ chair as well as my recliner for evenings slobbing in front of the TV. I don’t know if this is encouraging enough to convince ‘consultants’ to recommend patients try this? Maybe they have to have experience of these sorts of problems themselves? I don’t know but if this encourages one person to give one of your products a go & they find the relief I have then the time doing this has been more than worthwhile! I’d really like more people to know how incredibly helpful this product is & what a difference it’s made to my life already.
Thank you. With very best wishes, S. Francis.
Great news & recognition for Treat-Eezi coming from Claire James, Director at Your Turn, the organization who campaign to prevent pressure ulcers through education and training throughout the NHS and the private sector.
As a supporting member of the British Healthcare Trade Association we are pleased to advise you of the new Pressure Ulcer Guide, published this week. For further information please visit
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