Nursing
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Item Interface pressure measurements in leg ulcer management(Mark Allen Group, 2000-03-23) Coull, AlisonInterface pressure measurements are undertaken in health care as a useful tool to assist in understanding the pressures that exist between the skin surface and another surface. Pressure monitors are utilized to measure pressures under compression bandages and pressure garments and in determining pressures between patients and support surfaces such as pressure-reducing mattresses and cushions. This literature review identified that many studies using these measurements are inadequately described, and that there are many variables such as the effect of time, posture and temperature associated with such measurements that may lead to misinterpretation of results. Studies utilizing interface pressure measurements should be interpreted with caution and measurement techniques could be improved.Item The SIGN guideline on the care of chronic leg ulcers: An aid to improving practice(Mark Allen Group, 2000-09-01) Coull, AlisonImplementation of national guidelines and local protocols can help practitioners to ensure their practice is evidence-based. This article describes how the implementation of the SIGN guideline on the care of chronic leg ulcers will help to address any deficiencies in practice.Item Management of venous leg ulcers by compression therapy(Mark Allen Group, 2001-04-01) Coull, AlisonVenous disease is a component of approximately 70% of leg ulcers. Venous leg ulcers can be treated with compression therapy using different bandaging techniques, as discussed in this article by Alison Finnie.Item Role definition and structured progress for tissue viability nurses(Mark Allen Group, 2001-06-01) Coull, AlisonTissue viability nursing is a relatively new specialty. We know that tissue viability nurses (TVNs) are a valuable resource and that the development of a coordinated service can improve patient care, reduce both risk and costs, and enhance the care of patients with wounds and skin problems.However, searching the literature for information on the role and value of a TVN reveals very little.Item The developing role of tissue viability nurses(Strathayr Publishing, 2001-06) Ropper, R. A.; Coull, Alison; Gray, D.Item Hydrocolloids in modern wound management(Paul Hartmann, 2001) Coull, Alison; Gray, D.Item Hydrocolloids in wound management: Pros and cons(Mark Allen Group, 2002-07-01) Coull, AlisonHydrocolloids are interactive dressings which are well established in wound management. Because of their sophisticated composition, they can be used to manage a variety of wound types, from clean and granulating to sloughy and necrotic. While they may be more expensive per item than many other modern dressings, if used correctly they can be cost-effective, as they have a longer wear time. Hydrocolloid formulations appear to be changing and improving with ongoing research by manufacturers, but a significant limitation appears to be sensitivity reactions. Dressings that would benefit from improvement are those containing gelatin, and those containing colophony within the adhesive matrix. These known sensitizers are largely unpublicized, but can produce serious side-effects in some individuals.Item Injecting drug use: Developing a drop-in wound care clinic(Mark Allen Group, 2002-06-27) Coull, Alison; Nicholson, PaulThe first part of this two-part series examined the difficulties facing nurses working with injecting drug users with skin problems (Finnie and Nicolson, 2002). This article describes the needs of homeless people with skin complaints and the innovative development of a specific drop-in wound care clinic within The Big Issue Scotland premises in Glasgow. It illustrates some practical and political difficulties of working with a unique and challenging client group, and of developing a wound care service outwith the NHS. Case studies illustrate individual people and their own challenges.Item An exploration of factors contributing to chronic wounds in injecting drug users(2002-05-26) Coull, Alison