1 Programme Thirteenth Annual European Pressure Ulcer Advisory Panel Meeting September 1-3, 2010 University of Birmingham, England Theme: The flourishing of science to support prevention and healing Wednesday, September 1st Avon Lounge, Staff House 7.00 – 13.00 Registration 7.00 – 12.30 Poster set-up in Rotunda (above Great Hall) Avon Room, Staff House Chairs: Dr Carol Dealey, Prof. Amit Gefen 13.00 – 13.15 Conference opening ceremony Dr Cees W.J. Oomens, The Netherlands, President of EPUAP 13.15 – 13.45 Redefining pressure ulcers Dr Cees Oomens 13.45 – 14.15 The value that nurses place on pressure ulcer prevention and its relationship with patient outcomes Ray Samuriwo, Post Graduate Researcher, Wales 14.15 – 14.45 Pressure ulcer risk assessment tools – friend or foe? Dr Lisette Schoonhoven, The Netherlands 14.45 – 16.00 Poster viewing & judging 16.00 – 17.00 Coffee and exhibition viewing – Great Hall, Aston Webb Building 17.00 – 17.15 Introductions to the investigator awards Prof. Amit Gefen, Israel (Chair) 17.15 – 17.45 EPUAP established Investigator Award Lecturer Dr Lisette Schoonhoven, The Netherlands on behalf of Professor Tom Defloor, Belgium 17.45 – 18.15 EPUAP Novice Investigator Award Lecture What constitutes health-related quality of life in pressure ulcers and how can we measure it? Claudia Gorecki, UK 18.30 – 19.30 Welcome drinks and reception in the Great Hall, Aston Webb building 2 Thursday, September 2nd Avon Room, Staff House 9.00 Coffee, Avon Lounge Chairs: Dr Cees Oomens, Hilde Heyman 9.30 – 10.00 How do cells deform, and how might that relate to pressure ulcers? Prof. Amit Gefen, Israel 10.00 – 10.30 Optical and nano approaches in wound healing Dr Elizabeth Papazoglou, USA 10.30 – 11.15 Coffee and exhibition viewing, Great Hall, Aston Webb building Parallel sessions Room G33, near Great Hall, Aston Webb building 11.15 – 12.15 Free Papers session 1 Chairs: Anna Polak, Nils Lahmann Randomized controlled clinical study on the application of the treatment FREMS™ in the management of chronic ulcer of lower limb Cristina Magnoni, Italy EPUAP / NPUAP Pressure Ulcer Practice Guideline: evidence for electrical stimulation Prof. Luther Kloth, USA Clinical investigation in home care system on chronic wounds treated with FREMS™ (Frequency Rhythmic Electrical Modulation System) Francesca Tomei, Italy FREMS treatment in patients with ischemic ulcers: interim analysis of a randomized controlled study Cristiana Di Campli, Italy Avon Room, Staff House 11.15 – 12.15 KCI Symposium Pressure Ulcer Prevention: simplifying the science and practice and the importance of microclimate 11.15 – 11.25 Introducing the process of consensus documentation: From prevalence and incidence to pressure, shear, friction and microclimate in context. Carol Dealey 11.25 – 11.40 Microclimate in context: optimising skin conditions Michael Clark 11.40 -11.55 Education and implementation in the daily clinical practice to achieve zero prevalence Isabel Bales 11.55 – 12.05 Holistic patient care: The UK experience Fania Pagnamenta 12.05 – 12.10 Q&A 3 12.10 – 12.15 Summary of Highlights symposium Carol Dealey 12.15 – 13.15 Lunch and exhibition viewing Great hall, Aston Webb building Avon Room, Staff House Chairs: Dr Carol Dealey, Dr Marco Romanelli Announcement of poster winner 13.15 – 13.45 Exploring variation in pressure ulcer prevalence in Sweden and the US: International nursing benchmarking in action Lena Gunningberg, Sweden 13.45 – 14.15 Pressure ulcers and dementia – is there a relationship? Prof. Christina Lindholm, Sweden 4 Thursday, September 2nd Parallel sessions Room G33, near Great Hall, Aston Webb building 14.30 – 15.30 Randomised controlled trial workshop: Design considerations in RCTs Prof. Jane Nixon, Michelle Collinson, UK Beale Room, near Great Hall, Aston Webb building 14.30 – 15.30 ArjoHuntleigh Workshop Assess Mobility Manage Pressure Optimise Outcomes Come and meet the ArjoHuntleigh ‘family’ - a living educational tool used to express the individual challenges associated with caring for patients with mobility impairment and so vulnerability to pressure ulceration: tips and techniques for using support surfaces and repositioning equipment safely and effectively. Hosted by: Lyn Phillips, UK Fredrik Radencrantz, Sweden 15.30 – 16.00 Coffee and exhibition viewing, Great Hall, Aston Webb building Parallel sessions Avon Room, Staff House Chairs: Anna Polak, Marco Romanelli 16.00 – 17.00 Pressure ulcer pain suffering: issues raised in a multi-centre pain prevalence study Prof. Jane Nixon, Lyn Wilson, UK What is different about heels: a review of the anatomy of the heel compared to other body sites and photographic evidence of the progress of the ulcers Elizabeth McGinnis, England Why should we assess pain in pressure ulcers? Prof Christina Lindholm, Sweden. Room G33, near Great Hall, Aston Webb building 16.00 – 17.00 Student Paper Competition, first session Chairs: Hilde Heyman, Geert Vanwallegham The use of interface-pressure, temperature and comfort measures to define the optimum support surface for pressure ulcer prevention Lorna Tasker, UK Effectiveness of Indonesia Honey toward acceleration of wound healing: An experimental study in mice (Pilot Study) G Haryanto, Japan 5 Using a computer model to bridge published experimental seated posture results C Olesen, Denmark Parallel sessions Room G33, near Great Hall, Aston Webb building Chairs: Heli Kukko, Jane Nixon 17.00 – 18.00 Student Paper competition, second session Risk assessment and management of pressure ulcers at a London teaching hospital Sridhayan Mahalingam, London, UK Granulated sugar and osmotic VAC in treating exudating pressure ulcers Moses Murandu, Wolverhampton, England Promoting a quality service in the independent sector by the implementation and monitoring of a wound management competency framework’ Kate Sprakes, Liverpool, UK Beale Room, near Great Hall, Aston Webb building Chairs: Willi Young, Trudie Young 17.00 – 18.00 Free papers session 2 Characterization of wound dressings physical properties and their potential impact on prevention of ulceration Evan Call, USA Making mobility the priority in a pressure ulcer prevention program Tracey Yap, USA Prevalence measurement of pressure ulcers: The impact of the registration method on reliability Nancy VanGenechten, Belgium Results of 3 consecutive years of a yearly pressure ulcer prevalence audit in an acute cardiothoracic trust Fiona Downie, UK 20.00 Conference Dinner, Noble Suite, Staff House Presentations by Dr Cees Oomens, EPUAP President: To the winners of the poster prize and the novice and established investigator awards 6 Friday, September 3rd Avon Room, Staff House Breakfast available in the Avon Lounge 7.30 – 8.30 EHOB Breakfast session The Heel: a model to understanding pressure ulcers Dr James Spahn and Jacqui Fletcher Avon Room, Staff House Chairs: Lena Gunningberg, Trudie Young 09.00 – 09.45 Electrical stimulation to prevent pressure ulcers Dr Vivian Mushahwar, Canada 09.45 – 10.15 A systematic review of the evidence to support electrical stimulation in wound healing Gerard Koel, The Netherlands Beale Room, near Great Hall, Aston Webb building Chairs: Willi Jung, Dr Michael Clark 9.00 – 10.30 Oral poster presentation Poster # 3 Laboratory and clinical practice of wound care procedures-nursing students’opinion Rui Baptista, Portugal Poster # 6 ISO16840 testing of Shear Comfort XD1900 skin care material E Call, USA Poster # 11 Tissue Viability Services contribute to reducing costs and raising quality aligned with to 10 impact actions from department of healt inititiatives Judy Elliott, UK Poster # 32 A biomechanical model designed for real-time monitoring of internal mechanical loads in soft tissues of the seated buttocks based on pressure mat measurements Amit Gefen, on behalf of Sigal Portnoy, Israel Poster # 16 Impressao: A practical tool for pressure ulcer prevention Joao Gouveia, Portugal Poster # 17 Reimbursement of wound care products in Portugal: A survey Joao Gouveia, Portugal Poster # 19 Assessment of spinal cord injury patients with pressure areas in the Community-an assessment tool andGuideline Denise Hislop, New Zealand 7 Poster # 20 Significant improvements demonstrate advancement in a foam adhesive wound dressing David Holm, USA Poster # 26 Best practices for creating and managing a pressure ulcer prevention environment Susan Kennerly, USA Poster # 27 Unconventional Nutritional Treatment of a Stage IV pressure ulcer Celia Lopes, Portugal Poster # 29 Development of a 4 degrees of freedom capacitive force sensor for use on the skin surface – displacement inverse estimation Chisato Murakami, Japan Poster # 30 Sandwich-shaped necrosis in deep pressure ulcers Takehiko Ohura, Japan Poster # 31 Diversity of treatments for persons with wounds: Opinion of nurses and nursing teachers Luis Paiva, Portugal Poster # 33 Neurostimulator for the treatment of critical limb ischemia in patients technically inoperable. Elia Ricci, Italy Poster # 34 Pressure ulcer risk factors in persons with Spinal Cord injury at acute and rehabilitation stages Firas Sarhna, UK Poster # 35 An evaluation of a friction/shear reducing material on patients at risk of pressure ulceration in a district general hospital Glenn Smith, UK Poster # 36 Fast healing of pressure ulcers is delayed by bureaucracy Madeleine Stenius, Sweden Poster # 39 Assess the effectiveness of an all-in-one, dimethicone-impregnated barrier cloth on patients with impaired skin integrity due to moisture Adrian Torres, Spain Poster # 41 From documents to the bedhead: definition and classification of pressure ulcers Bernabe Villareal, Spain Poster # 42 Quality indicators and monitoring of pressure ulcers in an Acute Care Hospital Maria Dolores Candela Zamora, Spain 8 Room G33, near Great Hall, Aston Webb building Chairs: Dr Lisette Schoonhoven, Prof. Jos Schols 9.00-10.15 Free Papers Session 3 Longitudinal study: sustained pressure injury improvements from 2002-2010 Jill Parke, Australia Effectiveness of multi-facet tailored implementation of a computerized patient-tailored pressure ulcer prevention protocol in nursing homes: an RCT Dimitri Beeckman, Belgium Pressure ulcer programme of research – purpose Prof. Jane Nixon, UK The effectiveness of a multistage low pressure air mattress in pressure ulcer prevention: an RCT L. Demarre, Belgium 10.15 – 11.00 Coffee and exhibition viewing, Great hall, Aston Webb building Parallel Sessions Room G33, near Great Hall, Aston Webb building 11.00 – 12.00 Lectures Chair: Dr Peter Diesing, Germany An update from the main ISO work programme Why develop a standardised test to describe the off-loading characteristics of ACTIVE therapy support surfaces Lyn Phillips, Independent Clinical Consultant, UK Laboratory measurements of interface pressures applied by active therapy support surfaces: A consensus document Dr Michael Clark, Welsh Wound Network, UK The development of an appropriate support surface test mannequin, its validation in Europe and Japan Dr Richard Goossens, The Netherlands, Dr Makoto Takahashi, Japan Beale Room G29, near Great Hall, Aston Webb building 11.00 – 12.00 Chairs: Prof. Christina Lindholm, Paulo Alves Free Papers session 4 Words used to describe pressure ulcer pain: the results of a systematic review and qualitative synthesis M Briggs, UK 9 Use of mobile phones technology to assess pressure ulcers in person with spinal cord injury post discharge from rehabilitation hospitals Firas Sarhan, UK Role of ischaemia and reperfusion in the aetiology of deep tissue injury Dr Cees Oomens, on behalf of S. Loerakker, The Netherlands 10 Friday, September 3rd Avon Room, Staff House 11.00 – 13.30 Danone Symposium Malnutrition and pressure ulcers: adequate nutritional strategy improves patient outcome Introduction to the National Prevalence Measurement of care problems Prof. Ruud Halfens, The Netherlands Measuring pressure ulcers and malnutrition in The Netherlands and Austria Noemie van Nie, The Netherlands Creating a culturally safe National Pressure Ulcer Survey in Aotearoa, New Zealand Jan Weststrate, New Zealand Pressure ulcer guideline dissemination and implementation in Dutch nursing homes Esther Meesterberends, The Netherlands The relationship between malnutrition parameters and pressure ulcers Dr Judith Meijers, The Netherlands Specific nutritional support accelerates pressure ulcer healing and reduces wound care in non-malnourished patients Prof. Jos Schols, The Netherlands 12.00 – 13.00 Lunch and exhibition viewing, Great Hall, Aston Webb building Hall Avon Room, Staff House Chairs: Dr Michael Clark, Prof. Amit Gefen 13.00 – 13.30 Injury-related molecules in serum & urine may indicate the onset of deep tissue injury on a rat SCI-DTI mod Dr Mohsen Makhsous, USA 13.30 – 14.00 Biofeedback systems for preventing pressure ulcers Prof. Yohan Payan, France Parallel Sessions Room G33, near Great Hall, Aston Webb building 14.15 – 15.15 Lectures Chairs: Lena Gunningberg, Trudie Young A novel ultrasound protocol for determining the Compression Intensity Index: A case of conducting reliability studies 11 Jillian Swaine, Western Australia Prevalence studies: Can we compare the results? Prof. Christina Lindholm, Sweden Repositioning : make effective interventions! Paulo Alves, Portugal 12 Friday, September 3rd Beale Room, near Great Hall, Aston Webb building 14.15 – 15.30 Chairs: Dr Carol Dealey, Dr Michael Clark Free papers session 5 Treatment of non healing pressure sores with Electrical Stimulation (E-Stim) Elia Ricci, Italy How keratinocytes sense electrical guidance cues that direct their migration to heal wounds Christine Pullar, UK The evaluation of the efficiency of high voltage electrical stimulation in the pressure ulcer healing process Anna Polak, Poland Pressure ulcer prevention: The effect of different lying positions on tissue blood flow, temperature and interface pressure in elderly patients – an ongoing study Ulrika Kallman, Sweden Avon Room, Staff House 14.15 – 15.45 Gaymar Symposium Preliminary Consensus Statements for a New Paradigm on the Progression and Development of Pressure Ulcers: Your input is needed Moderators: Dr Thomas Stewart and Cindy Sylvia, USA Speakers: Dr Amit Gefen, Israel Dr Jan Kottner, Germany Dr Diane Krasner, USA Dr Gary Sibbald, Canada 15.15 – 16.15 Coffee in Avon Lounge, Staff House Parallel Sessions Avon Room, Staff House 16.15 – 17.15 Lectures Chairs: Dr Cees Oomens, Paulo Alves Adoption of the international EPUAP/NPUAP guidelines to a local guideline in the Netherlands. Meike van Halm-Walters, The Netherlands The challenge of implementing international guidelines Dr Carol Dealey, Birmingham, UK 17.15 – 17.30 Close of conference and introduction to the 14th European Pressure Ulcer Advisory Panel conference, Porto Portugal 2011 Dr Cees Oomens, Paulo Alves