Contents and Abstracts
The current cover page of the latest issue of the Journal is found here along with the contents and abstracts of the articles contained within the current issue of the journal.
Volume: 19 – Issue: 1
Release: February 2011

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In this issue…
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Editorial |
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Letter to the Editor |
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A review of the literature to determine the recommended nursing interventions aimed at decreasing the risk of pressure ulcer development in patients with spinal cord injury
Lavrencic L
Abstract
Background: Pressure ulcers (PUs) present a significant problem for patients with spinal cord injury (SCI) from the acute phase and onwards. Most PUs can be prevented if risk factors are recognised early and preventative actions are implemented. Recognising risk factors is critical for successful prevention.
Method: Analysis of PU risk factors in persons with SCI, literature review published from 2005 to 2010.
Results: This analysis identified multiple factors for PU development, including lifestyle factors and biomechanical factors with a focus on changes to skin physiology following SCI and the effect of pressure loading on skin over time. Additional studies are required to improve the level of available evidence. The results of this review revealed that it is crucial for health professionals to be aware of PU risk factors so that timely and appropriate prevention and intervention can be implemented.
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Leg Clubs® – Beyond the ulcers Case studies based on participatory action research
Shuter P, Finlayson K, Edwards H, Courtney M, Herbert C & Lindsay E
Abstract
Based on participatory action research (PAR), the case studies in this paper examine the psychosocial benefits and outcomes for clients of community-based Leg Clubs®. The Leg Club model was developed in the United Kingdom (UK) to address the issue of social isolation and non-compliance to leg ulcer treatment. Principles underpinning the Leg Club are based on the participatory action framework (PAF) where the input and involvement of participants is central. This paper reports on a study carried out concurrently with a randomised controlled trial (RCT) and identifies the strengths of the Leg Club in enabling and empowering people to improve the social context in which they function. In addition, it highlights the potential of expanding operations that are normally clinically based (particularly in relation to chronic conditions) but transferable to community settings in order that that they become ‘agents of change’ for addressing such issues as social isolation and the accompanying challenges that these present, including non-compliance to treatment.
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Lower leg haematomas: Potential for complications in older people
Pagan M & Hunter J
Abstract
Older people are a high-risk population for lower leg soft-tissue injuries with the potential of haematoma development that can then create complications of infection, skin loss leading to chronic wounds and can potentially develop into lipomas or other soft-tissue mass. Lower leg haematomas are seldom reported in the literature or may be included in pretibial injury definitions. The New Zealand Southern Wound Service has experienced spontaneous and injury-related haematoma presentations. This case report presents a literature review and discusses and illustrates early and late intervention and provides recommendations for practice.
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Case study The journey towards healing: recalcitrant skin tear injuries
Manning JA & Chrisakis H
Abstract
Skin tears are traumatic wounds that have been described as the "underestimated"1 wound and a common acute injury in the elderly. Skin tears are wounds that often pose significant challenges for the elderly person who sustains the injury and the nursing home care staff and medical officers involved in progressing the injury towards healing. Furthermore, the comorbidities and medication regime of the elderly resident who sustains such an injury influence the healing process. Complications such as infections also lengthen the time for healing.
This case study focuses on a person who sustained skin tear injuries that failed to heal in a timely manner. The paper details the management that occurred over the course of the healing process.
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Inflammation, wound size and wound healing: A case study
Kapp S & Miller C
Abstract
Venous leg ulcers are complex to manage as they are often associated with delayed healing and recurrence. The presence of inflammation can play a positive and negative role in chronic wound healing. The following case study describes a client whose venous leg ulcer proceeded to heal in a timely manner, despite inflammation and bacterial burden. It raises questions regarding appropriate treatment of chronic wounds which are compromised by these conditions.
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Paediatric burns: A brief global review
Rayner R & Prentice J
Abstract
Burn injuries are a major cause for hospitalisation and are associated with significant morbidity and mortality, particularly in children under the age of four years. Childhood burns place enormous socio-economic burden on individuals, their families and health services. This article briefly discusses the extent of childhood burns, contributing factors and general measures to help prevent these burns.
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Venous Leg Ulcers: Choosing an appropriate dressing The Wound Healing and Management Node Group |
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Surgical and conservative sharp wound debridement for chronic wounds The Wound Healing and Management Node Group |
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Wet-to-dry saline moistened gauze for wound dressing The Wound Healing and Management Node Group |
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Book Review |
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Journal Watch |
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