Zaawansowana praktyka pielęgniarska
(Advanced Practice Nursing – APN) jest uznanym międzynarodowo modelem praktyki klinicznej, który przyczynia się do poprawy dostępności świadczeń, jakości opieki oraz efektywności kosztowej systemów ochrony zdrowia.
Dostęp do opieki stomijnej w Polsce jest ograniczony, zwłaszcza po likwidacji w 2003 r. samodzielnych poradni stomijnych. Doświadczenia zagraniczne wskazują, że ambulatoryjna opieka stomijna prowadzona przez pielęgniarki jest efektywnym rozwiązaniem zarówno dla pacjentów, jak i całego systemu ochrony zdrowia.
Chronic wounds, such as pressure ulcers, venous leg ulcers or diabetic foot ulcers represent a significant economic, social, and health burden on socjety. This burden
is growing rapidly as populations in developing countries age. The most common problems in chronic wound treatment include microcirculation disorders, chronic inflammation, impaired angiogenesis, insufficient proliferation
of fibroblasts and keratinocytes, and comorbidities such as diabetes or immobilization
The pain that patients experience while their wounds are being cleaned is a serious problem that is often underestimated. The occurrence of pain during debridement can have a negative impact on patients’ quality of life and may lead them to hesitate to undergo the procedure.
iteratura opisująca częstość występowania i zapadalność na odleżyny wśród dzieci jest dość skąpa. Jednak istniejące doniesienia są alarmujące. Wielu wyników badań dotyczących odleżyn u dorosłych nie można bezpośrednio odnieść do populacji pediatrycznej, chociażby ze względu na to, że skóra noworodków różni się istotnie pod względem fizjologicznym i anatomicznym od skóry starszych dzieci i dorosłych.
Risk assessment tools have been utilised for several decades to systematically identify patients at risk of pressure ulcers.
For a long time, the issue of treating wounds, both acute and chronic, was considered primarily in terms of the physical healing process. Recently, however, the complexity of the processes involved in tissue regeneration, as well as the significant influence of the human psyche on the overall wound healing process, has been increasingly taken into account. The patient’s mental state is influenced by factors related to the occurrence of the injury, as well as the presence of changes in the skin, which is considered one of the largest organs in the human body
Skin grafting is a complex procedure, requiring an interdisciplinary approach – doctor, nurse, rehabilitator, psychologist and patient involvement. Knowledge of all aspects of the procedure, as well as the stages of patient preparation, is crucial to achieve satisfactory results. Autogenic grafts used in case of injuries promote the healing process
The need for simulation in medical education is increasing, mainly because there are more students than available patients. Another reason is that patients often don’t allow students to examine them, which requires adding simulated training ses-sions. Simulation technology has advanced a lot, making it more realistic. These classes occur in a safe and controlled en-vironment, which can be repeated and include complex scenarios. Some research validates the use of simulated wounds, but it would be useful to study how this training improves real patient care, especially for Polish students.
Prehabilitation, a modern algorithm for comprehensive patient preparation for surgical treatment, is becoming increasing-ly popular in medicine. This process includes physical but also psychological and nutritional preparation of the patient before a planned surgical procedure.