Implementing and sustaining evidence-based practices in long-term care.

Pressure Injuries

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    A list of cleansing solutions and their actions for chronic wounds (including pressure injuries), identified by an expert panel and stakeholders providing feedback.

    Reference: Registered Nurses’ Association of Ontario. (2016). Appendix R of Assessment and Management of Pressure Injuries for Interprofessional Team, Third Edition. Toronto, Canada: R. G. Sibbald, H. Orsted, P. M. Coutts and D. H. Keast. Pp 147. http://rnao.ca/sites/rnao-ca/files/PI_BPG_FINAL_WEB_June_10_2016.pdf

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    This resource uses a generic classification to describe wound dressings, local wound care outcomes and care considerations.

    Web Source: Appendix S of Assessment and Management of Pressure injuries for the Interprofessional Team, Third Edition http://rnao.ca/sites/rnao-ca/files/PI_BPG_FINAL_WEB_June_10_2016.pdf 

    Reference: Registered Nurses’ Association of Ontario. (2016). Appendix S of Assessment and Management of Pressure Injuries for Interprofessional Team, Third Edition. Toronto, Canada: R. G. Sibbald, J. A. Elliott, E. A. Ayello, and R. Somayaj Glasgow P.148

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    This resource has been designed to teach Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Unregulated Care Providers how to implement the recommendations outlined in the RNAO Best Practice Guideline, Assessment and Management of Stage I to IV Pressure Ulcers.

    There are two parts to this program; Part A is directed towards RNs and RPNs while Part B is aimed towards Unregulated Care Providers (UCP). These materials are for use by the workshop facilitator, and include a list of components, questionnaires and case studies for participants, and answer keys.

    Retrieved from: http://rnao.ca/bpg/guidelines/resources/assessment-and-management-pressure-ulcers-education-program

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    This free e-learn contains six modules which cover everything from the skin structure and blood composition right up to pressure ulcers and a guide to prevention. Each training module has interactive diagrams and has a certificate when the module is completed. To test comprehensive learning the user can read a case study and try and heal a wound.

    Website: http://www.globalwoundacademy.com/

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    This resource outlines the key factors in deciding the method of debridement. Includes definition and examples of debridement. Taken from RNAO's Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition Best Practice Guideline, (Appendix U, pp 151

    Reference: Registered Nurses’ Association of Ontario (2007). Appendix U - Key Factors in Deciding Method of Debridement. RNAO Assessment & Management of Pressure Injuries for the Interprofessional Team, Third Edition Best Practice Guideline. Toronto, Canada. Sibbald, Orsted et al. Page 151 http://rnao.ca/sites/rnao-ca/files/PI_BPG_FINAL_WEB_June_10_2016.pdf

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    This resource provides a non-exhaustive list of topical antiseptic agents and their effects on wounds. This list was identified by experts and stakeholder feedback

    Reference: Registered Nurses’ Association of Ontario. (2016). Appendix T of Assessment and Management of Pressure Injuries for Interprofessional Team, Third Edition. Toronto, Canada: R. Sibbald, J. A. Elliott, E. A. Ayello, and R. Somayaji, P.150 http://rnao.ca/sites/rnao-ca/files/PI_BPG_FINAL_WEB_June_10_2016.pdf

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    The McCaffrey Initial Pain Assessment tool can be used to guide health care professionals through an initial assessment of pain. This tool includes diagrams of the human body to help patients locate the pain they experience as well as questions to prompt the patient to describe the intensity, quality, causes, effects, and contributing factors of the pain.

    Reference: McCaffrey M, Pasero C. (1999). McCaffrey Initial Pain Assessment Tool

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    This position statement discussed the rationale for why mucosal pressure ulcers cannot be staged using the classification system. 

    Reference: National pressure ulcer advisory panel (August 2008). Mucosal Pressure Ulcers An NPUAP Position Statement. Copyright 2013. Retrieved from http://www.npuap.org/wp-content/uploads/2012/01/Mucosal_Pressure_Ulcer_Position_Statement_final.pdf

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    The National Pressure Ulcer Advisory Panel (NPUAP) serves as the authoritative voice for improved patient outcomes in pressure ulcer prevention and treatment through public policy, education and research.

    Website: http://www.npuap.org
     

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    NPUAP Pressure Injury Stages webpage provides definitions for the new pressure injury stages.

    Reference: National pressure ulcer advisory panel (n.d.). NPUAP Pressure Injury Stages. Copyright 2013. Retrieved from http://www.npuap.org/resources/educational-and-clinical-resources/npuap-pressure-injury-stages/