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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. 1 Dermatuff©2012 WARNING – Contains pictures of injuries which may upset some people with low tolerance.
In case anyone does not know what they look like. 2 Dermatuff©2012
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. 3 Dermatuff©2012
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. 5 Dermatuff©2012
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 6 Dermatuff©2012
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 7 Dermatuff©2012
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 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 8 Dermatuff©2012
How do Dermatuff Skin Tears Protection Stockings and Sleeves work? 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. Inside Outside 9 Dermatuff©2012
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. 10 Dermatuff©2012
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 11 Dermatuff©2012
13 StockingsCentimetres 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 MEDIUM SIZE SMALL SIZE SleevesCentimetres Circumference above elbow G Circumference at elbow E Circumference round wrist at the narrowest point C Length elbow to wrist C - E MEDIUM SIZE SMALL SIZE Dermatuff©2012
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. 14 Dermatuff©2012
Second Evaluation in Care Homes 23 rd December 2010 to 15 th 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. 15 Dermatuff©2012
DaysHoursSkin-tearsBruisesNo. of people Skin-tear measure Actual skin tear rate Potential skin tear rate% reduction Skin-tears per person % Bruises measure Actual Bruises rate Potential Bruises rate % reduction Bruises/ person 03.6eliminated Evaluation Results 16 Dermatuff©2012
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. Ive been very comfortable with my protective stockings she said, They have saved me a great deal of pain and suffering 17 Vulnerable Resident has no skin tears for over 2 years Dermatuff©2012
18 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. 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 = £ % 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. Dermatuff©2012
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 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 Dermatuff©2012
DERMATUff Ltd, EX5 1EE Telephone: Mobile: Company Number: Dermatuff©2012
Company Presentation Company Mission To provide simple, wearable, inexpensive flexible protective clothing for those vulnerable to abnormal risks as a.
STOPCUTS The STOPCUTS Study A Randomised Controlled Trial of Protective socks against Usual Care to Reduce Skin Tears in High Risk People Living in Care.
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