Woodbury MG, Houghton PE. Prevalence of pressure ulcers in Canadian healthcare settings. Ostomy Wound Manage. 2004;50(10):22–24, 26, 28, 30, 32, 34, 36–38. Click here to view.
Although statistics regarding the number of pressure ulcers in the U.S. and other countries are available, little information is known about the number of individuals in Canada who have pressure ulcers. Such information is important to assess the scope and health-care costs of pressure ulcers and develop public policies. To obtain estimated pressure ulcer prevalence rates in Canada, existing data (gathered between 1990 and 2003) from different health-care settings across the country were obtained. The overall estimate of the prevalence of pressure ulcers in all health-care institutions across Canada was 26%. Although additional studies are needed, the data suggest that pressure ulcers are a significant concern in all healthcare settings in Canada.

Orsted HL, Rosenthal S, Woodbury MG. Pressure ulcer awareness and prevention program: A quality improvement program through the Canadian Association of Wound Care. J Wound Ostomy Continence Nurs. 2009;36(2):178–83. Click here to view.
The Canadian Association of Wound Care (Wounds Canada) funded a study to determine the extent of pressure ulcers in Canada and discovered that the mean prevalence rate was 26%. Recognizing this as a significant health-related problem, the Canadian Association of Wound Care created a continuous quality improvement program known as the Pressure Ulcer Awareness and Prevention (PUAP) program to support a culture change in health-care settings that would shift the emphasis from treating existing ulcers to preventing them. This program has been pilot tested, revised, and is being implemented in many Canadian health-care facilities. The program has demonstrated a reduction rate in pressure ulcers up to 57% (prevalence) and 71% (incidence).

Murphy CA, Laforet K, Da Rosa P, Tabamo F, Woodbury MG. Reliability and predictive validity of Inlow's 60-Second Diabetic Foot Screen Tool. Adv Skin Wound Care. 2012;25(6):261–266. Click here to view.
The purpose of this study was to assess Inlow's 60-Second Diabetic Foot Screen Tool to determine its intrarater reliability, interrater reliability, and predictive validity in two health-care settings. An observational study of 69 persons with diabetes (n=26 from acute care setting; n=43 from long-term care setting). The screening tool was administered by two assessors independently to determine interrater reliability and later the same day by one of the assessors to determine intrarater reliability. Occurrence of foot ulcers or amputation was noted 1 to 5 months later to determine predictive validity. This study demonstrates excellent interrater and intrarater reliability and provides preliminary information about predictive validity.

Orsted HL, Woodbury MG, Stevenson K. The Wound CARE Instrument: The process for developing standards for wound management education and programming. IWJ. 2012;9(3):264–270. Click here to view.
This article describes the collaborative process undertaken by the Canadian Association for Enterostomal Therapy and the Canadian Association of Wound Care (Wounds Canada) in an effort to improve the quality of wound prevention and management education and programming. The end result of this process is the Wound CARE Instrument, which promotes an interprofessional, collaborative appraisal process to support the development, adoption or adaption of wound management educational events and programs. The Wound CARE Instrument is a valuable tool to aid in the appraisal and evaluation of wound management education and programming within a clinical setting and may not be applicable for academic settings.

Woodbury MG, Botros M, Kuhnke JL, Greene J. Evaluation of a peer-led self-management education programme PEP Talk: Diabetes, Health Feet and You. IWJ. 2013;10(6):703–711. Click here to view. 
PEP (Peer Education Programme) Talk: Diabetes, Healthy Feet and You is a peer‐led self‐management programme developed to address the problems of growing prevalence of diabetes and its complications, and limited health-care dollars. An evaluation of the programme, how it might be situated within a public health perspective and potential bridges for its implementation in communities throughout Canada and worldwide, are presented. It is recommended that this programme be made widely available and tailored to the specific needs of the communities and that further evaluation be conducted.



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