Embracing the Concept, Defining the Practice, and Changing the Outcome: Setting the Standard for Medical Adhesive-Related Skin Injury Interventions in WOC Nursing Practice. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Yates, Stephanie; McNichol, Laurie; Heinecke, Steven B.; Gray, Mikel
• Is Part Of: Journal of WOCN. Volume 44:Issue 1(2017)
• Publication Date: 2017-01
• Subjects: Adhesive -- Best practice -- Consensus -- Epidermal stripping, MARSI -- Medical adhesive-related skin injury -- Skin injury -- Tape injury; Abdomen -- Surgery -- Periodicals; Abdomen -- Wounds and injuries -- Nursing -- Periodicals; Bedsores -- Nursing -- Periodicals; Fecal incontinence -- Nursing -- Periodicals; Enterostomy -- Nursing -- Periodicals; Urinary incontinence -- Nursing -- Periodicals; 610.73
• DOI: 10.1097/WON.0000000000000290
• Languages: English
• ISSNs: 1071-5754

Abstract

Abstract : Medical adhesive-related skin injury (MARSI) is a comparatively new category of skin damage. Our current understanding of MARSI originates from an interdisciplinary consensus conference held in 2012 that generated and disseminated 25 statements pertaining to the assessment, prevention, and management of MARSI, along with gaps in research and knowledge related to this area. The 2012 MARSI Consensus Group also challenged each organization to refine the original statements to make them more relevant to their particular area of practice. In order to accomplish this refinement for WOC specialty nursing practice, the WOCN Society appointed a task force to create statements that extended recommendations to patients with an acute or chronic wound, ostomy, or incontinence. This article describes the formal consensus process used to generate consensus statements concerning MARSI in our specialty practice, presents the 8 statements, and provides a brief overview of the advances that underlie the medical adhesive end products used by WOC and other clinicians practicing in all health care settings.