Jane Ellen Barr

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When the Association for Advanced Wound Care Quality of Care Task Force members determined there was no unanimously accepted definition of quality as it relates to wound care, they: 1) identified relevant components of quality wound care, and 2) created a framework of quality wound care indicators to enable the creation or assessment of wound care delivery(More)
Assessment and management of stoma complications are often the responsibility of nurses across the continuum of care. These complications can occur at different times based on their etiology - immediately postoperatively or even several years after surgery - and often require modifications in a person's daily stoma management. This article presents a(More)
Cleansing the wound of necrotic tissue, excess wound exudate, dressing residue and metabolic wastes from the wound surface is essential for optimum healing. Wound cleansing involves using an appropriate solution and an adequate mechanical force. Every effort should be made to use biocompatible cleansing solution with the minimal mechanical force. The(More)
An absorbent hydrocolloid/alginate spiral dressing and a hydrocolloid secondary dressing were used in the management of 30 patients with 30 exuding State III and IV pressure ulcers. After a mean treatment time of 12.9 days (SD 6.5), all wounds had a significant increase in the amount of granulation tissue/epithelium and a decrease in the amount of(More)
This article discusses the need for an integration of the concepts of disease management and critical pathways as a foundation of a healthcare delivery system. The steps in the process for development, implementation, and evaluation of a wound care critical pathway are reviewed and variance classifications are defined. Co-pathways and algorithms are(More)
Ninety-two wounds were evaluated for at least three dressing changes each. The vast majority of the wounds were lightly exuding Stage II pressure ulcers and skin tears. This evaluation confirmed the hypothesis that the protective, conformable, and elastic properties of Flexzan, combined with its limited absorption capacity, high moisture vapor permeability(More)