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Zakrasek E C EC Department of Physical Medicine and Rehabilitation, Stanford University, Palo Alto, CA, - - 2014
Study design:Literature review.Objectives:To explore the prevalence or incidence, risk factors, and costs of pressure ulcers among individuals with spinal cord injury (SCI), specifically in the context of the developing world. To highlight important targets for intervention and research for pressure ulcer management the world over.Setting:World Bank 'low-income' and 'middle-income' countries ...
Chen Yanni Y From the Xi'an Children's Hospital, Xi'an, China (YC); Key Laboratory of Biomedical Information Engineering of Ministry of Education and Institute of Biomedical Engineering, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, China (YC, JW); Rehabilitation Engineering Laboratory, Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign (YC, C-WL, TDY, Y-KJ); Department of Creative Product Design, Asia University, Taichung, Taiwan (C-WL); and Department of Rehabilitation Science, University of Hartford, West Hartford, Connecticut - - 2014
Clinicians commonly recommend that power wheelchair users with spinal cord injury perform wheelchair tilt and recline maneuvers to redistribute seating loads away from the ischial tuberosities. However, ischial pressure reduction may be accompanied by coccygeal pressure increases. Although the coccyx is among the most common sites of pressure ulcers, few ...
Owczuk R R Chair and Department of Anaesthesiology and Intensive Therapy, Medical University of Gdańsk, Gdańsk, Poland - - - 2014
Ondansetron was effectively used to prevent spinal anaesthesia--induced hypotension in the general population and women anaesthetised for caesarean section. The aim of this study was to test the hypothesis that blocking type 3 serotonin receptors with intravenous ondansetron administration reduces hypotension and bradycardia induced by spinal anaesthesia in elderly patients. ...
Lala Deena D Health and Rehabilitation Sciences Graduate Program, Western University, London, ON, - - 2014
To describe the impact of pressure ulcers on the ability to participate in daily and community activities, healthcare utilization, and overall quality of life in individuals living with spinal cord injury (SCI). Cross-sectional study SETTING: Canada-wide survey PARTICIPANTS: A total of 1137 participants with traumatic SCI and greater than one ...
Demarre Liesbet L University Centre for Nursing and Midwifery, Ghent University, - - 2014
To identify predictive factors associated with the development of pressure ulcers in patients at risk who receive standardized preventive care. Numerous studies have examined factors that predict risk for pressure ulcer development. Only a few studies identified risk factors associated with pressure ulcer development in hospitalized patients receiving standardized preventive ...
Dana Ali N - - 2014
Individuals with spinal cord injury (SCI) are at increased risk for the development of pressure ulcers. These chronic wounds are debilitating and contribute to prolonged hospitalization and worse medical outcome. However, the species of bacteria and the role that specific species may play in delaying the healing of chronic pressure ...
Herbella Fernando Augusto Mardiros FA Department of Surgery, Escola Paulista de Medicina, Division of Esophagus and Stomach, Surgical Gastroenterology, Federal University of Sao Paulo, Hospital Sao Paulo, Rua Diogo de Faria 1087 cj 301, Sao Paulo, SP, 04037-003, Brazil, - - 2014
This review focus on the utility of HRM for the evaluation of gastric motility. The evaluation of gastric motility has clinical implications for the study of a myriad of diseases. Disordered motility represents a spectrum of dysfunction ranging from delayed gastric emptying to abnormally rapid gastric transit. Gastric motility may ...
Sunn Gabriel G Physical Medicine and Wound Rehabilitation, Spinal Cord Injury Unit, Miami VA Hospital, 1C, 1201 Northwest 16th Street, Miami, FL 33125, USA; Department of Physical Medicine and Rehabilitation, Miller School of Medicine, University of Miami, PO Box 016960 (D-461), Miami, FL 33101, USA. Electronic address: - - 2014
Pressure ulcers continue to impact the lives of spinal cord injury patients severely. Pressure ulcers must be accurately staged according to National Pressure Ulcer Advisory recommendations before treatment design. The first priority in treatment of pressure ulcers is offloading. Intact skin ulcers may be treated with noncontact nonthermal low-frequency ultrasound. ...
Cameron Rosie R Tissue Viability Project - - 2014
The impact of pressure ulcers is psychologically, physically and clinically challenging for both patients and NHS staff. NHS Greater Glasgow and Clyde (NHS GGC), in line with the Scottish Best Practice Statement for the Prevention and Management of Pressure Ulcers ( Quality Improvement Scotland, 2009 ), and the NHS Health ...
Collier Mark M Lead Nurse Consultant, Tissue - - 2014
Pressure and shear are the two key extrinsic factors that cause pressure ulcer damage. However, if the resilience of the skin and soft tissue deteriorates, the individual's susceptibility to such pressure damage will increase. The risk is greater if the microclimate at the interface between the skin and the support ...
Charlton Sarah S Community Tissue Viability Nurse, South Essex Partnership University NHS Foundation Trust (South East - - 2014
This article explores the process and rationale for designing a poster to support community nurses in selecting appropriate pressure-relieving equipment based on accurate risk assessment and correct pressure ulcer grading. The project was prompted by the requirement to update community nurses' knowledge and ensure pressure-relieving equipment selection was evidence-based and ...
Masterson Sarah S Tissue Viability Clinical Nurse - - 2014
The heel continues to be one of the most common sites of pressure damage. This article reviews the anatomy and physiology of the heel and explores significant risk factors, including those found in the critically ill patient. Interventions to prevent heel pressure ulceration by offloading the heel are explored. An ...
Glasgow D D Cardiac Anaesthetics Fellow, Royal Victoria Hospital, Belfast, - - 2014
Medical devices must be closely monitored to prevent harm to patients. Pressure ulcers secondary to medical devices present a significant health burden in terms of length of stay in hospital and cost. Intensivists, anaesthetists and other professionals involved in managing critically ill patients following cardiac surgery need to be aware ...
Sving Eva E Clinical Training Centre, County Council of Gävleborg, Gävle, Sweden; Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden; Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Gävle, - - 2014
The aim of the study was to evaluate whether a multi-faceted, unit-tailored intervention using evidenced-based pressure ulcer prevention affects (i) the performance of pressure ulcer prevention, (ii) the prevalence of pressure ulcers and (iii) knowledge and attitudes concerning pressure ulcer prevention among registered and assistant nurses. A quasi-experimental, clustered pre- ...
Khor Hui Min HM Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. Electronic address: - - 2014
The presence of pressure ulcers imposes a huge burden on the older person's quality of life and significantly increases their risk of dying. The objective of this study was to determine patient characteristics associated with the presence of pressure ulcers and to evaluate the risk factors associated with mortality among ...
Mackintosh Rebecca R Rebecca Mackintosh, APRN, FNP-C, CWCN, Intermountain Healthcare, Brigham Young University, Provo, Utah. Annette Gwilliam, RN, BSN, CWS, ACHRN, Intermountain Healthcare, Brigham Young University, Provo, Utah. Mary Williams, RN, PhD, Brigham Young University, Provo, - - 2014
Accurate pressure ulcer staging is an important skill for nurses, physicians, physical therapists, and certified nursing assistants. Current education is based on the National Pressure Ulcer Advisory Panel's staging system. A review of the literature indicates variability in staging abilities of numerous healthcare providers. With this problem in mind, a ...
Park K H KH Director of Samsung Medical Center International Wound Ostomy Continence Nursing Educational - - 2014
Objective: To evaluate the effect of a ceramide-containing dressing (Remois Pad®) on preventing pressure ulcers. Method: A total of 32 patients (64 samples) with a Braden Scale score of 16 or less in intensive care units were enrolled to have the dressing applied for an experimental bilateral comparison study. The ...
Tawfik M M MM Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Egypt. Electronic address: - - 2014
Hypotension is a common problem during spinal anesthesia for cesarean delivery. Intravenous fluid loading is used to correct preoperative dehydration and reduce the incidence and severity of hypotension. Different fluid regimens have been studied but colloid preload and crystalloid co-load have not been compared. In this randomized double-blind study, 210 ...
McGraw Caroline C City University, London, - - 2014
To evaluate the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers. The objective was to identify the extent to which these frameworks take account of the setting where the ulcer originated as being the person's home rather than a hospital setting. Pressure ulcers involving full-thickness ...
Thomas David R DR Professor Emeritus, Saint Louis University, Saint Louis, Missouri - - 2014
Undernutrition has been associated with pressure ulcers in epidemiological studies over several decades. Accumulating evidence from recent systematic reviews and randomized controlled trials has shown that nutrition therapy has only modest effects on prevention and treatment of pressure ulcers. Since undernutrition should be responsive to the provision of adequate nutrients, ...
Langer Gero G Institute of Health and Nursing Sciences, German Center for Evidence-based Nursing, Martin Luther University Halle-Wittenberg, Magdeburger Strasse 8, Halle (Saale), Germany, - - 2014
Pressure ulcers affect approximately 10% of people in hospitals and older people are at highest risk. A correlation between inadequate nutritional intake and the development of pressure ulcers has been suggested by several studies, but the results have been inconsistent. To evaluate the effects of enteral and parenteral nutrition on ...
Sun S S Department of Anesthesiology, Obstetrics and Gynaecology Hospital, Fudan University, Shanghai, - - 2014
Hypotension is frequently observed after spinal anesthesia for cesarean section and can be detrimental to both mother and baby. We investigated the role of the pleth variability index for predicting hypotension after spinal anesthesia for cesarean section. Eighty-five parturients undergoing elective cesarean section under spinal anesthesia were enrolled. We recorded ...
Rothenberger Jens J Department of Plastic, Reconstructive, Hand and Burn Surgery, BG-Trauma Center, Eberhard Karls University Tuebingen, Germany; Department of Plastic, Reconstructive and Hand Surgery, University Hospital, University of Berne, Inselspital, Switzerland. Electronic address: - - 2014
Pressure ulcers are associated with severe impairment for the patients and high economic load. With this study we wanted to gain more insight to the skin perfusion dynamics due to external loading. Furthermore, we evaluated the effect of different types of pressure relief mattresses. A total of 25 healthy volunteers ...
A Hughes Maria M Tissue Viability Lead Specialist Nurse, Wirral Community NHS - - 2014
Pressure ulcers, a key quality of care indicator, cause emotional distress to the patient, affecting quality of life. They also have significant financial implications for the NHS. Pressure ulcer prevention and management are fundamental aspects of nursing. This article reports on the Wirral Community Trust's policy and guidelines for the ...
Lourenco L L RN, MS, Division of Plastic Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, - - 2014
Objective: To evaluate health-related quality of life (HRQoL) and self-esteem in patients with traumatic spinal cord injury (SCI) and pressure ulcers. Method: This study was a controlled cross-sectional study. HRQoL was assessed using the generic Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) questionnaire and the Rosenberg Self-Esteem/UNIFESP-EPM Scale. ...
Pott Franciele Soares FS Secretaria Estadual de Segurança Pública, Curitiba, PR, - - 2014
to evaluate the effectiveness of hydrocolloids in the healing of pressure ulcers in adult and older adult patients. systematic review with meta-analysis, based on the recommendations of the Cochrane Handbook. The search was undertaken in the databases: Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Health Sciences ...
Cordeiro Thania Loiola TL State Medical School of Ribeirao Preto (FMRP-USP), Ribeirão Preto, São Paulo, Brazil - - 2014
Leprosy is a chronically evolving granulomatous disease caused by the bacillus Mycobacterium leprae, which exhibits tropism for peripheral and motor nerves and slow-growing inflammation that affects the peripheral nervous system, especially the sensory fibers. The aim of this study was to observe the relationship between peak pressure and abnormal sensitivity ...
Ladwig Andrea A University of Greifswald, Fleischmannstrasse 42/43, Greifswald, - - 2014
Objectives: To assess the clinical safety of a new short-stretch 2-layer compression system (3M(tm) Coban(tm) 2 Lite) in patients with peripheral arterial occlusive disease (PAOD). This system combines a low resting pressure with a high working pressure. Methods: A pilot study was performed in 15 subjects with moderate PAOD, i.e. ...
Mosti Giovanni G Angiology Department, Via del Calcio 2, 55100 Lucca, Italy - - 2014
Compression therapy is extremely effective in promoting ulcer healing. Which material to use, if elastic or inelastic, is still a matter of debate. This paper will provide an overview on the recent findings in compression therapy mainly for venous or mixed ulcers which are the great majority of leg ulcers. ...
Ilesanmi Rose Ekama RE Rose Ekama Ilesanmi, PhD, RN, FWACN, IIWCC (Stellenbosch), Lecturer, Department of Nursing, University of Ibadan, Ibadan, Nigeria. Prisca Olabisi Adejumo, PhD, RN, FWACN, IIWCC (Stellenbosch), Senior Lecturer, Department of Nursing, University of Ibadan, Ibadan, - - 2014
We examined the interventions used by nurses to prevent pressure ulcers in 3 hospitals in south west Nigeria and perceived barriers to effective nursing pressure ulcer prevention interventions. One hundred ninety-three nurses were purposively selected from neurological, orthopedic, intensive care, and accident and emergency units of participating hospitals. Study sites ...
Wong A A MSc, RD, Department of Dietetics and Food Services, Changi General Hospital, - - 2014
Objective: To compare pressure ulcer healing rates in patients supplemented with a specialised amino acid mixture containing (beta)-hydroxy (beta)-methylbutyrate (HMB), arginine and glutamine, and standard oral nutritional supplements versus patients supplemented with oral nutritional supplements and a placebo mixture. Method: Twenty-three inpatients with stage II, III or IV pressure ulcers ...
Tew Cindy C Compliance, Ernest Health, Orange County, - - 2014
Currently, there is a lack of consensus regarding the accepted terminology pertaining to the pressure ulcer healing progression and recidivism. This lack of uniformity can negatively impact initiation of treatment pathways, completion of appropriate interventions, clinical documentation, medical coding, patient education, discharge planning and healthcare revenue through out the healthcare ...
- - 2014
PATIENTS 'AT risk' of developing pressure ulcers should be repositioned at least every six hours and those 'at high risk' should have their position changed at least every four hours, according to new guidance.
Porter Michelle M Queen Elizabeth Hospital NHS Foundation Trust, - - 2014
Pressure ulcers can have a significant effect on patients' health and quality of life. They may also be associated with increased treatment-related costs, including product selection, length of interventions, prolonged hospitalisation, and resources and time required to care for patients. Pressure ulcers may be more common in patients with comorbidities. ...
Duffin Christian - - 2014
Patients 'at risk' of developing pressure ulcers should be repositioned at least every six hours and those considered 'at high risk' should have their position changed at least every four hours, according to new guidance.
Ulbrecht Jan S JS Department of BioBehavioral Health, Pennsylvania State University, University Park, - - 2014
OBJECTIVETo assess the efficacy of in-shoe orthoses designed based on shape and barefoot plantar pressure in reducing the incidence of submetatarsal head plantar ulcers in people with diabetes, peripheral neuropathy, and a history of similar prior ulceration.RESEARCH DESIGN AND METHODSSingle-blinded multicenter randomized controlled trial with subjects randomized to wear shape- ...
Sakae Kensaku K Department of Public Health and Environmental Medicine, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo, 105-8461, - - 2014
Polaprezinc (zinc L-carnosine complex) is a tablet commonly prescribed for gastric ulcers in Japan. Recently, we reported the effects of polaprezinc on pressure ulcer healing at 4-week follow-up. We aimed to further evaluate the efficacy and safety of polaprezinc in 8-week treatment for chronic pressure ulcers. Patients with stage II-IV ...
Ozer Kadri K Plastic, Reconstructive and Aesthetic Surgery Clinic, Ankara Training and Research Hospital, Ankara, - - 2014
Pressure ulcer is defined as localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear. The most frequent sites for pressure ulcers are the occiput, sacrum, ischial tuberosities, trochanters, lateral malleoli and posterior heels. Herein, we ...
Smith Amii A Loughborough Community Hospital, Leicestershire Partnership - - 2014
Pressure ulcers are largely preventable, and efforts should be made to reduce their incidence. As a nursing student, I have used the SSKIN (Surface, Skin inspection, Keep patients moving, Incontinence and moisture, and Nutrition and hydration) model for pressure ulcer prevention.
Coleman Susanne S Leeds Institute of Clinical Trials Research, University of Leeds, - - 2014
This paper discusses the critical determinants of pressure ulcer development and proposes a new pressure ulcer conceptual framework. Recent work to develop and validate a new evidence-based pressure ulcer risk assessment framework was undertaken. This formed part of a Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056), funded by the National Institute ...
Kawamata Seiichi S Department of Anatomy and Histology, Institute of Biomedical & Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan, - - 2014
Experimental pressure ulcers were successfully produced in the rat abdominal wall at 100 mmHg in our previous study. We hypothesized that injury is less severe when pressures are lower than 100 mmHg and explored a critical pressure in the production of pressure ulcers. At 70 and 60 mmHg, repeated compressions for 4 h daily ...
Moore Zena Z Professor and Head of School of Nursing and Midwifery, Royal College of Surgeons, - - 2014
Pressure ulcers are a common and debilitating problem in health care, impacting negatively on health-related quality of life and compounding challenges in achieving patient safety targets. Pressure ulcer prevention is a multidisciplinary team effort, involving a myriad of interventions, such as nutrition, skin care and repositioning. This article discusses the ...
Black Joyce J Adult Health and Illness Department, College of Nursing, University of Nebraska Medical Center, Omaha, NE,, - - 2014
The formulation of recommendations on the use of wound dressings in pressure ulcer prevention was undertaken by a group of experts in pressure ulcer prevention and treatment from Australia, Portugal, UK and USA. After review of literature, they concluded that there is adequate evidence to recommend the use of five-layer ...
Clements Linda L Nursing Professional Practice, Medical Center, University of Kentucky Chandler, 800 Rose Street, Lexington, KY 40536, USA. Electronic address: - - 2014
This article describes three strategies a cardiovascular-thoracic intensive care unit implemented to decrease the rate of hospital-acquired pressure ulcers in patients on extracorporeal membranous oxygenation support. These strategies include increased staff awareness of physiologic factors placing a critically ill patient on extracorporeal support at increased risk for development of pressure ...
Lippoldt Juliane J Juliane Lippoldt is a registered nurse, Department of Medicine I, Intensive Care Unit, General Hospital of Vienna, Elisabeth Pernicka is a statistician, Department of Medical Statistics, Medical University of Vienna, and Thomas Staudinger is head physician, Department of Medicine I, Intensive Care Unit, Medical University of Vienna/General Hospital of Vienna, Vienna, - - 2014
Background Increased elevation of the head of the bed is linked to a higher risk for sacral pressure ulcers. A semirecumbent position of at least 30° is recommended for the prevention of ventilator-associated pneumonia in patients treated with mechanical ventilation. Therefore, prevention of pressure ulcers and prevention of pneumonia seem ...
Behrendt Robert R Robert Behrendt is a clinical quality facilitator in the Office of Clinical Quality and Safety, Henry Ford Health System, Detroit, Michigan. Amir M. Ghaznavi is a plastic surgery fellow and Aamir Siddiqui is a professor of surgery in the Division of Plastic and Reconstructive Surgery, Henry Ford Hospital, Detroit, Michigan. Meredith Mahan is a biostatistician in the Department of Public Health Sciences, Henry Ford Health System. Susan Craft is a staff nurse unit director in the medical intensive care unit at Henry Ford - - 2014
Background Critically ill patients are vulnerable to the development of hospital-associated pressure ulcers (HAPUs). Positioning of patients is an essential component of pressure ulcer prevention because it off-loads areas of high pressure. However, the effectiveness of such positioning is debatable. A continuous bedside pressure mapping (CBPM) device can provide real-time ...
Hopper Mary B MB Mary B. Hopper, BSN, RN, CWON, Huntsville Hospital, Huntsville, Alabama. Sue Morgan, PhD, RN, CNS, Clinical Nurse Specialist, Medical Service Line, Huntsville Hospital, Huntsville, - - 2014
Hospital-acquired pressure ulcers can extend a patient's length of stay, decrease health-related quality of life, and increase the risk of mortality and cost of patient care. Although risk assessment and pressure ulcer prevention efforts had been in place for many years, our facility continued to be more than national averages ...
Dale Megan M Clinical Scientist, Cedar, Cardiff and Vale University Health - - 2014
The Salisbury Pressure Ulcer Outreach Service successfully treats patients with chronic pressure ulcers that have not healed during routine community treatment. These patients have grade 4 pressure ulcers, involving extensive destruction, or damage to muscle and bone. A combination of scientific, seating and tissue viability expertise with a holistic approach ...
Wang Hua H From the Kaiser Foundation Rehabilitation Center, Vallejo, California (HW, MC, JA); Uniform Data System for Medical Rehabilitation, Amherst, New York (PN, MD, JM); and University of California, Davis - - 2014
The aim of this study was to examine the impact of pressure ulcers on inpatient rehabilitation facility (IRF) outcomes. This is a retrospective analysis of the IRF data in the United States from the Uniform Data System for Medical Rehabilitation between 2009 and 2011. The study sample included 2902 pairs ...
Cabanillas Beatriz B Department of Dermatology and Allergy, University of Bonn Medical Center, Sigmund-Freud-Str., 25, 53127 Bonn, Germany; Servicio de Alergia, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Avenida de Córdoba s/n, 28041 Madrid, Spain. Electronic address: - - 2014
The aim of this study was to investigate changes in walnut allergenicity after processing treatments by in vitro techniques and physiologically relevant assays. The allergenicity of walnuts subjected to high hydrostatic pressure and thermal/pressure treatments was evaluated by IgE-immunoblot and antibodies against walnut major allergen Jug r 4. The ability ...
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