Publications by authors named "Mikel Gray"

While convex skin barriers have been used in patient care for decades, regulatory bodies and manufacturers have not established consistent parameters for measuring the most essential characteristics of a convex skin barrier. A transdisciplinary panel of manufacturers, engineers, marketing specialists and clinical subject matter experts from the United States was convened to address this gap. An initial consensus meeting was held to establish consensus around measurement parameters for 5 characteristics of convex skin barriers: depth, slope, flexibility, compressibility, and tension location.

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Article Synopsis
  • * The article presents three cases of skin injuries caused by medical adhesive devices used with peripheral inserted central catheters (PICCs), showcasing different types of injuries and the management approaches taken by specialized nurses.
  • * The findings emphasize the importance of the MARSI framework in identifying and managing skin injuries associated with medical adhesives, potentially allowing patients to continue necessary therapies without needing to remove their medical devices.
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Awareness of medical adhesive-related skin injury (MARSI) has increased in the decade since a foundational consensus report was published in 2013. Additional research has provided greater knowledge of the epidemiology of MARSI, along with its assessment, prevention, and management. To summarize knowledge generated in the past decade and review our current understanding of MARSI, a panel of nine clinical experts from four countries (United States of America, United Kingdom, Canada, and Brazil) convened to discuss the literature published since the initial 2013 document and develop updated recommendations for clinical practice.

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Purpose: To summarize evidence related to (1) research studies examining patient/caregiver educational interventions related to intermittent self/caregiver catheterization (ISC), (2) studies examining issues related to teaching ISC, and (3) evidence-based clinical practice guidelines addressing ISC.

Problem: Avoiding lower urinary tract trauma during catheter insertion, adequate frequency of catheterization, and complete emptying of the bladder are essential to prevent and reduce complications associated with ISC. Consequently, proper patient/caregiver education is essential to achieving good outcomes.

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Background: Low-intensity shockwave therapy for erectile dysfunction is emerging as a promising treatment option.

Aim: This randomized sham-controlled crossover trial assessed the efficacy of low-intensity shockwave therapy in the treatment of erectile dysfunction.

Methods: Thirty-three participants with organic erectile dysfunction were enrolled and randomized to shockwave therapy (n = 17) or sham (n = 16).

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Despite recent advances in intermittent catheter features, evidence guiding how to best educate patients when beginning and continuing a program of intermittent catheterization remains sparse. To address this gap and guide best practice, a scoping review was conducted and a consensus panel of clinicians and researchers with expertise in intermittent catheterization was convened in person during December 2022 in Austin, Texas, to develop evidence and consensus-based statements guiding instruction of patients beginning intermittent self or assisted catheterization. This article describes the 15 consensus-based statements that can be used to guide best practice in patient education on intermittent catheterization.

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Article Synopsis
  • The WOCN Society tasked a group to update the algorithm for treating venous leg ulcers to include lymphedema, now called "Compression for Lower Extremity Venous Disease and Lymphedema (CLEVDAL)."
  • The task force conducted a literature review to identify evidence-based recommendations and gaps in guidance for clinical practice regarding CLEVDAL.
  • A panel of experts developed consensus statements for best practices in managing lower extremity venous disease and lymphedema, which were validated by a different group of specialists.
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