Biomedical subjects
Richard Salcido
Publications and source records attributed to Richard Salcido.
Anabolic steroids for pressure ulcers revisited.
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Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit.
BACKGROUND: Transmission of microorganisms from the hands of health care workers is the main cause of health care-acquired infections. Recent studies on bacterial contamination of hands by medical care specialty found the highest bacterial contamination on the hands of health care workers from rehabilitation units. The objective of this study is to determine the effect of a patient education model on hand hygiene (HH) compliance in a rehabilitation unit. METHODS: A 6-week pre- and post-intervention study with a 3-month follow-up using a patient education model was conducted in a 24-bed inpatient rehabilitation unit located in an acute care hospital. Thirty-five patients were enrolled in the intervention phase of the study after agreeing to ask all health care workers who had direct contact with them, "Did you wash/sanitize your hands?" Compliance with the program was measured through soap/sanitizer usage per resident-day before, during, and after the intervention. RESULTS: Usage increased from 5 HH per resident-day during the preintervention to 9.7 HH per resident-day during the intervention (P <.001), 6.7 HH per resident-day postintervention (6 weeks) (P <.001), and 7.0 HH per resident-day at 3 months (P <.001). CONCLUSIONS: Patient education increased HH compliance in an inpatient rehabilitation unit by 94% during the 6-week intervention, 34% during the 6 week post intervention, and 40% at 3-month follow-up. This program empowers patients with responsibility for their own care and provides ongoing HH education.
SCI clinical research and the American Paraplegia Society at 50 years.
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Patient turning schedules: why and how often?
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Pilot study of a 360-degree assessment instrument for physical medicine & rehabilitation residency programs.
OBJECTIVE: To perform a pilot test on a new format for multidisciplinary assessment of resident physicians' professionalism and clinical performance in acute inpatient rehabilitation settings. DESIGN: In this pilot study, a 26-item ratings instrument was developed for use by therapists, nurses, social workers, case managers, and psychologists to rate inpatient residents. RESULTS: A total of 421 ratings forms were returned over four academic years. Alpha reliability coefficient for instrumentation sample was 0.99. chi2 and analysis of variance procedures examined item mean differences. Significant differences (P <or= 0.05) were found based on resident sex (17 items) and rotation setting (20 items). No significant differences were found based on rater profession; mean ratings by profession ranged from 6.67 (physical therapists) to 7.46 (case managers). CONCLUSIONS: Psychometric properties of this new ratings format are encouraging. The tool was a useful way to provide formative feedback to residents regarding professionalism and performance. Residency program directors can use this approach to fulfill Accreditation Council for Graduate Medical Education mandates to use a variety of assessment methods regarding resident education. However, potential sex bias and other issues affecting performance ratings should be considered in interpreting results and warrant further study.
The Erdman therapy: a treatment utilizing hot and cold therapy.
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Authorship: an occasional source of wounds.
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More than one way to measure a wound: an overview of tools and techniques.
PURPOSE: To improve clinical practice and the quality of patient care by providing a learning opportunity that enhances the participant's understanding of the tools and techniques available for wound measurement. TARGET AUDIENCE: This CME/CE activity is intended for physicians and nurses with an interest in learning about tools and techniques available for wound measurement. OBJECTIVES: After reading the article and taking the test, the participant will be able to: Identify advantages and disadvantages of various dimensional methods used to measure wounds. Identify advantages and disadvantages of visual and photographic assessment methods. Identify advantages and disadvantages of vascular and pressure assessment methods.
A new policy on letters to the editor.
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The clinical relevance of microbiology in acute and chronic wounds.
PURPOSE: To improve clinical practice and the quality of patient care by providing a learning opportunity that enhances the participant's understanding of how wound microbiology affects healing. TARGET AUDIENCE: This CME/CE activity is intended for physicians and nurses with an interest in interpreting the role of microorganisms in wound healing. OBJECTIVES: At the conclusion of this course, participants should be able to: 1. Identify the microbiology of acute and chronic wounds, risk factors for infection, and advantages and disadvantages of wound culturing. 2. Identify methods of debridement and wounds for which they are appropriate. 3. Identify systemic antibiotic treatment options for acute and chronic wound infections.
Conflict of interest, or interest in conflict?
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Pressure ulcer risk: Gazing into a crystal ball?
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Measured improvement in rate of healing of venous ulceration.
This case study describes a pivotal intervention associated with improved wound appearance and healing rate in a young, active woman with extensive venous stasis ulcers. These extensive ulcerations were heavily exudative and covered by a layer of yellow eschar. Yellow eschar and drainage were successfully managed with a capillary dressing (Vacutex), which promoted therapeutic compression as applied by standard dressings. This case provides data in favour of wound care protocols featuring Vacutex, specifically designed to address the consequences that wound drainage and eschar have in dramatically large venous stasis ulcers.