What Is It Anyway?
Colin Iversen BSc (Hons), RGN, NIP, Cert.Ed.
Clinical Nurse Specialist Tissue Viability,
Definition
There is no universally accepted standard definition of the role
Generally:
Tissue Viability nursing is about preventing insults to the skin and underlying tissues and facilitating healing in wounds where a complication has prevented the normal healing process.
It’s not new
We dress them
God heals them
Pare © 1550
Elements of Tissue Viability
•
•
•
•
•
Pressure ulcers
Leg ulcers
Other wounds
Dressings
Skin care
•
•
•
•
•
Audit
Equipment
Education
Policy
Links
Dressings
•
•
•
•
•
•
•
•
Wound assessment
Advanced therapies
Dress or advise?
Type
Function
Formulary
Evaluation
Review
Skin Care
• Ongoing incontinence management project (publication in draft)
• Products
• Methods
• Danger signs
• Protection
• 80% reduction in moisture lesions
Audit
• Pressure ulcer incidence
• Pressure ulcer prevalence
• Moisture lesions
• Documentation
• Static mattresses
• Chairs
• Wound prevalence (pending)
Equipment
• Air mattresses
• Foam mattresses
• Beds
• Chairs
• Cushions
• Wound care devices
Education
• Nurses
• HCAs
• Junior doctors
• Patients and carers
• PAMs
• The bottom line, Oxford, June 08
• Diversity in practice, RCN, March 09
Policy
•
•
•
•
•
•
•
•
•
•
•
Dressing formulary – county wide
Pressure ulcer guidelines (in line with NICE)
Wound care guidelines
Compression bandaging
ABPI protocol
Larval therapy
Post-op wounds policy
Referral policy
Mattress replacement policy
Equipment guidelines
Competencies to accompany each completed or in development KGH forums
•
•
•
•
•
•
•
•
NAB
MMCC
Link nurse group
Wound care steering group
ANPs
RTTC (productive ward)
Procurement group
PoVA reporting structure
Links
•
•
•
•
•
•
•
•
•
PCT TVNs
DNs
Infection control
Dieticians
PAMs
Podiatrists
Doctors (KGH & PCT)
Pharmacy
Medical devices
•
•
•
•
•
•
•
•
•
E.Mids TVNs
Local TVN group
Wound care alliance UK
Wounds-UK
Universities
Dressing companies
Mattress companies
Skin care companies
EPUAP
Current Projects
•
•
•
•
•
•
•
•
Incontinence management
Regional formulary (via E.Mids TVNs)
Parity in pressure ulcer incidence reporting
Local improvements (via county group)
Business case to develop service
Bed replacement
Improve mattress selection (changing decisionmaking)
Risk assessment tool in development (pilot pending publication)
You May Also Find These Documents Helpful
-
I. EPITHELIAL TISSUE: Only exists in three cell shapes – flat or squamous, cuboidal & columnar. This tissue covers or lines other tissues or produces tubes. Epithelial tissue always rests on a basement membrane. The characteristics are: lack of visible interstitial space, many cells, and no blood vessels.…
- 2269 Words
- 10 Pages
Good Essays -
A multilayered epithelium with cuboidal basal cells and flat cells at its surface would be classified as ________.…
- 734 Words
- 5 Pages
Good Essays -
For this unit you need to undertake risk assessment in relation to pressure area care and the risk of skin breakdown. This assessment will take place across a variety of health and social care settings, throughout hospitals, including operating departments, hospices, nursing and residential homes, day centres, and individuals' own homes. Risk assessment will include the use of different assessment tools selected for use to fit the individual and the environment. The assessment could be undertaken by a variety of staff within the varied care settings and is an ongoing process demanding constant review and evaluation. You will need to ensure that practice reflects up to date information and policies…
- 1806 Words
- 8 Pages
Better Essays -
1. Which of the following is a major tissue type in the body? (p. 95)…
- 1010 Words
- 5 Pages
Powerful Essays -
Going through life what would you do if your child had a disease or some sort of injury during birth? If so what would you do to save it or help your infant out? Well this has happened to a little girl by the name of Manar. On February 19, 2005, 10-month-old Manar underwent a successful 13-hour surgery in Egypt. The under developed conjoined twin, Islam, was attached to Manar's head and was facing upward. Islam could smile and even blink, but doctors determined she had to be removed, and that she couldn't survive on her own.…
- 424 Words
- 2 Pages
Satisfactory Essays -
During the next session, Kasten should continue to work on articulation of /s/ sounds with ES, focusing on phonetic placement, and making E.S more comfortable with correct speech sounds. Kasten appeared to be a good clinician. However, at times I think she was a little too picky in her assessment of E.S’s pronunciations. Being that this was such a long session for an eight year old, in future sessions I suggest more breaks during transitions. Lastly, I recommend more competition based games between Kasten and E.S; it will be a great way to get E.S to work hard, and strive to do her best during…
- 577 Words
- 3 Pages
Good Essays -
Do you know what it is like to get the news that a nine year old boy in your family has leukemia and only has six months to live? When we got the news of Jacob’s Leukemia, my Aunt Sharon ran outside in the rain and started screaming and crying. She had always dreamed of seeing Jacob graduate from college and be at his wedding. Now what would you do if I told you that you could help save Jacob’s life or someone else’s life with a marrow donation which your body regenerates within a few weeks?…
- 930 Words
- 4 Pages
Good Essays -
The rapid beeping of the heart monitors, the rush of pressured oxygen from a ventilator, the shrill alarm sounding the Code Blue alert are all evidence of a “Critical Condition.” In the touching documentary of the same name, it isn't a patient that teeters on the brink of demise, but rather our system of health care insurance. With more than 47 million Americans uninsured, the battle now centers less on fighting illness and more on affording health. This lack of insurance has become the sixth leading cause of death in America, above even diabetes. The movie provides fundamental insight into the issues surrounding the expense of health care delivery and the difficulty acquiring quality health insurance. The unforgettable subjects profiled in Critical Condition are living proof that the quest to be insured can cost their livelihoods, while the absence of coverage can risk their lives.…
- 971 Words
- 4 Pages
Good Essays -
There are three specialized junctions between cells. These are important in all tissues, but are most common in epithelial tissues.…
- 1080 Words
- 5 Pages
Powerful Essays -
On 6/19/15 San Diego Youth Services staff took Jesus to a doctor's appointment at the FFAST Program. The staff were informed by the doctor that the foster parents have not picked up Jesus medication (Ritalin). According to the RP the medication was filled 30 days ago. Jesus has aggressive and impulsive behaviors that are unmanageable at times. The behaviors seem to increase when Jesus is not on his medication. The RP stated that Jesus has not been on his medication for 30 days due to the foster parents not acquiring his medications. The RP stated the foster parent have been contacted to no…
- 104 Words
- 1 Page
Satisfactory Essays -
Mostly everyone wants to live a strong and healthy life, but reality is that they are people suffering from end-stage organ failure and the number of people keeps growing, because of this we are in great need of organ donors around the world. We are grateful to have courageous organ donors that make a decision to donate, for that reason a person is blessed to have a lifesaving organ which they can live a normal life. Organ donor intensivist coordinate with the healthcare team with organ donors that patients already declare brain dead. Having teams placed in the hospital have led to successful salvage of organs that is greatly needed for people waiting for their lifesaving…
- 117 Words
- 1 Page
Satisfactory Essays -
National Prescribing Centre Prescribing Nurse Bulletin (1999a) Modern Wound Management Dressings. NPC Vol. 1 (2) page 1-4…
- 2608 Words
- 11 Pages
Powerful Essays -
A patient passing away is emotional to healthcare provider as well as family. Telling other patient who inquire on the passed patient may be difficult and hard to explain. It's important to find a good word or the best word that you can think and tell them calm and professionally. I'm so sorry to tell you this, Mary was very sick and her condition was worsening and the treatment that weren't helping. Unfortunately she pass away. Some people are not handle very well with the bad new or hard time to accepting…
- 93 Words
- 1 Page
Satisfactory Essays -
This increases the nurse’s awareness of Thomas pressure ulcer risk and choosing the most effective prevention strategies. From Gordon’s Functional Health Pattern (Carpenito-Moyet, 2014) , he would wear sanitary pad during the day and night because he is incontinent majority of the time. Hence, nursing interventions implemented by his registered nurse should include making alterations to new sanitary pad in the morning and…
- 1194 Words
- 5 Pages
Good Essays -
Hack, A. (2003) Leg ulcers wounds - taking the patient 's perspective into account. Journal of Wound Care; 12: 8, 319-321.…
- 2209 Words
- 9 Pages
Powerful Essays