July 2022 Wound and Ostomy Journal
Seven aetiologies of MASD: devising a protocol for improved care
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How does this research article compare to our practice, policy and/or procedure?
ReplyDelete-This research article was motivated by the finding that bedside Nurses didn't differentiate to treat MASD for an patient with recurrent MASD due to damage to the hypothalamus. In order to help bedside nurse and standardized the care, they developed the protocol about MASD treatment including their 7 etiologies. I believe St Joe doesn't have the protocol for MASD yet; of course it's very good if we have this kind of protocol since it's difficult for us to differentiate/treat occasionally. But at the same time, since our Patient's turnover was rather fast, it may be enough to increase educational session to bedside nurse (for example, focusing a couple of floors treating Bariatric patients or bedridden patients like ICU) relying on Wound care consult to get advise/order for recurrent/worsening skin problem continuously. I, personally, loved to read this article since I didn't know hypothalamas damage can cause MASD.
Discuss the limitations of the article: limited sample size, design flaws, and/or author bias:
- The sample size is good, but this article is not research, but rather a cohort study since there was no stats used and random selection. Thus, the limitation was that the result could be very specific to this facility and could have author's bias. However, I think the author did good job to get data and improve their practices developing a protocol of MASD for her facility.
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ReplyDeleteSeven aetiologies of MASD: devising a protocol for improved care.
ReplyDeleteValarie Renaux
9/24/22
Describe the method used by the author of the study.
The method of this study consist of a prevalence audit consisting monthly comparisons of moisture skin damage
Discuss the sample size used in the study.
The sample size consists of an audit with a calculated with a monthly average of 157 incidents of moisture damage reported each month. The audit consist of 13 months of duration according to a table on page 31.
Discuss the limitations of the article: limited sample size, design flaws, and/or author bias
Limitations of this sample size is unknown if these instances were picked at random. Not all nurses or healthcare providers are experienced in wound care and the healthcare providers involved in the care of the subjects with compromised skin integrity are not specified with their experience in wound management. It is undetermined in the measures utilized to alleviate bias.
Reference List
Atkinson K, Lodge L, Todd C, Lawson H, Smyth S. Seven aetiologies of MASD: devising a protocol for improved care. Journal of Community Nursing. 2022;36(1):30-34. Accessed September 24, 2022. https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,shib&db=c8h&AN=155145812&site=ehost-live&scope=site
ReplyDeleteDescribe the method used by the author of the study?
The author devised "the Seven Aetioloiges" following a multidisciplinary approach to the care of patients within the community. The author set out to understand the causes of MASD in order to help nurses and staff better understand how to recognize and treat this condition and its many causes.
Educating on the impairment to the hypothalamus and its inability to maintain homeostasis can effect the ability of products and treatments to improve skin conditions. And to utilize the same protocols throughout the communities that care for this population.
Discuss the limitations of the article: limited sample size, design flaws, and/or author bias.
ReplyDeleteIt is very good to have a standard protocol that everyone follows to maintain consistency in the care of these MASD.
It would be a good study to then check after a few months of implementation to see if the incidents of MASD have either decreased of increased .
In a similar fashion, Our ICU clabsi rates were very high, and an ICU team/protocol was created to standardize who changed the dressings, after a time, CLABSIs went significantly down.
1. How does this research article compare to our practice, policy and/or procedure?
ReplyDeleteThis article highlights the knowledge gap that nurses have when it comes to correctly identifying certain types of wounds. At PSJMC I do often see MASD mislabeled as a pressure injury and therefore not treated appropriately. The article emphasizes that when it comes to MASD, it is important to get to the root of the problem instead of just treating the wound.
2. What are the advantages and disadvantages of the proposed recommendations in the article?
The proposed recommendations in the article were to educate nurses more on causes of MASD and prevention. This is advantageous in that if nurses are able to properly identify MASD and can prevent and treat appropriately, then it leads to better patient outcomes and also can be financially impactful because resources would be utilized more effectively.
Discuss the sample size used in the study and what are the advantages and disadvantages to the proposed recommendations in the article?
ReplyDeleteWith the data collected and results evaluated the advantage this study proposes the implementing a protocol to help standardize and treat wounds will further help and improve management and education of moisture-associated skin damage. While having a unified approach to treating different kinds of wounds is beneficial, I believe some wounds, depending on a certain situation and patient needs will not fall into these broad categories and will need further treatment specific to that patient. The sample size of this study included patients from all nursing homes, residential homes and domiciliary care agencies within a given area. All patients had at least one of the seven etiologies of MASD present.