The Future of Wound Care

Criscitelli, Theresa

doi:10.1002/aorn.12118

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…DFU care) is a central part of nursing care that can markedly improve individuals’ quality of life. Various treatments have the ability to present positive outcomes due to their necessity in optimising the healing process . With the increasing prevalence of DFU, nurses are required to be aware that these individuals exhibit different complexities.…”

Section: Discussion and Implication On The Practicementioning

confidence: 99%

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Subrata

Phuphaibul

2019

Scandinavian Caring Sciences

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Background Diabetic foot ulcer care demonstrates a beneficial approach to overcoming problems in patients with diabetes. This approach is frequently given but is not always successfully implemented due to its fragmentation amid healthcare providers. What's more, there are a number of different understandings, interchangeable languages and an absence of uniformity overlapping terminologies of meaning for diabetic foot ulcer care. Therefore, analysing the concept of diabetic foot ulcer care is important to provide a wider nursing knowledge, synthesise a greater theoretical model and drive more effective care of diabetic foot ulcer. Objective This article aimed to analyse how the concept of diabetic foot ulcer care is clearly defined in the relevant evidence as it has several implications in nursing practice. Method Walker and Avant's (1995) method of concept analysis was systematically used in this study. Findings Three critical attributes of diabetic foot ulcer care were determined consisting of assessment, intervention and evaluation. Constructed cases are also presented to differentiate the concept of diabetic foot ulcer care from other concepts. This concept analysis results in the critical attributes of diabetic foot ulcer care, defines an operational definition and describes common goals that improve clarity, consistency and understanding of the concept amid healthcare professionals along with researchers. Conclusion Effective implementation of the concept of DFU care into clinical nursing practice may undoubtedly improve patient outcomes and prevent the complexities of DFU in the years to come. Future research needs to be developed for evaluating the current use of this concept.

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Section: Discussion and Implication On The Practicementioning

confidence: 99%

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Subrata

Phuphaibul

2019

Scandinavian Caring Sciences

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“…and repair cells (keratinocytes, epithelial cells, fibroblasts, endothelial cells, etc.) and extracellular matrix have significant changes, which in turn affect the subsequent proliferation, differentiation, migration, and remodeling (Criscitelli, 2018). The coagulation cascade forms a fibrin matrix rich in cytokines and growth factors through platelet aggregation and blood coagulation provides scaffolds for subsequent infiltrating cells (leukocytes, keratinocytes, fibroblasts, endothelial cells, etc.)…”

Section: Continuous Activation Of Innate Immunity Hidden Under Immune-aging and Inflamm-aging Hinders Diabetic Wound Healingmentioning

confidence: 99%

“…The coagulation cascade forms a fibrin matrix rich in cytokines and growth factors through platelet aggregation and blood coagulation provides scaffolds for subsequent infiltrating cells (leukocytes, keratinocytes, fibroblasts, endothelial cells, etc.) (Gurtner et al, 2008;Minutti et al, 2017;Bando et al, 2018;Criscitelli, 2018). Then, immune cells migrate to the wound under the influence of chemokines and release a large number of cytokines to initiate the inflammatory response (Bando et al, 2018;Akita, 2019), neutrophils are first recruited to the wound and reach a peak within 24 h (Kim et al, 2008), by changing the phenotype and expression of macrophages to generate the innate immune response (Park and Barbul, 2004;Acosta et al, 2008;Suga et al, 2014).…”

Section: Continuous Activation Of Innate Immunity Hidden Under Immune-aging and Inflamm-aging Hinders Diabetic Wound Healingmentioning

confidence: 99%

Innate Immunity in Diabetic Wound Healing: Focus on the Mastermind Hidden in Chronic Inflammatory

Geng

Jiang³

et al. 2021

Front. Pharmacol.

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A growing body of evidence suggests that the interaction between immune and metabolic responses is essential for maintaining tissue and organ homeostasis. These interacting disorders contribute to the development of chronic diseases associated with immune-aging such as diabetes, obesity, atherosclerosis, and nonalcoholic fatty liver disease. In Diabetic wound (DW), innate immune cells respond to the Pathogen-associated molecular patterns (PAMAs) and/or Damage-associated molecular patterns (DAMPs), changes from resting to an active phenotype, and play an important role in the triggering and maintenance of inflammation. Furthermore, the abnormal activation of innate immune pathways secondary to immune-aging also plays a key role in DW healing. Here, we review studies of innate immune cellular molecular events that identify metabolic disorders in the local microenvironment of DW and provide a historical perspective. At the same time, we describe some of the recent progress, such as TLR receptor-mediated intracellular signaling pathways that lead to the activation of NF-κB and the production of various pro-inflammatory mediators, NLRP3 inflammatory via pyroptosis, induction of IL-1β and IL-18, cGAS-STING responds to mitochondrial injury and endoplasmic reticulum stress, links sensing of metabolic stress to activation of pro-inflammatory cascades. Besides, JAK-STAT is also involved in DW healing by mediating the action of various innate immune effectors. Finally, we discuss the great potential of targeting these innate immune pathways and reprogramming innate immune cell phenotypes in DW therapy.

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“…Complicated acute and chronic wounds are a challenge for health care personnel and are a major problem due to their high prevalence. The impact on quality of life encompasses both the patient and primary caregivers as a result of the socioeconomic implications arising from the underlying pathology [1]. According to estimates, 6.5 million people are affected by chronic wounds in the United States, with annual treatment costs of up to $25 billion USD [2].…”

Section: Introductionmentioning

confidence: 99%

Managament Wound Healing: The Importance of a Wound Clinic in Hospital Centers

Naranjo,

Espriella,

Quispe

et al. 2023

MPS

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Background: In clinical practice, acute and chronic wounds continue to be a challenge. Unfortunately, wound care is often inadequate or inappropriate. The implementation of wound clinics involving an interdisciplinary team for wound care and treatment yields favorable clinical outcomes as well as a reduction in economic expenses due to a higher rate of healing, a decrease in hospital stays, and a reduction in the number of readmissions. The establishment of wound clinics enhances the utilization of diagnostic, preventive, and therapeutic resources, improving the quality of life of patients and facilitating their reintegration into their normal lives. The objective is solely to describe the importance of wound clinics in the medical profession. Methods: A retrospective literature search was conducted to include articles no more than 10 years old that reported measures or results of the study in order to perform a literature review and describe the importance of wound clinics in medical practice. Results: A total of 7 articles were obtained with the inclusion criteria, the most recent being from the year 2023 and the oldest from 2013. Conclusion: An important area for improvement in the healthcare industry is the management and treatment of complex wounds. The establishment of wound clinics offers comprehensive and specialized care for both acute and chronic complex wounds with the goal of enhancing secondary

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The Future of Wound Care

Cited by 9 publications

References 10 publications

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Diabetic foot ulcer care: a concept analysis of the term integrated into nursing practice

Innate Immunity in Diabetic Wound Healing: Focus on the Mastermind Hidden in Chronic Inflammatory

Managament Wound Healing: The Importance of a Wound Clinic in Hospital Centers

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