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H - Skin Integrity

REPORT CARD: Skin Integrity KNOWLEDGE GENERATION CLINICAL APPLICATION POLICY CHANGE Innovaon/Discovery Integrave Care Environmental Shi Emerging Evidence Outcome Measures Resource Capacity Take Home Mesage: Strong, published evidence currently exists for electrical stimulation enhanced wound healing.7 Given the impact to an individual’s quality of life and health, and associated healthcare cost savings, the logical step would be to promote enhanced wound healing through electrical stimulation, as routine clinical practice. However, policy changes are required to ensure this compelling evidence is applied to practice. Policy changes, within institutional and funding sectors, are required to ensure funding for equipment acquisition and education/training of interprofessional skin integrity teams. In addition, a culture of best practice implementation is the essential foundation to allow for timely uptake of evidence, for interventions that improve health outcomes. Resources Effecve Pracce (Evidence and Outcomes) Equity Pracce Capacity Change Agents Societal Awareness Community Capacity 2020 PRIORITY 3 2020 PRIORITY 2 2020 PRIORITY 1 1. Spinal Cord Injury University (SCI-U). Spinal Cord Connections Website. http://spinalcordconnections.ca /e-learning/sci-u/. Accessed September 24, 2012. 2. Bogie KM, Reger SI, Levine SP, Sahgal V. Electrical stimulation for pressure sore prevention and wound healing. Assist Technol. 2000;12(1):50-66. 3. Jones ML, Mathewson CS, Adkins VK, Ayllon T. Use of behavioral contingencies to promote prevention of recurrent pressure ulcers. Arch Phys Med Rehabil. 2003;84:796-802. 4. DeLisa JA, Mikulic MA. Pressure Ulcers. What to do if preventive management fails. Postgrad Med. 1985;77(6):209-12. 5. Byrne DW, Salzberg CA. Major risk factors for pressure ulcers in the spinal cord disabled: a literature review. Spinal Cord. 1996;34(5):255-63. 6. Connolly SJ, Miller WC, Trenholm K, et al. Wheeled mobility and seating equipment for the spinal cord injured individual: Pressure mapping used in SCI. In: Eng JJ, Teasell RW, Miller WC, et al., eds. Spinal Cord Injury Rehabilitation Evidence. Version 4.0. Vancouver, BC; 2012. http://www.scireproject. com/rehabilitation-evidence/wheelchairs-and-seating-equipment/ pressure-mapping-used-in-sci. Accessed July 23, 2012. 7. Houghton PE, Campbell KE, Fraser CH, et al. Electrical stimulation therapy increases rate of healing of pressure ulcers in community-dwelling people with spinal cord injury. Arch Phys Med Rehabil. 2010;91(5):669-78. 8. Sullivan PK, Conner-Kerr TA. A comparative study of the effects of UVC irradiation on select prokaryotic and eukaryotic wound pathogens. Ostomy Wound Manage. 2000;46(10):28-34. 9. Nussbaum EL, Flett H, McGillivray C. Ultraviolet-C (UVC) improves wound healing in persons with spinal cord injury (SCI). American Spinal Injury Association/ISCoS. Washington, DC; 2011. 10. Toronto Health Economics and Technology Assessment (THETA) Collaborative. The cost effectiveness of prevention strategies for pressure ulcers in long-term care homes in Ontario: Projections of the Ontario Pressure Ulcer Model. Report #001; December 2008. http://www.theta.utoronto. ca/papers/THETA_PU_Prevention_LTC_Final_Report.pdf. Accessed May 30, 2012. 11. Szabo L. Spinal cord injury patients often succumb to bedsores. USA Today. October 24, 2004. http://www.usatoday. com/news/health/2004-10-24-spinal-usat_x.htm 92 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


H - Skin Integrity
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