| Therapists' roles in pressure ulcer management in persons with spinal cord injury. | |
| | |
MedLine Citation:
|
PMID: 20025152 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Among veterans with spinal cord injury (SCI), severe pressure ulcers (PrU) are treated by interdisciplinary rehabilitation teams in SCI units. METHOD: Cross-sectional survey administered to therapists attending a conference of the Therapy Leadership Council in SCI. Participants: Respondents included physical therapists (PTs; n=24) and occupational therapists (OTs; n=15). MAIN OUTCOME MEASUREMENTS: Wound care practices as indicated by 75% or more of participants as "usual practice". RESULTS: In general, therapist involvement with wound care was initiated by physician order (e.g., electrical stimulation) or postsurgery protocols. "Usual practice" after tissue healing included progressive range of motion; initial remobilization (first sitting after wound healing); progression of sitting time including assessment of skin tolerance; instruction in pressure relief maneuvers/techniques; and instruction in safe transfers. Practices in prevention of a new ulcer included education and evaluation of seating posture/positioning. CONCLUSIONS: Results indicate that centers may delegate responsibilities for management of ulcers differentially by discipline. A limitation was that we were unable to determine whether these centers were the same or different for OT and PT respondents. Although sample size was small and some sites had multiple respondents, the survey showed a growing role for OTs and PTs in PrU treatment. Because 75% of each discipline reported that there were usual practices, including patient education and remobilization protocols, this area requires further study to determine the clinical outcomes in terms of preventing PrUs and recurrence. |
| | |
Authors:
|
Marylou Guihan; Jennifer Hastings; Susan L Garber |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S. |
Journal Detail:
|
Title: The journal of spinal cord medicine Volume: 32 ISSN: 1079-0268 ISO Abbreviation: J Spinal Cord Med Publication Date: 2009 |
Date Detail:
|
Created Date: 2009-12-22 Completed Date: 2010-01-21 Revised Date: 2010-09-27 |
Medline Journal Info:
|
Nlm Unique ID: 9504452 Medline TA: J Spinal Cord Med Country: United States |
Other Details:
|
Languages: eng Pagination: 560-7 Citation Subset: IM |
Affiliation:
|
Center for Management of Complex Chronic Care (CMC3) Edwards Hines, Jr. VA Hospital (151-H), 5000 S. 5th Avenue, Hines, IL 60141-3030, USA. Marylou.guihan@va.gov |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cross-Sectional Studies Disease Progression Health Surveys Hospitals, Veterans Humans Occupational Therapy / methods* Physical Therapy (Specialty) / methods* Physical Therapy Modalities Pressure Ulcer / etiology*, prevention & control* Recovery of Function Skin Care Spinal Cord Injuries / complications*, rehabilitation Treatment Outcome Veterans |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Flexion model simulating spinal cord injury without radiographic abnormality in patients with ossifi...
Next Document: Validity, accuracy, and predictive value of urinary tract infection signs and symptoms in individual...