Document Detail


Acoustic pressure wound therapy in the treatment of stage II pressure ulcers.
MedLine Citation:
PMID:  19037138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pressure ulcers are localized skin injuries secondary to unrelieved pressure or friction. Patients with immobility issues are at increased risk for developing pressure ulcers. In 2004, stricter federal regulations for prevention and treatment of pressure ulcers in institutional settings--eg, long-term care facilities--were introduced. Effective, low-cost treatments for pressure ulcers are needed; acoustic pressure wound therapy (APWT), a noncontact, low-frequency, therapeutic ultrasound system, is one option. A retrospective case series of six long-term care patients (two men and one woman, age range 61 to 92 years), each with one Stage II pressure ulcer, is presented. Acoustic pressure wound therapy was provided as an adjunct to standard treatment that included balsam of Peru/castor oil/trypsin ointment, hydrogel, hydrocolloid dressings, silver dressings, and offloading. Outcomes (days to healing) were determined through changes in wound dimensions. Study participants each received APWT for 3 to 4 minutes three to four times weekly. In four of the six wounds, the average number of days to healing was 22. One of the two remaining patients discontinued treatment at 95% healed; treatment for the sixth patient was ongoing due to hospitalization that delayed APWT. In a long-term care setting, APWT added to standard of care may accelerate healing of Stage II pressure ulcers.
Authors:
Raenell Thomas
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ostomy/wound management     Volume:  54     ISSN:  0889-5899     ISO Abbreviation:  Ostomy Wound Manage     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912029     Medline TA:  Ostomy Wound Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-8     Citation Subset:  N    
Affiliation:
Cherry Creek Nursing Center, Aurora, Colorado, USA.
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MeSH Terms
Descriptor/Qualifier:
Acoustics / instrumentation
Aged
Aged, 80 and over
Anti-Infective Agents, Local / therapeutic use
Balsams / therapeutic use
Bandages, Hydrocolloid
Castor Oil / therapeutic use
Female
Humans
Hydrogels / therapeutic use
Male
Middle Aged
Pressure Ulcer / classification,  therapy*
Retrospective Studies
Severity of Illness Index
Silver Compounds / therapeutic use
Skin Care / instrumentation,  methods
Treatment Outcome
Trypsin / therapeutic use
Ultrasonic Therapy / instrumentation,  methods*
Wound Healing
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Local; 0/Balsams; 0/Hydrogels; 0/Silver Compounds; 8001-79-4/Castor Oil; 8007-00-9/Peruvian balsam; EC 3.4.21.4/Trypsin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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