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Black Joyce - - 2010
Pressure ulcer assessment is usually performed at the bedside by a clinician with minimal training in wound assessment. A multidisciplinary panel of United States' wound experts was assembled to provide anatomically accurate and practical terms associated with pressure ulcer assessment, healing, and nonhealing in order to help clinicians identify and ...
Jaul Efraim - - 2010
Pressure ulcers (pressure sores) continue to be a common health problem, particularly among the physically limited or bedridden elderly. The problem exists within the entire health framework, including hospitals, clinics, long-term care facilities and private homes. For many elderly patients, pressure ulcers may become chronic for no apparent reason and ...
Lahmann Nils A - - 2010
BACKGROUND AND AIMS: Pressure ulcers continue to be an important issue in long-term care facilities. Besides quality initiatives (implementation of guidelines) and increased public awareness of the problem, little is known about the actual extent of the problem in Germany. The aim of this study is to provide information on ...
Rapp Mary Pat - - 2010
The objective of this study was to compare reported pressure ulcer prevention and treatment practices in nursing facilities with high prevalence of pressure ulcers versus nursing facilities with low prevalence of pressure ulcers. A 26-item survey on implementation of nationally accepted standards for pressure ulcer prevention and treatment was mailed ...
Giuglea Carmen - - 2010
Pressure sores can be defined as lesions caused by unrelieved pressure resulting in damage of the underlying tissue. They represent a common problem in the pathology of plegic patients and, plastic surgery has a significant role in their treatment. Pressure sores occur over bony prominences and so, they are most ...
Willenberg T - - 2010
OBJECTIVE: To evaluate the ease of application of two-piece, graduated, compression systems for the treatment of venous ulcers. METHODS: Four kits used to provide limb compression in the management of venous ulcers were evaluated. These have been proven to be non-inferior to various types of bandages in clinical trials. The ...
Edlich Richard F - - 2011
Patients with suspected spinal cord injuries are immobilized to a backboard during ambulance and helicopter air transport. It has been well documented that patients who are immobilized to a backboard experience discomfort and eventually become susceptible to pressure ulcer formation. Because the patient lying on a backboard is subjected to ...
Olesen Christian Gammelgaard - - 2010
This paper surveys the literature on the etiology of sitting-acquired deep tissue pressure ulcers from three different viewpoints. The first viewpoint is identification of risk factors related to seated posture. The second viewpoint focuses on the external factors that can cause necrosis to human cells, such as ischemia and compression. ...
Bartus Cynthia - - 2010
In this issue Fromy et al. describe alterations in pressure-induced vasodilation in the populations most prone to development of pressure ulcers of the skin. Advancing our understanding regarding the basic pathophysiological mechanisms mediating the development of pressure ulcers will allow for better delineation of populations at risk. This study provides ...
Messer Monica S - - 2010
Although pressure ulcer prevention has received considerable attention in the literature since the 1960s, little has been published about the risk of pressure injury to patients undergoing procedures in diagnostic and interventional ancillary units such as radiology, renal dialysis, cardiac, and vascular procedure laboratories. In the only research study found ...
Chaves Lidice M - - 2010
AIM: This study is a report of a study to determine the quality of protocols for pressure ulcer prevention in home care in the Netherlands. BACKGROUND: If pressure ulcer prevention protocols are evidence-based and practitioners use them correctly in practice, this will result a reduction in pressure ulcers. Very little ...
Yamamoto Yosuke - - 2010
The effect of the presence of pressure ulcers on burden of caregivers is unknown. We investigated the relationship between the state of pressure ulcers in vulnerable elderly patients and the burden on their informal caregivers. This cross-sectional study enrolled 137 patients aged > or = 40 years with limited activity ...
Tzen Yi-Ting - - 2010
People with spinal cord injuries are at high risk for developing pressure ulcers. Increased skin temperature is one of the extrinsic causative factors for this multi-factorial disease. Previous animal studies revealed that local skin cooling reduced the severity of ulceration, and cooling is widely used in plastic surgery and organ ...
Doley Jennifer - - 2010
Despite our knowledge of how to prevent pressure ulcers, and improvements in treatment, pressure ulcers remain prevalent and impose a significant burden on financial and labor resources in the healthcare industry. Although there is no known role for specific nutrients in the prevention of pressure ulcers, undernutrition is a risk ...
Lahmann Nils A - - 2010
AIM: The study aimed to give a description analysis of pressure ulcer-related structures, processes and outcomes in nursing homes and acute-care hospitals that participated once, twice and thrice in prevalence surveys. DESIGN: Repeated nationwide, multicentre, cross sectional surveys have been conducted. METHODS: A total of 7377 residents in 60 nursing ...
Maeshige N - - 2010
OBJECTIVE: To evaluate the effect of ultrasound irradiation when used alongside standard care in the treatment of pressure ulcers; outcome measures were reduction in wound size and exudate weight. METHOD: Five patients (two male and three female, age range: 76-92 years) with seven ulcers participated in this study. They had ...
Trueman Paul - - 2010
Pressure ulcers are associated with a significant economic burden that, in many cases, is recognised as being avoidable. The effectiveness of pressure relieving surfaces is well documented and acknowledged in clinical guidelines on the prevention and management of pressure ulcers. Whilst pressure relieving surfaces are more expensive than traditional hospital ...
Kaitani Toshiko - - 2010
AIM: This study identified risk factors for pressure ulcer development early in the admission stage to determine what appropriate interventions might be conducted early in the admission stage to decrease the risk of pressure ulcer development. BACKGROUND: Among patients who develop pressure ulcers, 8-40% of them occur in a critical ...
- - 2010
A key element in pressure ulcer prevention and management is the selection of appropriate pressure redistributing (PR) patient support surfaces for use while seated and in bed. However little explicit guidance exists allowing standardised quantitative comparison of different PR surfaces based upon their ability to redistribute pressure from anatomical landmarks ...
Mao Cindy L - - 2010
OBJECTIVE: To review recent literature regarding therapeutic management of pressure ulcers and to discuss the potential implications of the newly recognized entity, deep tissue injury (DTI). DATA SOURCES: A MEDLINE search was conducted of pressure ulcer therapy published between January 2001 and October 2009. Key search terms included pressure ulcers, ...
Yang Yu-Sheng - - 2010
The purpose of this study was to investigate whether audio feedback obtained from a data logger could help community-dwelling manual wheelchair users (MWUs) to engage in pressure-relieving behaviors more frequently. Twenty community-dwelling MWUs completed the study. Data loggers with force sensors were installed on each participant's wheelchair. The frequency of ...
Gray Mikel - - 2010
Incontinence-associated dermatitis (IAD), sometimes referred to as perineal dermatitis, is an inflammation of the skin associated with exposure to urine or stool. Elderly adults, and especially those in long-term care facilities, are at risk for urinary or fecal incontinence and IAD. Traditionally, IAD has received little attention as a distinct ...
Inui Shigeki - - 2010
A 23-year-old woman with heart failure developed pressure ulcer on her sacral area due to a long-term bed rest and impaired hemodynamics. The ulcer improved only slightly after 2 months with povidone-iodine sugar ointment because of severe nausea and anorexia. Then, the nutrition support team (NST) started intervention and estimated ...
Doumas Michael - - 2010
Resistant hypertension is commonly found in everyday clinical practice. However, the risks of resistant hypertension, as well as the benefits of treatment and control of blood pressure in patients with resistant hypertension remain vaguely clarified. Data from small clinical studies and observational cohorts suggest that patients with resistant hypertension are ...
Makris Anastasios - - 2010
Resistant hypertension is defined as blood pressure above the patient's goal despite the use of 3 or more antihypertensive agents from different classes at optimal doses, one of which should ideally be a diuretic. Evaluation of patients with resistive hypertension should first confirm that they have true resistant hypertension by ...
Jackson Jeanne - - 2010
PURPOSE: The aim of this article is to identify overarching principles that explain how daily lifestyle considerations affect pressure ulcer development as perceived by adults with spinal cord injury (SCI). METHOD: Qualitative in-depth interviews over an 18-month period with 20 adults with spinal injury and a history of pressure ulcers ...
Mistiaen Patriek - - 2010
Many devices are in use to prevent pressure ulcers, but from most little is known about their effects and costs. One such preventive device is the Australian Medical Sheepskin that has been proven effective in three randomized trials. In this study the costs and savings from the use of the ...
Oomens C W J - - 2010
For pressure ulcer prevention an ambitious goal would be the establishment of a mechanical threshold for tissue damage. In the past, several researchers have sought to establish such a threshold often involving the loading time. However, they have not resulted in a unique reliable value that could be used in ...
Banks Merrilyn - - 2010
To determine the effect of nutritional status on the presence and severity of pressure ulcer. A multicenter, cross-sectional audit of nutritional status of a convenience sample of subjects was carried out as part of a large audit of pressure ulcers in a sample of Queensland, Australia, public healthcare facilities in ...
Schl?er Anna-Barbara - - 2009
AIM AND OBJECTIVE: Pressure ulcers are a common nursing care issue in hospitals. They are associated with psychological and physical suffering, an increased morbidity and mortality rate and higher overall health care costs. The aim of the current study is to describe the frequency of pressure ulcers in a paediatric ...
Calderon Wilfredo L - - 2009
We report the use of topic negative pressure for seromas resulting from mobilization of tensor fascia lata miocutaneous flap in the trochanteric areas for pressure sores. In 5 consecutive patients we successfully treated seroma with the use of external and internal topic subatmospheric pressure.
Negishi Kenichi - - 2009
Even though they have not been diagnosed with a recognized disease, many people have or are at risk of contracting debilitating conditions. They can be referred to as being in the "ill-health zone." For example, many bedridden elderly develop pressure ulcers. The prevention and treatment of pressure ulcers should focus ...
van Lis M S - - 2010
Review. To identify the pressure ulcer healing assessment instrument that is the best choice for use in spinal cord injury rehabilitation. Articles were retrieved from PubMed. Inclusion criteria were written in English, published up to December 2008 and describing instruments evaluated in more than one study. Search terms were pressure ...
Ouellet Jean A - - 2009
STUDY DESIGN: A retrospective analysis of prospectively collected data on a cohort of 19 myelomeningocele patients undergoing spino-pelvic deformity surgery. OBJECTIVE: To examine if greater curve correction with third generation spinal implants correlate with improved pressure distribution and resolution, or prevention of skin ulcerations in myelomeningocele patients. SUMMARY OF BACKGROUND ...
Lin Haodong - - 2010
Despite the availability of a variety of flap reconstruction options, ischial pressure sores continue to be the most difficult pressure sores to treat. This article describes a successful surgical procedure for the coverage of ischial ulcers using a modified gracilis myofasciocutaneous flap. From August 2000 to April 2004, 12 patients ...
Essex Holly N - - 2009
The objective of this study was to determine the impact of pressure ulceration on health-related quality of life (HRQoL) and to undertake a pilot study for a future larger study. The study comprised two parts. First, data from a large UK prospective cohort study were analyzed and the HRQoL of ...
Thorne Sarah - - 2009
Gel pads are commonly used by occupational therapists in acute care settings to reduce pressure on the coccyx and sacrum in supine. The purpose of this study was to determine the pressure-reducing capabilities of gel pads used in supine and the resultant potential impact on pressure ulcer management. A pressure-mapping ...
Akkuzu G?lcihan - - 2009
INTRODUCTION: We evaluated the opinions and recommendations of patients at moderate to high risk for pressure ulceration and their caregivers about discharge education and asked them to evaluate an educational brochure about pressure ulcer prevention. SUBJECTS AND SETTING: The study group comprised 33 hospital patients and 33 caregivers. Approximately half ...
Junkin Joan - - 2009
BACKGROUND: Heel pressure ulcers are recognized as second in prevalence only to pressure ulcer (PU) on the heel among hospitalized patients, and recent studies suggest their incidence may be higher than even sacral ulcers. OBJECTIVES: We systematically reviewed the literature to identify and evaluate whether pressure redistribution surfaces or heel ...
Campbell Karen E - - 2009
Pressure ulcers substantially affect frail older adults, as well as their family caregivers, nurses, and the healthcare system at large. This article uses the World Health Organization's International Classification of Functioning, Disability and Health as a framework to discuss pressure ulcers in frail older adults. Pressure ulcers and frailty are ...
Schuurman Jaap-Peter - - 2009
The purpose of this study was to determine the cost for prevention and treatment of pressure ulcers from a hospital perspective and to identify the least resource-intensive pressure ulcer prevention strategy. Cost analyses were examined from a hospital perspective using direct costs. The study was carried out alongside a prospective ...
Intiso Domenico D Department of Neuro-Rehabilitation, Scientific Institute Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy. - - 2009
Pressure sores are a significant secondary complication in spinal cord injured patients. A new indication for botulinum toxin type A is described here, in treatment of recurrent muscular spasms that had hampered the healing of a chronic buttock ulcer in a subject with severe spastic paraplegia. A 27-year-old man with ...
Stockton Lesley - - 2009
Pressure ulcers (bedsores) often develop following prolonged sitting especially where people are immobile or are unable to feel discomfort due to injury or disease. This guideline provides health professionals with specific recommendations intended to minimise any risk of developing pressure ulcers when their clients are seated. The guideline covers sitting ...
Stotts Nancy A - - 2009
Prevention of pressure ulcers is fundamental to safe care of nursing home residents yet the role of hydration in pressure ulcer prevention has not been systematically examined. This randomized clinical trial was undertaken to determine whether administration of supplemental fluid to nursing home residents at risk for pressure ulcers would ...
Top S - - 2009
Compression is considered inappropriate for patients with mixed aetiology leg ulcers. However, digital blood pressure measurements suggest that short-stretch bandages do not increase the risk of peripheral ischaemia in these patients.
Beeckman D - - 2010
BACKGROUND: Profound knowledge of pressure ulcers is important to enable good prevention. Validity and reliability of instruments assessing pressure ulcer knowledge are limited evaluated in previous research. AIMS AND OBJECTIVES: To develop a valid and reliable instrument to assess knowledge of pressure ulcer prevention. DESIGN: Prospective psychometric instrument validation study. ...
Sanada Hiromi - - 2010
OBJECTIVE: To evaluate the effectiveness and cost-effectiveness of new incentive system for pressure ulcer management, which focused on skilled nurse staffing in terms of rate of healing and medical costs. DESIGN, SETTING AND PARTICIPANTS: A prospective cohort study included two types of groups: 39 institutions, which introduced the new incentive ...
Vanderwee Katrien - - 2009
AIMS AND OBJECTIVE: The objective of this study was to identify prognostic factors associated with the development of pressure ulcer lesions (grade 2-4) in nursing home patients with non-blanchable erythema. BACKGROUND: No studies could be found that identify risk factors for further development of pressure ulcer in patients with non-blanchable ...
Lardenoye Jan Willem H P - - 2009
BACKGROUND: Pressure ulcers are one of the most frequently registered complications in general surgery. OBJECTIVE: To obtain insight into the incidence, cause, and consequences of pressure ulcers and to evaluate the value of pressure ulcer registration to assess quality of care. RESULTS: During the 9-year study period, 275 pressure ulcers ...
Cakmak Seray Külcü - - 2009
BACKGROUND: Pressure ulcers (PrUs) remain a common problem in all healthcare settings. The aim of this study was to assess the presence of risk factors in patients with PrUs. METHODS: The study included 32 immobilized inpatients with PrUs and 30 immobilized inpatients without PrUs as a control group, who were ...
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