Treating skin tears in nursing home residents: A pilot study comparing four types of dressings

International Journal of Nursing Practice (Impact Factor: 0.6). 02/1998; 4(1):25 - 32. DOI: 10.1111/j.1440-172X.1998.00066.x


Edwards H, Gaskill D & Nash R. International Journal of Nursing Practice 1998; 4: 25–32Treating skin tears in nursing home residents: A pilot study comparing four types of dressingsA pilot study was conducted to compare four types of dressings used to treat skin tears in nursing home residents. Wounds treated with a non-occlusive dressing healed more quickly than those dressed with occlusive dressings. The results suggest that ease of use and product wastage are important considerations when treating skin tears. The pilot study also highlights the need for further research into skin tear management and the need for ongoing education for nurses regarding skin integrity risk assessment and product information.

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    ABSTRACT: One organisation undertook a hospital-wide audit of skin tears to determine the type, location and current wound management practices in place. Prevalence varied greatly between wards, ranging from 0-3.8% in surgical wards to 27% in the palliative care ward. Using the Payne-Martin skin tear classification system, the majority of skin tears were categorised as 2A, partial thickness skin tears with less than 25% tissue loss. The audit discovered various management practices in places, some at variance with recommended wound care practices. To support consistency of practice, organisational practice guidelines were developed and are in the process of being disseminated to staff. Evaluation measures will consist of regular auditing practices, noting prevalence, location, causation factors and wound management practices, as well as staff knowledge.
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    ABSTRACT: 5,7-10 and the occurrence of skin tears may present as an indicator of the quality of care in healthcare facilities 9,11,12 . However, there is no consensus for the prevention and management of skin tears, and evidence based protocols are limited 12,13 , with many of the existing protocols generated by dressing product manufacturers.
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    ABSTRACT: Until now the Payne-Martin Classification System for Skin Tears has been the only skin tear classification system reported in the literature. Considering that the development of this taxonomy began over twenty years ago, it is rather puzzling that it has been poorly utilised in Australia. especially in light of the fact that skin tears are perceived to be common wounds amongst frail older or disabled persons 1, 2, 3 and their prevalence can be expected to escalate in line with our ageing population. Stage one of the Skin Tear Audit Research (STAR) study aimed to gain a consensus from Australian nurse experts in wound management on a classification system for skin tears and to test the reliability of the resulting classification system. This paper reports on the processes undertaken to achieve a consensus, the STAR Skin Tear Classification System that resulted, and the reliability testingthat it underwent.
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