WoundReference improves clinical decisions
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Gethin G, Grocott P, Probst S, Clarke E, et al.
International journal of nursing studies. Date of publication 2014 Jun 1;volume 51(6):865-74.
1. Int J Nurs Stud. 2014 Jun;51(6):865-74. doi: 10.1016/j.ijnurstu.2013.10.013. Epub 2013 Oct 25. Current practice in the management of wound odour: an international survey. Gethin G(1), Grocott P(2), Probst S(3), Clarke E(4). Author information: (1)School of Nursing and Midwifery, National University of Ireland, Galway, Ireland. Electronic address: Georgina.gethin@nuigalway.ie. (2)King's College London, James Clerk Maxwell Building, Room 1.34, Waterloo Road, SE1 8WA London, United Kingdom. Electronic address: Patricia.grocott@kcl.ac.uk. (3)Departement Gesundheit, Institut für Pflege ZHAW Zürcher Hochschule für Angewandte Wissenschaften Technikumstrasse 71, Postfach, CH-8400 Winterthur, Switzerland. Electronic address: prob@zhaw.ch. (4)Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland. AIM: To determine from a multi-disciplinary and international perspective current practice in the management of wound odour. BACKGROUND: Malodour is cited by patients and carers as one of the most distressing and socially isolating aspects of their wounds. The absence of a standardised approach to assessment and management underscores the need to collect baseline data to support guideline development. DESIGN: On-line survey. METHODS: A study specific questionnaire in English, Spanish, Italian and German was emailed to wound care organisations worldwide, palliative and oncology nursing organisations, and known contacts with a special interest in wound management, for distribution to members between December 2011 and February 2012. RESULTS: 1444 people from 36 countries responded. 12% assess odour with descriptive words being the most frequent form of assessment. Charcoal and silver based dressings were the most frequently used odour management agents, yet, only 48.4% and 23% respectively reported these as being very effective. Antimicrobial agents were cited as most effective but were not the most frequently used. 8% use aromatherapy oils direct to the wound, and 74% combine a range of dressings to try and manage odour. Odour, pain and exudate management were the greatest wound management challenges facing patients and clinicians. 46.7% of respondents encounter patients with MFW on a monthly basis and 89% agreed there is a need to develop guidelines in this area. CONCLUSION: A 'trial and error' approach to odour management exists with low overall satisfaction with current practice. There is a need for research and education on means to assess odour and odour management options. Copyright © 2013 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.ijnurstu.2013.10.013 PMID: 24238490 [Indexed for MEDLINE]
Appears in following Topics:
Venous Ulcers - Treatment and Prevention
Pressure Ulcers/Injuries - Treatment