- Pressure Ulcer Prevention and Management
- Wound Healing and Treatments
- Diabetic Foot Ulcer Assessment and Management
- Surgical site infection prevention
- Diagnosis and Treatment of Venous Diseases
- Meta-analysis and systematic reviews
- Thermal Regulation in Medicine
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac, Anesthesia and Surgical Outcomes
- Health Sciences Research and Education
- Enhanced Recovery After Surgery
- Nursing Diagnosis and Documentation
- Healthcare Policy and Management
- Surgical Sutures and Adhesives
- Clinical practice guidelines implementation
- Burn Injury Management and Outcomes
- Respiratory Support and Mechanisms
- Patient Safety and Medication Errors
- Innovations in Medical Education
- Stoma care and complications
- Injury Epidemiology and Prevention
- Artificial Intelligence in Healthcare
- Nursing Roles and Practices
- Nutrition and Health in Aging
- Ethics in Clinical Research
University of Washington
2013-2023
Harborview Medical Center
2010-2023
Neurobehavioral Systems
2002-2023
Seattle University
2020
University of Washington Medical Center
2005-2018
Boise State University
2018
Rocky Mountain University of Health Professions
2018
Swedish Medical Center
2018
University of Utah
2018
Whitney Museum of American Art
2001-2017
<h3>Objective:</h3> To test the hypothesis that subcutaneous wound oxygen tension (PsqO<sub>2</sub>) has a predictive relation to development of infection in surgical patients. <h3>Design:</h3> A noninterventional, prospective study. <h3>Setting:</h3> university department surgery. <h3>Patients:</h3> One hundred thirty operative general patients at notable risk as predicted by an anticipated Study on Effect Nosocomial Infection Control (SENIC) score 1 or greater. <h3>Outcome Measures:</h3>...
The incidence of chronic wounds is increased among older adults, and the impact on quality life particularly profound in this population. It well established that wound healing slows with age. However, basic biology underlying influence age-associated changes are poorly understood. Most studies have used vitro approaches various animal models, but observed translate to human conditions. age accompanying multi-morbidity effectiveness existing emerging treatment for also unknown, adults tend...
Hospital-acquired pressure injuries are a serious problem among critical care patients. Some can be prevented by using measures such as specialty beds, which not feasible for every patient because of costs. However, decisions about would benefit most from bed difficult results existing tools to determine risk injury indicate that patients at high risk.To develop model predicting development surgical patients.Data electronic health records were divided into training (67%) and testing (33%)...
Abstract Title. Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis the hip or knee. Aim. This paper reports a study effects physical (flexibility, fitness), self‐reported functioning pain Background. Osteoarthritis is common cause disability primary reason for knee joint replacement. Exercise important preventing and/or managing functional limitations associated disease. Aquatic thought to be beneficial often recommended people...
The Wound Healing Society is a professional organization of physicians, nurses, physical therapists, basic scientists, clinical researchers, and industrial researchers dedicated to assuring that every patient receives optimal wound care. Its mission advance the science practice healing. To end, following comprehensive, evidence- consensus-based guidelines were developed address Prevention Pressure Ulcers. are presented in generic terms; details specific tests, therapies, procedures...
Hospital-acquired pressure ulcers (HAPUs) are a national concern due to patient morbidity, treatment cost, and reimbursement issues. Stages III IV (PUs) that occur during hospitalization among the conditions considered preventable by Centers for Medicare Medicaid Services (CMS). Harborview Medical Center (HMC), located in Seattle, WA, is Level 1 trauma/burn center safety net hospital serving diverse populations. HMC committed providing excellence care including optimal skin PU prevention...
This article discusses the current literature related to intraoperative and preoperative risk factors for pressure ulcer development. Although surgical patients have a high of development, period patient care has often been missed as time increased risk. Pressure ulcers, which may originate in operating room, be incorrectly blamed on postoperative areas resulting from delay demarcation. In review, assessment tools do not adequately address factors. A tool that incorporates specific variables...
Antibiotic prophylaxis is a key component of the prevention surgical site infection (SSI). Failure to manage antibiotic effectively may increase risk SSI. This study aimed examine effects on SSI risk.A retrospective cohort was conducted among patients having general surgery between May 2012 and June 2015 at University Washington Medical Center. Peri-operative data extracted from hospital databases included patient operation characteristics, intra-operative medication fluid administration,...
This study identified the correlates of objectively and subjectively measured physical activity in adult wheelchair users. Fifty participants wore an monitor for a week completed questionnaire about factors associated with activity. Objectively correlated significantly body mass index. Subjectively age, stage change, health, healthcare providers discussing exercise, social support exercise. Research on effect index this population is needed. Intervention planners should plan programs that...
Objective: This study compared healing rates in stage III and IV pressure ulcers treated with noncontact normothermic wound therapy or moist dressings. Periwound temperature changes were evaluated. Design: 8-week, prospective, randomized clinical trial evaluated linear rate of the edge periwound during 1-hour warming treatment for 15 minutes after warming. Setting subjects: Forty subjects referred from primary care providers, home acute facilities, long-term facilities enrolled study....
Background and Purpose. Microamperage direct current microamperage electromagnetic stimulation are used to accelerate healing in bone. Although many clinicians using relieve pain facilitate wound healing, there is significant question regarding whether this low-intensity significantly accelerates soft tissue repair. The purpose of study was determine low-voltage pulsed (100 μA, 60 V, 0.1 Hz) enhances the superficial, full-thickness, or incisional wounds created simulate acute abrasions,...
Pressure sores cause longer hospital stays and discomfort for the patient. Can special mattresses aid in prevention?