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Skin Tear Protection Wear Stockings & Sleeves

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Presentation on theme: "Skin Tear Protection Wear Stockings & Sleeves"— Presentation transcript:

1 Skin Tear Protection Wear Stockings & Sleeves
WARNING – Contains pictures of injuries which may upset some people with low tolerance. Skin Tear Protection Wear Stockings & Sleeves Company Mission To provide simple, wearable, inexpensive flexible protective clothing for those vulnerable to abnormal risks as a result of their age, physical or medical condition and occupational or leisure activities. Dermatuff©2012

2 In case anyone does not know what they look like.
Dermatuff©2012

3 LeBlanc et al. (2007) defined skin tears as:
‘the result of shearing, friction or blunt trauma that causes separation of skin layers. The subsequent wounds are partial or full thickness depending upon the degree of tissue damage.’ Source Maureen Benbow – University of Chester Dermatuff©2012

4 Source Maureen Benbow – University of Chester
Dermatuff©2012

5 Summary of Risk Factors
Age and gender •History of previous skin tears •Dry, fragile skin •Medications that thin the skin such as steroids •Ecchymosis (bruising / discolouration of the skin caused by leakage of blood into the subcutaneous tissue as a result of trauma to the underlying blood vessels) •Impaired mobility or vision •Poor nutrition and hydration •Cognitive or sensory impairment •Co morbidities that compromise vascularity and skin status, including chronic heart disease, renal failure, cerebrovascular accident •Dependence on others for showering, dressing or transferring. Source Maureen Benbow – University of Chester Dermatuff©2012

6 •Age related changes to the skin •Skin becomes thinner
Predisposing Factors •Age related changes to the skin •Skin becomes thinner •Can be 20% reduction in thickness of the dermis •Collagen becomes less elastic •Skin becomes less stretchy and resilient Source Maureen Benbow – University of Chester Dermatuff©2012

7 Some Causes •Trauma, usually blunt, often minor •Cot sides/Bed rails
•Shopping Trolley •Car door •Falls Tripping on the staircase Getting on the bus •Rose thorns •Nurses/care Source Maureen Benbow – University of Chester Dermatuff©2012

8 How many skin tears occur per annum?
There are no national statistics Published academic studies indicate a level of per annum for people aged 75 and over[1] 75+ population in the UK is 5.085million This would mean that there will be million skin tears each year Which it costs approximately £2.56bn to treat[2] [1] Skin tears: A literature review, Morey P, August 2007 [2] Colin Pritchard: Potential Reduction in NHS Costs that Would be Associated with Preventing Skin Tears through Using Dermatuff Skin Tear Protection Stockings Dermatuff©2012

9 How do Dermatuff Skin Tears Protection Stockings and Sleeves work?
Inside Outside This shows how a terry loop is made. The loops coloured yellow are made with the specialist abrasion and impact resistant aramid yarn whilst the base fabric (coloured black) is nylon. Dermatuff©2012

10 The combination of the looping system and the
hard aramid prevents the result of shearing, friction or blunt trauma that causes separation of skin layers. The stockings are not compression stockings They apply only the safe level of 10 mmHg of pressure or less. This amount of pressure is necessary to enhance comfort to stay in position and provide close fitting The stockings have a doubled-over soft-top which ensures that they stay up. Dermatuff©2012

11 The leg portion of the stockings and the sleeves
excluding the cuffs are made with the protective material. The stocking feet are made with cotton as they do not need to be protective. They do not cause any irritation or allergy They are warm in winter and cool in summer They may be washed by normal means at normal temperatures. Registered as a Medical Device Class I Listed on NHS Supply Chain Dermatuff©2012

12 Dermatuff©2012

13 Circumference below knee D
Stockings Centimetres Circumference below knee D Circumference round calf at the widest part C Circumference narrowest point above the ankle bone B Length below the knee to floor A - D  Large size not yet available LARGE SIZE 36-48 25-30 41-50 MEDIUM SIZE 22-40 19-30 39-48 SMALL SIZE 18-32 18-27 35-44 Sleeves Circumference above elbow G Circumference at elbow E Circumference round wrist at the narrowest point C Length elbow to wrist C - E 24-36 24-38 16-24 18-30 19-32 13-24 20-25 Dermatuff©2012

14 First Evaluation in Care Homes
The evaluation took place in five Care Homes During July to September ‘09. Result - great reduction in painful skin-tears and other harmful effects. Reduction in dressing of wounds. Dermatuff©2012

15 Second Evaluation in Care Homes
23rd December 2010 to 15th February 2011 in five Care Homes. There were fourteen participants. All nursing home managers thought that wearing the stockings definitely prevented many more injuries. There was a high level of acceptability of the stockings by the residents. Dermatuff©2012

16 Evaluation Results 747 7822 1 20 0.05 1.85 97.30% 3.6 eliminated Days
Hours Skin-tears Bruises No. of people 747 7822 1 20 Skin-tear measure Actual skin tear rate Potential skin tear rate % reduction Skin-tears per person 0.05 1.85 97.30% Bruises measure Actual Bruises rate Potential Bruises rate Bruises/ person 3.6 eliminated Dermatuff©2012

17 Vulnerable Resident has no skin tears for over 2 years
Florence Lees, now aged 92 who is a very happy resident of Cranford Nursing Home in Exmouth has been wearing the stockings for two years. She says that she has had no problems at all with wearing them and no itching or overheating.   “I’ve been very comfortable with my protective stockings” she said, “They have saved me a great deal of pain and suffering” Dermatuff©2012

18 Example of Cost Saving in a Nursing Home
I was given an example of the cost of treating a skin tear in a Nursing Home. Costs each Treatment (see notes) Cost of trained staff each time £7.50 Costs of dressings each time £16.00 Total cost each time £23.50 Twice per week for 7 weeks = x14 = £329 This resident has one skin tear per month therefore total for year = £3948 97% chance of being effective Therefore annual saving = £3829 Cost of two pairs of stockings = £60 With a patient of this age there is a considerable chance that the skin tear will then turn into a leg ulcer. I was given an example of the cost of treating a skin tear. The treatment need to be renewed twice per week; each renewal takes about half an hour and requires two dressings. The dressings are on FP 10 and cost £16 each time. The cost for the trained staff member would be about £7.50 And the wound takes about7 weeks to heal. This means that there is a cost for the Care Home of £7.50 x 2 x 7 = £105 for each skin tear. This particular resident suffers a least one skin tear per month which means 12 skin tears per annum. The annual cost for this particular resident is £1,260 for the Care Home. The cost for the NHS is £16 x 2 x 7 = £224 for each skin tear. Equivalent to £2,688 per annum this makes a total annual cost of £3,948. If the skin tear protection stockings or sleeves prevented 97% of all skin tears as our evaluations indicated then the annual realistic saving would be £3,829. This would be for an investment of £60 if two pairs of stockings are used. A return on investment of 6,381% Of course with a patient of this age there is a considerable chance that the skin tear will then turn into a leg ulcer. I was given an example of the cost of treating a skin tear in a Nursing Home. The treatment needs to be renewed twice per week; each renewal takes about half an hour and requires two dressings. The dressings are on FP 10 and cost £16 each time. The cost for the trained staff member would be about £7.50 and the wound takes about 7 weeks to heal. This means that there is a cost for the Care Home of £7.50 x 2 x 7 = £105 for each skin tear. This particular resident suffers a least one skin tear per month which means 12 skin tears per annum. The annual cost for this resident is £1,260 for the Nursing Home. The cost for the NHS is £16 x 2 x 7 = £224 for each skin tear. Equivalent to £2,688 per annum this makes a total annual cost of £3,948. If the skin tear protection stockings or sleeves prevented 97% of all skin tears as our evaluations indicated then the annual realistic saving would be £3,829. This would be for an investment of £60 if two pairs of stockings are used. Of course with a patient of this age there is a considerable chance that the skin tear will then turn into a leg ulcer. Dermatuff©2012

19 Randomised Controlled Trial to take place
Dr Roy Powell, a researcher and statistician together with his research team made an application for an award of £250,000 to the National Institute for Health Research under its Research for Patient Benefit Scheme to research the effectiveness of the skin tear protection stockings and was successful. The trial will start in March 2013. The ‘STOPCUTS’ Trial will take place in approximately 30 care homes situated in Exeter, Exmouth and North Devon. Ninety residents will be randomly selected: half of them will wear the stockings and half who will be the control group will not do so. The trial will last for 16 weeks but because of the very considerable analysis of the data necessary. The findings will be published at the end of 2014. Dr Roy Powell, a researcher and statistician met Peter Thornton, an entrepreneur and Dr Jemima Stilgoe a GP in Roy thought that the solution proposed by Peter and Jemima, armoured but comfortable and flexible protective stockings and sleeves had great potential to prevent the problem of skin tears and should become the subject of a research trial. Together with his research team he made an application for an award of £250,000 to the National Institute for Health Research under its Research for Patient Benefit Scheme and was successful. The trial will start in January 2013. The ‘STOPCUTS’ Trial will take place in approximately 30 care homes situated in Exeter, Exmouth and North Devon. Ninety residents will be randomly selected: half of them will wear the stockings and half who will be the control group will not do so. The trial has been named STOPCUTS. The trial will last for 16 weeks but because of the very considerable analysis of the data necessary, the findings will not be published until the end of 2014. Dermatuff©2012

20 DERMATUff Ltd, EX5 1EE Telephone: 01395 548199 Mobile: 07836 212713
Company Number: Dermatuff©2012


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