Document Detail


Does pressure cause pressure ulcers? An inquiry into the etiology of pressure ulcers.
MedLine Citation:
PMID:  20627180     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pressure ulcers remain problematic across health care settings, with prevalence and incidence changing little over the past 2 decades. Because external pressure is viewed as the chief factor in the development of pressure ulcers, considerable research has focused on pressure relief. Because relief of external pressure is possible, and would hypothetically eliminate all pressure ulcers, the development of a pressure ulcer is often regarded as a failure of the care system. This logic conveys the notion that sustained pressure is the only factor in the development of pressure ulcers and disregards additional factors in the pathogenesis of pressure ulcers intrinsic to the patient. Patient-specific factors leading to derangement in tissue perfusion may account for an observed development of a pressure ulcer, despite the provision of common prevention measures that include pressure reduction. A more comprehensive understanding of unique individual intrinsic factors may lead to more effective interventions.
Authors:
David R Thomas
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the American Medical Directors Association     Volume:  11     ISSN:  1538-9375     ISO Abbreviation:  J Am Med Dir Assoc     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100893243     Medline TA:  J Am Med Dir Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  397-405     Citation Subset:  IM    
Copyright Information:
2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Saint Louis University Health Sciences Center, MO 63104, USA. thomasdr@slu.edu
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MeSH Terms
Descriptor/Qualifier:
Connective Tissue / blood supply
Humans
Perfusion
Pressure Ulcer / etiology*,  therapy
Rehabilitation
Risk Factors

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


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