Integrated protocol for the prevention and treatment of skin ulcers in patients with end-stage renal disease
Stefano Mancin,
Beatrice Mazzoleni,
Francesco Reggiani,
Marta Calatroni,
Elena Alterchi,
Daniela Donizzetti,
Silvia Finazzi,
Fanny Soekeland,
Marco Sguanci,
Salvatore Badalamenti
Affiliations
Stefano Mancin
Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy; Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Corresponding author at: Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy.
Beatrice Mazzoleni
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
Francesco Reggiani
Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
Marta Calatroni
Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy
Elena Alterchi
Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Daniela Donizzetti
Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Silvia Finazzi
Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Fanny Soekeland
School of Health Professions, University of Applied Sciences, Bern, Switzerland
Marco Sguanci
Department of Medicine and Surgery, Research Unit of Nursing Science, Università Campus Bio-Medico di Roma, Rome, Italy
Salvatore Badalamenti
Nephrology and Dialysis Unit IRCCS Humanitas Research Hospital, Rozzano, Milan, Italy
Chronic Kidney Disease (CKD) is an escalating global health concern, affecting more than 10 % of the general population worldwide, amounting to over 800 million individuals. One of its major complications for patients is the high prevalence of skin ulcers . This study aims to develop a protocol for ulcer management within the context of a hospital-based dialysis center. The success of this strategy is deeply rooted in the collaboration of a multidisciplinary team, continually enriched by specialist training. The clinical nurse specialist (CNS) in wound care plays a pivotal role in this approach. By employing a systematic methodology, the protocol is tailored to emphasize holistic care for patients diagnosed with end-stage renal disease undergoing hemodialysis. It accentuates the significance of proactive prevention, in-depth patient education, and the immediate identification of early wound signs. The research underscores the necessity to further weave in specialized training for ulcer care, ensuring each hospital visit is maximized for efficiency and effectiveness. Central to this protocol is the understanding that CKD is a growing concern, that the optimal management of ulcers relies heavily on multidisciplinary collaboration, and that an emphasis on prevention, patient education, and timely wound recognition is crucial to enhance patient care and experience.
