{"title":"Medicare National Correct Coding Initiative Medically Unlikely Edits: Myth and Mystery.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000298","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000298","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 4","pages":"174-175"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cutaneous Psoriasis: Clinical Aspects and Treatments.","authors":"Ryan S Q Geng, R Gary Sibbald","doi":"10.1097/ASW.0000000000000243","DOIUrl":"10.1097/ASW.0000000000000243","url":null,"abstract":"<p><strong>General purpose: </strong>To present the clinical manifestations of cutaneous psoriasis and apply evidence-supported pharmacologic and treatment strategies to promote disease remission and symptom relief.</p><p><strong>Target audience: </strong>This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.</p><p><strong>Learning objectives/outcomes: </strong>After participating in this educational activity, the participant will: 1. Recognize the clinical manifestations of cutaneous psoriasis. 2. Explain diagnostic approaches to assess for cutaneous psoriasis. 3. Identify evidence-based management pharmacologic and nonpharmacologic options for the treatment of cutaneous psoriasis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"176-182"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charles A Andersen, Gabriel Ayoola, Alton R Johnson, Jonathan Johnson, Martha R Kelso, Thomas E Serena, Alisha Oropallo
{"title":"In response.","authors":"Charles A Andersen, Gabriel Ayoola, Alton R Johnson, Jonathan Johnson, Martha R Kelso, Thomas E Serena, Alisha Oropallo","doi":"10.1097/01.ASW.0001111696.35767.2e","DOIUrl":"https://doi.org/10.1097/01.ASW.0001111696.35767.2e","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 4","pages":"E35-E36"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He
{"title":"Demographic Factor Analysis on the Knowledge, Attitudes, and Practice Status of Nurses in Preventing Device-Related Pressure Injuries: A Multicentric Cross-sectional Study.","authors":"Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He","doi":"10.1097/ASW.0000000000000291","DOIUrl":"10.1097/ASW.0000000000000291","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the current status of the Device-Related Pressure Injuries Knowledge, Attitude, and Practice (DRPI-KAP) survey among nurses and explore its demographic factors.</p><p><strong>Methods: </strong>The demographic questionnaire and appropriative DRPI-KAP scale were used to investigate 1,368 nurses from eight representative hospitals in Mianyang City, China.</p><p><strong>Results: </strong>A total of 1,344 valid questionnaires were collected, yielding an effective response rate of 98.2% (1,344/1,368). The scores (score rates) of the knowledge, attitude, and practice dimensions and overall DRPI-KAP scale were 49.5 ± 12.1 (65.9%), 38.3 ± 5.6 (85.1%), 56.7 ± 10.0 (81.0%), and 144.4 ± 22.6 (76.0%), respectively. The Pearson and partial correlation analysis revealed a significant positive correlation between scores on the DRPI knowledge, attitude, and practice dimensions. After adjusting for the confounding effects of the three DPRI-KAP dimensions, the multiple linear stepwise regression analysis revealed that multiple demographic factors independently influenced the knowledge (eg, department, work years, received DRPI training, wound/stoma specialist nurse), attitude (eg, technical title, department), and practice (eg, position, technical title, wound/stoma specialist nurse, received DRPI training). Of them, the proactive DRPI attitude of pediatric nurses and the effective DRPI practices of frontline nurses were identified as innovative findings.</p><p><strong>Conclusions: </strong>There is an urgent need for improvement in the knowledge of DRPI prevention among representative hospital nurses. Enhancing the knowledge training and management system is anticipated to cultivate professional attitude and practice, thereby elevating the DRPI nursing quality.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"215-219"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deborah M Wendland, Kathryn Panasci, Hope A Martinez, John S Mantanona, Melinda G Powers, Rachael L Sausman, Karen A Gibbs
{"title":"Beyond the Case Study: Laboratory Activities to Complement Integumentary Education.","authors":"Deborah M Wendland, Kathryn Panasci, Hope A Martinez, John S Mantanona, Melinda G Powers, Rachael L Sausman, Karen A Gibbs","doi":"10.1097/ASW.0000000000000255","DOIUrl":"10.1097/ASW.0000000000000255","url":null,"abstract":"<p><strong>Objective: </strong>To present a full scope of detailed and engaging laboratory activities recommended by physical therapist clinicians and educators from across the US to assist health professions faculty to develop new or improve current integumentary/wound management (IWM) instruction.</p><p><strong>Methods: </strong>A three-round Delphi survey was conducted to update IWM curriculum recommendations for entry-level doctor of physical therapy education. First-round participants provided ideas for laboratory activities. Activity responses were discussed, edited for redundancy, and clarified. Missing information (eg, estimated cost and time required) was added to increase usability.</p><p><strong>Results: </strong>A total of 139 laboratory activities were recommended by survey participants. Many of the suggestions included inexpensive and readily available, do-it-yourself wound models requiring food or other moulage techniques. These simulations are elucidated to facilitate translation of ideas into classroom and community laboratory activities to promote student learning.</p><p><strong>Conclusions: </strong>The literature supports that most entry-level healthcare profession programs report limited IWM education, emphasizing the need for effective and efficient use of IWM contact hours. Developing engaging and meaningful hands-on laboratory activities is vital to increasing student knowledge and skill in this area of clinical practice.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"196-203"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call
{"title":"Evaluation of Shear Force Redistribution and Microclimate in Foam Dressings Indicated for Pressure Injury Prevention.","authors":"Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call","doi":"10.1097/ASW.0000000000000295","DOIUrl":"10.1097/ASW.0000000000000295","url":null,"abstract":"<p><strong>Objective: </strong>To understand the performance of a border and silicone version of a next-generation multilayered foam dressing (dressings A and B) compared with three commercially available wound dressings (dressings C, D, and E) in bench tests relevant for pressure injuries.</p><p><strong>Methods: </strong>Two methods were used. The first measured shear force transmission through dressings in low- and high-shear force scenarios compared with a control with no dressing. The second measured the dressings' microclimate (heat and moisture) compared with two controls: one with high moisture output and one with no moisture output. Statistical significance was determined using a 95% CI and t test with α = .05.</p><p><strong>Results: </strong>In the low-shear scenario, dressing A showed the lowest force transmission, whereas dressing B was not significantly different from dressings C and E. In the high-shear scenario, dressing D had a significantly higher percentage of transmitted forces compared with the other dressings, with dressing A showing the lowest force transmission but no significant differences among the other three dressings. Regarding microclimate, dressing A showed no significant difference in relative humidity in the dressing-indenter and dressing-surface interfaces, suggesting good breathability. Dressing E had the highest temperature at the indenter-dressing interface, significantly different from the other dressings ( P < .05).</p><p><strong>Conclusions: </strong>The study found that a next-generation foam dressing (dressing A) had better breathability and lower shear force transmission than other available dressings. This study emphasized the importance of understanding the physical properties of dressings to choose the most appropriate product based on individual patient needs, wound characteristics, and environmental conditions.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"183-188"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call
{"title":"Pressure Distribution Properties in Wound Dressings Using Heel and Sacrum Indenters Under Clinically Relevant Loads.","authors":"Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call","doi":"10.1097/ASW.0000000000000294","DOIUrl":"10.1097/ASW.0000000000000294","url":null,"abstract":"<p><strong>Objective: </strong>To understand the pressure distribution characteristics of a border and silicone version of a next-generation multilayered foam dressing (A and B) compared with three commercially available dressings (C, D, and E) using a novel pressure distribution model with clinically relevant pressures.</p><p><strong>Methods: </strong>The testing setup included a support surface analog of K45 foam covered with polyurethane fabric, a high-resolution pressure mapping system, and a silicone layer to simulate overlying tissue. The dressing was exposed to clinically relevant loads of 30 and 80 mm Hg for 60 seconds using new sacral and heel indenters. A control was conducted using the same setup without a dressing. Statistical significance was determined using a 95% CI and t test with α = .05.</p><p><strong>Results: </strong>All dressings decreased pressure and increased contact area compared with the control ( P < 0.05). Dressings A and B had lower peak pressures than dressings C and E for both indenters. Dressings D and B had the largest contact areas and lowest pressures in the heel indenters, whereas dressing E had the smallest contact area and the highest pressures for both indenters. The results also demonstrated a strong negative correlation between the average pressure and the contact area for both indenters.</p><p><strong>Conclusions: </strong>Using anatomically accurate indenters and clinically relevant pressures, the study demonstrated that dressings A and B significantly reduced interface pressure compared with no dressing, suggesting potential advantages for pressure redistribution in vulnerable areas. Additional clinical research in various care settings is needed to validate this study's findings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"189-194"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Educating Intensive Care Nurses in Pressure Injury Staging by Using Analogy: A Quasi-experimental Study.","authors":"Ceyda Yamaç, Aliye Okgün Alcan","doi":"10.1097/ASW.0000000000000292","DOIUrl":"10.1097/ASW.0000000000000292","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of training on pressure injury (PI) staging provided to intensive care nurses with two different teaching techniques: a traditional teaching method and the analogy-based technique.</p><p><strong>Methods: </strong>The sample of this pretest/posttest, quasi-experimental study consisted of 60 intensive care nurses from a university hospital. Using the stratified randomization method, nurses were divided into two groups as traditional (n = 30) and intervention (n = 30) groups. Training on PI staging was given to the traditional group using a traditional teaching technique and to the intervention group using analogy-based teaching. For both groups, the pretest was administered before training, the posttest was administered immediately after the training, and the retention test was administered 4 weeks later. Data were analyzed by Mann-Whitney U test, two-way mixed analysis of variance, and Pearson correlation analysis.</p><p><strong>Results: </strong>The mean pretest score of the intervention group (7.97 ± 3.25) was significantly lower than the mean pretest score of the traditional group (12.30 ± 3.16; P < .001). After the training, the mean posttest score of the intervention group (15.27 ± 2.15) was significantly higher than the mean posttest score of the traditional group (12.43 ± 2.21; P < .001). Further, the mean retention test score of the intervention group (13.73 ± 3.69) was significantly higher than the posttest mean score of the traditional group (11.90 ± 3.03; P = .04).</p><p><strong>Conclusions: </strong>Pressure injury staging training with the analogy-based teaching method resulted in significantly better posttest and retention scores compared with the training using a traditional teaching method. The authors recommend the use of analogy-based teaching method for nurse training in the staging of PIs.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"220-223"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}