Document Detail

Practice recommendations for preventing heel pressure ulcers.
MedLine Citation:
PMID:  18927483     Owner:  NLM     Status:  MEDLINE    
Heels are the second most common anatomical location for pressure ulcers. A combination of risk factors, including pressure, may cause ulceration. Heel pressure ulcers are a particular concern for surgical patients. A review of the literature, including poster presentations, shows that controlled clinical studies to assess the effectiveness and cost-effectiveness of available interventions are not available. Case series (with or without historical controls) as well as pressure ulcer guideline recommendations suggest the most important aspect of heel ulcer prevention is pressure relief (offloading). It also has been documented that the incidence of heel ulcers can be reduced using a total-patient care approach and heel offloading devices. Guidelines, observational studies, and expert opinion intimate that reducing heel ulceration rates can be expected to improve patient outcomes, decrease costs associated with their care, and avoid costs related to hospital-acquired pressure ulcers. The heel pressure ulcer prevention strategies reviewed should be implemented until the results of prospective, randomized controlled studies to compare the effectiveness and cost-effectiveness of these strategies are available.
Evonne Fowler; Suzy Scott-Williams; James B McGuire
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Ostomy/wound management     Volume:  54     ISSN:  0889-5899     ISO Abbreviation:  Ostomy Wound Manage     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-17     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912029     Medline TA:  Ostomy Wound Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  42-8, 50-2, 54-7     Citation Subset:  N    
San Gorgonio Memorial Hospital, Banning, California 92220-3090, USA.
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MeSH Terms
Foot Diseases / physiopathology,  prevention & control*
Heel / pathology*
Pressure Ulcer / mortality,  physiopathology,  prevention & control*
Risk Assessment

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

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