Learning through telemedicine: case study of a wound care network

2005 ◽  
Vol 6 (4/5/6) ◽  
pp. 368 ◽  
Author(s):  
Liqiong Deng ◽  
Marshall Scott Poole ◽  
Houghton G. Brown ◽  
Cynthia Scheideman-Miller
Keyword(s):  
Author(s):  
Ellen J. Bass ◽  
Justine S. Sefcik ◽  
Elease McLaurin ◽  
Rose Ann DiMaria-Ghalili

A prototype medical device and protocol that work well in a clinic would not necessarily work reliably in the home setting. The goal of this work is to identify factors to consider when translating a device evaluated in a clinic for use by home caregivers providing chronic wound care for persons living with dementia. One must consider the current device, the associated bundle, the protocol and how they may need to be modified. Semi-structured interviews with the research assistants who have applied a prototype device were conducted to generate a list of known issues with the current clinical protocol in terms of ultrasound application The researchers performed a set of specified tasks by following the current device protocol and explaining any difficulties with use\execution. They embellished the descriptions with details about what had happened with actual patients in the clinic. Using thematic analysis, analysts identified themes and subthemes. Issues potentially relevant to translating medical devices to the home are discussed.


2014 ◽  
Vol 20 (6) ◽  
pp. 593-600 ◽  
Author(s):  
Marie-Pierre Gagnon ◽  
Erik Breton ◽  
François Courcy ◽  
Sonia Quirion ◽  
José Côté ◽  
...  
Keyword(s):  

2021 ◽  
Vol 15 (7) ◽  
pp. 330-333
Author(s):  
Menna Lloyd Jones ◽  
Elen Roberts
Keyword(s):  

1995 ◽  
Vol 85 (6) ◽  
pp. 338-339 ◽  
Author(s):  
SF Boc ◽  
JD Martone

A case study has been presented where C. jeikeium was isolated as the causative bacterium of an osteomyelitis of the fifth metatarsal. Partial amputation, local wound care, frequent and aggressive debridement, and appropriate antibiotics were all used with apparent success. The lack of complete patient follow-up prohibits the authors from declaring the infection cured; however, all signs of infection were absent immediately prior to discharge. The authors believe this to be the first reported case of Corynebacterium species as the bacterial isolate in confirmed osteomyelitis.


Author(s):  
Peter Tatham ◽  
Frank Stadler ◽  
Abigail Murray ◽  
Ramon Z. Shaban

Purpose Whilst there is a growing body of research which discusses the use of remotely piloted aircraft systems (RPAS) (otherwise known as “drones”) to transport medical supplies, almost all reported cases employ short range aircraft. The purpose of this paper is to consider the advantages and challenges inherent in the use of long endurance remotely piloted aircraft systems (LE-RPAS) aircraft to support the provision of medical supplies to remote locations – specifically “medical maggots” used in maggot debridement therapy (MDT) wound care. Design/methodology/approach After introducing both MDT and the LE-RPAS technology, the paper first reports on the outcomes of a case study involving 11 semi-structured interviews with individuals who either have experience and expertise in the use of LE-RPAS or in the provision of healthcare to remote communities in Western Australia. The insights gained from this case study are then synthesised to assess the feasibility of LE-RPAS assisted delivery of medical maggots to those living in such geographically challenging locations. Findings No insuperable challenges to the concept of using LE-RPAS to transport medical maggots were uncovered during this research – rather, those who contributed to the investigations from across the spectrum from operators to users, were highly supportive of the overall concept. Practical implications The paper offers an assessment of the feasibility of the use of LE-RPAS to transport medical maggots. In doing so, it highlights a number of infrastructure and organisational challenges that would need to be overcome to operationalise this concept. Whilst the particular context of the paper relates to the provision of medical support to a remote location of a developed country, the core benefits and challenges that are exposed relate equally to the use of LE-RPAS in a post-disaster response. To this end, the paper offers a high-level route map to support the implementation of the concept. Social implications The paper proposes a novel approach to the efficient and effective provision of medical care to remote Australian communities which, in particular, reduces the need to travel significant distances to obtain treatment. In doing so, it emphasises the importance in gaining acceptance of both the use of MDT and also the operation of RPAS noting that these have previously been employed in a military, as distinct from humanitarian, context. Originality/value The paper demonstrates how the use of LE-RPAS to support remote communities offers the potential to deliver healthcare at reduced cost compared to conventional approaches. The paper also underlines the potential benefits of the use of MDT to address the growing wound burdens in remote communities. Finally, the paper expands on the existing discussion of the use of RPAS to include its capability to act as the delivery mechanism for medical maggots.


Author(s):  
Chiranth Kumar R. ◽  
Syeda Ather Fathima

Diabetes is considered as ‘ice burg’ of diseases as only 1/3rd of its manifestations can be made out clinically, though the exact cause is not known following are the theories put forth to explain diabetes mellitus - Genetic factor, Life style disorder, Autoimmune cause. Slight injury to glucose laden tissue will cause infection which is precipitated by an ulcer and it tends to a state of non - healing. Main stay of treatment includes antibiotics, debridement, local wound care. Inspite of these treatments there is less reduction in the statistics of diabetic foot complications and amputations. In Sushrutha Samhitha we get the most scientific approach for the management of Vrana, where Sushrutha has mentioned 60 Upakrama’s (modalities of treatment) of which Avachoornana (dusting) is one modality, seen to be effective in the management of diabetic non healing ulcers (Madhu Mehaja Dusta Vrana).


Author(s):  
LENY LENY

  Persalinan sering kali mengakibatkan luka perineum, baik pada primigravida maupun pada multigravida, dengan perineum yang kaku perlu dilakukan penjahitan dan perawatan luka dengan baik agar mempercepat proses penyembuhan luka perineum. Tujuan penelitian ini untuk mengetahui perbedaan penyembuhan luka perineum pada ibu post partum yang diberikan kompres povidone iodine 10% dengan kompres NaCl 0,9% di Wilayah Kerja Puskesmas Sosial Palembang Tahun 2016. Penelitian ini menggunakan pra-eksperimen dengan metode postes only design (one shot case study). Populasi seluruh ibu post partum dengan luka perineum yang ada di Wilayah Kerja Puskesmas Sosial Palembang Tahun 2016. Sampelnya 20 orang responden, yaitu 10 responden diberikan kompres povidone iodine 10% dan 10 responden diberikan kompres NaCl 0,9%. Instrumen penelitian menggunakan lembar observasi. Teknik sampling yang digunakan yaitu sampling jenuh. Uji statistik bivariat menggunakan mann-whitney dan uji statistik univariat menggunakan deskriptif frekuensi. Hasil penelitian menunjukkan bahwa kesembuhan luka perineum dengan povidone iodine 10% sebesar 70,0%, sedangkan dengan NaCl 0,9% sebesar 30,0%. Ada perbedaan penyembuhan luka perineum yang diberikan kompres  povidone iodine 10% dengan NaCl 0,9% dengan nilai p = 0,029. Jadi dalam menangani pasien dengan perawatan luka perineum dapat menggunakan povidone iodine 10% karena dapat mempercepat proses penyembuhan luka.   ABSTRACT Labor frequently causes the tear perineum wound, especially in the case of solid perineum, either on primigravida or multigravida; with the case of solid perineum, it is necessary to perform sewing treatment and appropriate cure for the wound in order that process of the healing perineum wound may be accelerated. This research is aim to know the difference between perineum wound care with povidone iodine 10% compress and treatment with natrium chloride 0,9% compress on post-partum mother at Working Area Sosial Public Center Palembang 2016. The research used pre-experimental with post-test-only-design method (one short case-study). The population is all post-partum mothers with perineum care at Working Area Sosial Public Center Palembang 2016. The sample is 20 respondents; 10 respondents were treated with povidone iodine 10% compress, and 10 respondents were treated with natrium chloride 0,9% compress. The instrument for this research used observation sheet. Bivariate statistical analysis used Mann-Whitney formula, and univariate statistical analysis used descriptive frequency. Results of this research show that healing from perineum wound with povidone iodine 10% is 70,0%, whereas with natrium chloride 0,9% is 30,0%. Thus, it can be concluded perineum wound care that there is difference between treatment with povidone iodine 10% and treatment with natrium chloride 0,9%, where p equals 0,029. Therefore in dealing with patients with perineal wound care can use 10% povidone iodine because it can accelerate the wound healing process. .


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