The content of training courses on wound care and risk assessment would have one believe that chronic wounds are merely a marginal problem of medical care. The opposite is the case. The number of chronic wounds, and therefore cost of care, are on the increase. Where might the problems and sources of these errors lie?
In `Hard-to-heal wounds: a holistic approach´ a paper produced by the European Wound Management Association (EWMA), the authors analyse the calculation of treatment costs, based on international examples, and point out problems associated with a clear definition of the term treatment costs. They also emphasise the importance of the addition of the term holistic approach.
A system of national quality registers, established in recent decades in Sweden's health and medical services, now numbers 64 registers. Along with three competence centres, these cover, for example, diabetes mellitus (NRD), dementia (SeDEM), Swedish intensive care (SIR) and acute coronary care (RIKS-HIA), and the Register Ulcer Treatment (RUT), which was added at the dawn of 2007. The latter has…
24-26 June Stuttgart, Germany
The Wound Care Unit at the Clinic Pasteur in Toulouse, France, was successfully set up to deliver a multidisciplinary approach to diabetic wound care.
Allein in Deutschland müssen jährlich schätzungsweise vier Millionen Patienten mit chronischen Wunden versorgt werden. Eine Wundauflage, die von den Hohenstein Instituten in Bönnigheim im Rahmen eines Forschungsprojektes in Zusammenarbeit mit der Gesellschaft zur Förderung von Medizin-, Bio- und Umwelttechnologien e.V. (GMBU) in Dresden entwickelt wurde, eröffnet…
A wound compress is being developed at the Hohenstein Institute in Boennigheim, Germany, that could pave the way for new treatment opportunities. The new wound compress would integrate and continually deliver effective ingredients on the basis of nanosol technology. The technique speeds up healing, simplifies treatment and reduces the amount of time required for care.
Questions arose at MEDICA 2008 about which assistive/care devices reach patients, what is their quality and who pays for them.
About 4 million people in Germany suffer from bad or non healing wounds. Most important for a good wound healing is a good sufficient supply with oxygen.
When it comes to chronic wound care, says Professor Heinz J Janssen of the Institute for Health and Nursing Economics (IGP) at Bremen University of Applied Sciences, cost effectiveness and quality are not contradictions.
The 2nd international symposium `Diabetic foot: surgery, therapy, rehabilitation´ took place on the beginning of October in St. Petersburg. Olga Ostrovskaya reports from Russia
Surgical Site Infection is the most important problem facing surgeons today, according to Professor Miguel Cainzos, of Santiago de Compostela, Spain, speaking at the 2nd EMEA Symposium on New Non-Pharmaceutical ways to reduce surgical site infection.
Patented Völker Micro-stimulation Systems (MiS) present a complex suspension and are the technical implementation of basal stimulation; they support prophylactic measures, particularly pressure sore prophylaxis, and they are now the standard pressure reduction system used in all Völker beds, the maker reports (Full details: www.voelker.de)
ArjoHuntleigh, formed in 2007 from the merger of ARJO and Huntleigh Healthcare, is showing a broad portfolio of products and services for patient care.
During five years of practical experience, Johanna Meyer, Assistant Director of the Nursing Directorate at Gütersloh Municipal Hospital, Germany, has found that a pressure-relieving system made by MTS proved convenient for patients and nurses.
Dynamic mattresses, also called alternating air pressure mattresses or replacement mattress systems, have air cells that alternately inflate and deflate in a cycle to relieve pressure on the body.
Pressure ulcers are a risk for patients undergoing long surgical procedures. Gel pads, widely used to reduce this risk, are considered to have two major disadvantages: they compromise the patient's thermo regulation by "sucking" warmth from the body and they do not provide sufficient pressure reduction for prominent body parts.
One of the major nursing congresses in the German-speaking countries is the Southern German Nursing Day which took place on 7 October 2008 at the University Hospital Munich. One focus of this year's event was the question whether and how modifications of and curtailing nursing services will impact patient safety.
An interdisciplinary researcher team from the University of Sheffield has developed an ultra-fine, 3-dimensional scaffold to regenerate skin for wound healing. It dissolves after integrating in the wound and might provide a more safer way of treating injuries.
In any hospital, one of the most dreaded enemies is MRSA. This super-resistant pathogen laughs in the face of most antibiotics. But now, medical and hygiene product manufacturer Lohmann & Rauscher may have developed an efficient weapon to fight this ugly beast: a wound dressing that contains polyhexamethylene biguanide (PHMB).
According to a study by the German Aerospace Centre, bedsores are mainly induced by a combination of gravity and immobility. Gravity exerts skin pressure and tissue shearing stress, which in turn provoke pathological changes if patient mobility is not encouraged.
"Our institute for Children's Emergency Surgery and Traumatology, which also includes neurotrauma, trauma, resuscitation, intensive care and others, has a unique character", Prof Roshal explained.
Hair follicles, long disregarded by researchers, except in the cosmetic industry, may turn out to be `the fountain of youth´, according to Andreas Emmendörffer, CEO of German biotech firm Euroderm.
The recently launched KFH Novo from Kingfisher Healthcare (KFH) is a non-invasive medical device that utilises Bio-Electric Stimulation Therapy (BEST) to deliver extremely low levels of current to chronic wounds. This does not interfere with standard conventional therapy; the electrodes are placed some way from the wounds, beyond the normal treatment areas.
Process optimisation concerns all primary and secondary processes in a hospital. Case management is a tool that supports the implementation of comprehensive optimisation efforts.
