| The decubitus ulcer: facts and controversies. | |
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MedLine Citation:
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PMID: 20797513 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Defining the decubitus ulcer proves as difficult as agreeing on a name for the condition. Causes include pressure over bony prominences, shearing force, destruction of skin, and compromised blood flow. Evidence is emerging of the importance of ischemia as a primary causative agent, rather than pressure, which needs further investigation. Scales, staging, and treatment and prevention guidelines should be used with caution due to their arbitrary implementation and lack of evidence-based support. Unfortunately, much of the research and expert opinion developed by the government and touted as regulation lacks appropriate strength-of-evidence. Although decubitus ulcers should be prevented and treated to the best of our abilities, recognizing the possibility that the skin, like any other organ in the body, may fail is crucial. |
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Authors:
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Caren Campbell; Lawrence Charles Parish |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinics in dermatology Volume: 28 ISSN: 1879-1131 ISO Abbreviation: Clin. Dermatol. Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-08-27 Completed Date: 2010-12-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406412 Medline TA: Clin Dermatol Country: United States |
Other Details:
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Languages: eng Pagination: 527-32 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Dermatology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA 19103, USA. caren.campbell@jefferson.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Evidence-Based Medicine Female Humans Ischemia / complications* Male Practice Guidelines as Topic Pressure Ulcer / classification, etiology*, prevention & control, therapy Severity of Illness Index Skin / blood supply, physiopathology Stress, Psychological / complications |
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