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Biomedical subjects

Christine Moffatt

Publications and source records attributed to Christine Moffatt.

8 recordsLinked to original sources

Measurement of lower leg compression in vivo: recommendations for the performance of measurements of interface pressure and stiffness: consensus statement.

BACKGROUND: Interface pressure and stiffness characterizing the elastic properties of the material are the parameters determining the dosage of compression treatment and should therefore be measured in future clinical trials. OBJECTIVE: To provide some recommendations regarding the use of suitable methods for this indication. METHOD: This article was formulated based on the results of an international consensus meeting between a group of medical experts and representatives from the industry held in January 2005 in Vienna, Austria. RESULTS: Proposals are made concerning methods for measuring the interface pressure and for assessing the stiffness of a compression device in an individual patient. CONCLUSIONS: In vivo measurement of interface pressure is encouraged when clinical and experimental outcomes of compression treatment are to be evaluated.

Bandages↗

The National Lymphoedema Framework project.

Lymphoedema is a common but unrecognized problem. The National Lymphoedema Framework (NLF)--a partnership between academics, patients, lymphoedema specialists and industry--is working to implement a new approach to lymphoedema care to tackle this problem. This article discusses the progress of the NLF, and describes the role of community nurses in the new service framework.

Academies and Institutes↗

Four-layer bandaging: from concept to practice.

The 4-layer bandage was originally designed to provide sustained leg compression to patients with venous leg ulcers. Since then, the practice of 4-layer bandaging has become widespread in the United Kingdom. Ulcer healing rates vary for a number of reasons. This review, by a member of the original design team, seeks to discuss reasons of varying success and offers advice for its appropriate usage.

Journal Article↗

Assessing pain at wound dressing-related procedures.

This article is an abstract from a new guide, Principles of Best Practice: Minimising Pain at Wound Dressing-Related Procedures. It is an educational initiative of the World Union of Wound Healing Societies (WUWHS). The guide has been inspired by two seminal documents: the European Wound Management Association's position document, Pain at Wound Dressing Changes (EWMA, 2002), and Practical Treatment of Wound Pain and Trauma: A Patient-centred Approach (Reddy et al, 2003). As an international educational initiative, the WUWHS document is aimed at anyone involved in dressing-related procedures anywhere in the world. This article summarises the section on best practice in the assessment of wound pain.

Bandages↗

The National Lymphoedema Framework Project.

The National Lymphoedema Framework Project originated from an epidemiology study (Moffatt et al, 2003) carried out in South West London, which identified that lymphoedema is a significant but unrecognised problem. Lymphoedema is a chronic swelling arising from the accumulation of protein-rich fluid that would otherwise drain via the lymphatic system. It can be grossly disfiguring, and is associated with cancer and its treatment, particularly breast cancer, but it can occur for other reasons, such as trauma or parasitic infection, or it may be primary in origin (Fig 1). The main aim of the project is to provide sufficient evidence to persuade policy-makers that lymphoedema is a major problem that is currently under-resourced and for which national guidance for management is required.

Health Policy↗