Publications by authors named "Helen Strapp"

4 Publications

  • Page 1 of 1

Exploring the prevalence and management of wounds in an urban area in Ireland.

Br J Community Nurs 2016 03;21 Suppl 3:S12-9

Clinical Specialist Podiatrist in Diabetes, St James Hospital, Dublin.

Aim: This study explores the prevalence and management of wounds within an urban setting in Ireland.

Method: It employs a cross-sectional survey design, using a predesigned, validated data-collection instrument.

Findings: The point prevalence of wounds was 3.7% (n=445), with surgical wounds being the most prevalent (43%; n=189). Wound care was provided across a wide variety of clinical settings, with the majority of patients (60%; n=271) managed in the acute care setting. Most dressings were changed 2-3 times a week (60%; n=271). The mean dressing time was 15 minutes (SD: 12.4 minutes), varying from 2 minutes to 90 minutes. The mean nurse travel time was 3 minutes (SD: 6.5 minutes), varying from 0-60 minutes. Among participants managed using silver and iodine dressings, 53% (n=10, silver) and 78% (n=50, iodine) were prescribed for wounds described as being not infected. Alginate dressings were used incorrectly in 75% of cases, foam dressings in 63% of cases and Hydrofiber dressings in 63% of cases.

Conclusion: Wound management within the explored geographical area is an important clinical intervention. This study identified areas of practice that need to be addressed, primarily those related to the topical management of the wound and use of offloading. The data has been used to inform practice, education, and further research in this important clinical specialty.
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March 2016

Managing the problem of excess exudate.

Br J Nurs 2015 Aug 13-Sep 19;24(15):S12, S14-7

Tissue Viability Clinical Nurse Specialist, Tallaght Hospital, Dublin, Ireland.

Wound healing is a normal response to injury and is initiated after the integrity of the skin has been interrupted. The management of exudate in practice can be challenging, as there are clinical situations where the patient's wound may produce copious amounts of exudate. It is therefore important that excess wound exudate is accurately assessed and diagnosed and subsequently managed effectively to relieve the significant burden it places on those who suffer with the problem. This article will look at the effect of Exufiber(®) in the management of three wounds with different aetiologies.
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November 2015

An international eDelphi study identifying the research and education priorities in wound management and tissue repair.

J Clin Nurs 2012 Feb 9;21(3-4):344-53. Epub 2011 Dec 9.

Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.

Aim: To incorporate an international and multidisciplinary consensus in the determination of the research and education priorities for wound healing and tissue repair.

Background: A compelling reason for the study is the lack of an agreed list of priorities for wound care research and education. Furthermore, there is a growth in the prevalence of chronic wounds, a growth in wound care products and marketing, and an increase in clinician attendance at conferences and education programmes.

Design: The study used a survey method.

Methods: A four-round eDelphi technique was used to collect responses from an international population of health professionals across 24 countries.

Results: Responses were obtained from 360 professionals representing many health care settings. The top education priorities related to the standardisation of all foundation education programmes in wound care, the inclusion of wound care in all professional undergraduate and postgraduate education programmes, selecting dressings and the prevention of pressure ulcers. The top research priorities related to the dressing selection, pressure ulcer prevention and wound infection. conclusion: Professionals from different backgrounds and countries who are engaged in wound management share a common set of priorities for research and education. Most notably, the priorities identified relate to long-established clinical challenges in wound care and underpin the principles of good patient care practices. The priorities are closely allied to an ageing population and identify many challenges ahead for practitioners engaged in wound management services.

Relevance To Clinical Practice: The provision of wound care is a major investment of health service resources and remains a clinical challenge today. Research is essential to building evidence-based practice and fundamental to development of quality in standards of practice; education is central to achieving competence to deliver effective care. The determination of research and education priorities is therefore an absolute requirement in developing services.
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February 2012

Prevalence of lymphoedema and quality of life among patients attending a hospital-based wound management and vascular clinic.

Int Wound J 2012 Apr 13;9(2):120-5. Epub 2011 Sep 13.

FFNMRCSI, Centre for Nursing and Midwifery Research, Royal College of Surgeons in Ireland, Dublin, Ireland.

Lymphoedema is a chronic, incurable, debilitating condition, usually affecting a limb and causes discomfort, pain, heaviness, limited motion, unsatisfactory appearance and impacts on quality of life. However, there is a paucity of prevalence data on this condition. This study aimed to determine the prevalence of lymphoedema among persons attending wound management and vascular clinics in an acute tertiary referral hospital. Four hundred and eighteen patients meeting the inclusion criteria were assessed. A prevalence rate of 2.63% (n = 11) was recorded. Thirty-six percent (n = 4) had history of cellulitis and broken skin, 64% (n = 7) had history of broken skin and 36% (n = 4) had undergone treatment for venous leg ulcers. The most common co-morbidities were hypertension 55% (n = 6), deep vein thrombosis (DVT) 27% (n = 3), hypercholesterolemia 36% (n = 4) and type 2 diabetes 27% (n = 3). Quality of life scores identified that physical functioning was the domain most affected among this group. This study has identified the need to raise awareness of this condition among clinicians working in the area of wound management.
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April 2012