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https://www.readbyqxmd.com/read/29923903/pressure-injury-risk-factors-in-critical-care-patients-a-descriptive-analysis
#1
Jill Cox, Sharon Roche, Virginia Murphy
BACKGROUND: Pressure injury (PI) development in the critical care population is multifactorial. Despite the application of evidence-based prevention strategies, PIs do occur and may be unavoidable in some patients. OBJECTIVES: To describe the risk factors associated with PI development in a sample of medical-surgical intensive care unit patients and determine whether these risk factors were congruent with the risk factors proposed in the work of the National Pressure Ulcer Advisory Panel on unavoidable PIs...
July 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29898350/use-of-hydrocolloid-dressings-in-preventing-pressure-ulcers-in-high-risk-patients-a-retrospective-cohort
#2
Olga Lucía Cortés, Luz Dary Salazar-Beltrán, Yudi Andrea Rojas-Castañeda, Andrea Alvarado-Muriel, Aracelly Serna-Restrepo, Doris Grinspun
OBJECTIVES: This work sought to evaluate the association between using preventive hydrocolloid dressings and the onset of pressure ulcers in hospitalized patients. METHODS: Retrospective cohort study that included adult patients with high risk of pressure ulcers (PU) evaluated according to the Braden scale and who had been admitted with preventive purposes to a skin care program. The preventive care prescribed by the nursing staff included using hydrocolloid dressing plus conventional care (HD+CC) or only conventional care (CC), in a tier IV hospital in Bogotá, Colombia...
February 2018: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29897161/pressure-ulcers-incidence-preventive-measures-and-risk-factors-in-neonatal-intensive-care-and-intermediate-care-units
#3
Pablo García-Molina, Evelin Balaguer-López, Francisco Pedro García-Fernández, María de Los Ángeles Ferrera-Fernández, José María Blasco, José Verdú
Epidemiological studies on pressure ulcers (PUs) in hospitalised infants are scarce. Spain lacks comprehensive research studies providing data on the prevalence or incidence in this population. This work was developed to determine the incidence of PUs in hospitalised infants admitted to intensive and intermediate care units, along with relevant risk factors and preventive measures. A prospective study appraising the incidence of PUs in infants was performed. The risk factors and preventive measures were evaluated using a multivariate logistic regression model...
June 13, 2018: International Wound Journal
https://www.readbyqxmd.com/read/29873752/risk-of-pressure-ulcers-in-tetraplegic-people-a-french-survey-crossing-regional-experience-with-a-long-term-follow-up
#4
Marc Le Fort, Maude Espagnacq, Thierry Albert, Chloë Lefèvre, Brigitte Perrouin-Verbe, Jean-François Ravaud
Background: Pressure ulcer risk assessment provides an indicator of quality of care in French health establishments. The reliability and validity of assessment tools have been shown to be lower for people with spinal cord injury (SCI). We hypothesized that skin complications would be less frequent in people with traumatic SCI and tetraplegia (TSCIt), who were initially managed in French regions with a high level of specialized SCI rehabilitation experience. Methods: First, we used the most recent French territorial survey about SCI to determine a 'Level of Regional Experience (LRE) in Specialized Physical Medicine and Rehabilitation'...
June 4, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29869947/the-problem-of-preventing-pressure-ulcers-in-people-with-spinal-cord-injury
#5
Marylou Guihan, Michael S A Richardson
No abstract text is available yet for this article.
June 5, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29808302/early-neurological-care-of-patients-with-spinal-cord-injury
#6
Thomas M Kessler, Luca R Traini, Blayne Welk, Marc P Schneider, Jeffrey Thavaseelan, Armin Curt
PURPOSE: Considering the major clinical challenges of managing patients with spinal cord injury (SCI), we summarized the relevant aspects of the early (within 1 year after SCI) neurological care emphasizing common standards. METHODS: This review was performed according to the methodology recommended by the Joint SIU-ICUD International Consultation. Embase and Medline databases were used to identify literature relevant to the early neurological care of SCI patients...
May 28, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29804922/an-innovative-application-of-the-free-vascularized-medial-femoral-condyle-flap-in-the-prevention-of-recurring-neuropathic-ulcer-in-the-diabetic-foot-a-case-report
#7
Martin Grohmann, Stefan Benedikt, Anna Vasilyeva, Heinz Bürger, Abigail Forbes, Michael Valentin Schintler
Despite various therapy options, the prophylactic and symptomatic treatment of recurrent ulcerations in the diabetic foot are still challenging. We report the application of a free vascularized medial femoral condyle flap to prevent the recurrence of pressure ulcer in a patient with diabetic foot syndrome. Our patient had type 2 diabetes and presented with pressure ulcers and osteomyelitis of metatarsal heads 2 and 3 after a great toe amputation. We chose to use a medial femoral condyle flap as a damper in the area of the metatarsal heads because of the relatively young age and good vascularity of our patient...
May 24, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29802393/self-management-interventions-for-skin-care-in-people-with-a-spinal-cord-injury-part-1-a-systematic-review-of-intervention-content-and-effectiveness
#8
REVIEW
Justine S Baron, Katrina J Sullivan, Jillian M Swaine, Arlene Aspinall, Susan Jaglal, Justin Presseau, Barry White, Dalton Wolfe, Jeremy M Grimshaw
STUDY DESIGN: Systematic review. OBJECTIVES: To review the content and effectiveness of skin care self-management interventions for people with SCI. SETTING: International. METHODS: We searched electronic bibliographic databases, trial registers, and relevant reference lists. Eligibility criteria for the reviews of intervention content and effectiveness were identical with the exception of study design. The review of intervention content included non-randomized and randomized controlled trials (RCTs)...
May 25, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29800486/education-of-healthcare-professionals-for-preventing-pressure-ulcers
#9
REVIEW
Alison P Porter-Armstrong, Zena Eh Moore, Ian Bradbury, Suzanne McDonough
BACKGROUND: Pressure ulcers, also known as bed sores or pressure sores, are localised areas of tissue damage arising due to excess pressure and shearing forces. Education of healthcare staff has been recognised as an integral component of pressure ulcer prevention. These educational programmes are directed towards influencing behaviour change on the part of the healthcare professional, to encourage preventative practices with the aim of reducing the incidence of pressure ulcer development...
May 25, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29799793/a-community-based-approach-to-reduce-the-incidence-of-preventable-pressure-ulcers
#10
Emma Haran
The prevention of pressure ulcers in the community is a major challenge for healthcare organisations. Pressure ulcers cost the NHS millions of pounds in treatment and prevention strategies. Everyone involved in the care of individuals at risk of developing pressure ulcers has a role to play in their prevention. Community specialist practitioners are in an ideal position to provide education and skills to healthcare workers in community settings. They are experts in their field so are valuable within the community setting...
June 1, 2018: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29789414/development-of-personalized-fitting-device-with-3-dimensional-solution-for-prevention-of-niv-oronasal-mask-related-pressure-ulcers
#11
Maiko Shikama, Gojiro Nakagami, Hiroshi Noguchi, Taketoshi Mori, Hiromi Sanada
BACKGROUND: Pressure ulcers related to oronasal masks used with noninvasive ventilation (NIV), along with patient discomfort, occur due to improper fit of the mask. We developed a personalized fitting device using a 3-dimensional (3D) scanning solution to prevent the formation of NIV mask-related pressure ulcers. This study aimed to evaluate the effectiveness of the proposed personalized fitting device. METHODS: We conducted a randomized crossover experimental study of 20 healthy participants to study the use of this personalized fitting device between the face and an NIV mask designed with 3D solutions...
May 22, 2018: Respiratory Care
https://www.readbyqxmd.com/read/29786410/percutaneous-deep-venous-arterialization-in-patients-with-critical-limb-ischemia-a-technical-note
#12
Steven Kum, Eline Huizing, Michiel A Schreve, Çagdas Ünlü, Roberto Ferraresi, Lasitha B Samarakoon, Daniel A van den Heuvel
Critical limb ischemia (CLI) is the presentation of end stage peripheral arterial disease and typically presents with rest pain, ulceration and gangrene. The outcome of conservative treatment is poor and often leads to amputations. Arterial revascularization plays an important role in amputation prevention. Unfortunately, a significant percentage of CLI patients cannot be revascularized and subsequently end up with a palliative amputation. This has led to the need and exploration of new treatment options in this no option subgroup of CLI...
May 22, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29782417/prevalence-and-analysis-of-medical-device-related-pressure-injuries-results-from-the-international-pressure-ulcer-prevalence-survey
#13
Susan A Kayser, Catherine A VanGilder, Elizabeth A Ayello, Charlie Lachenbruch
OBJECTIVE: To examine the prevalence and characteristics of medical device-related pressure injuries (MDR PIs) in a large, generalizable database. METHODS: This study is a retrospective analysis of the 2016 International Pressure Ulcer Prevalence data. Data were limited to US and Canadian facilities. Facilities included acute care, long-term care, rehabilitation, long-term acute care hospitals, and hospice. Analysis included 102,865 adult patients; 99,876 had complete data and were the focus of the analysis and are reported in the results below...
June 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29765880/pressure-relieving-effect-of-adding-a-pelvic-well-pad-to-a-wheelchair-cushion-in-individuals-with-spinal-cord-injury
#14
Hyunsoo Shin, Junsik Kim, Jin-Ju Kim, Hye-Ri Kim, Hye-Jin Lee, Bum-Suk Lee, Zee-A Han
Objective: To identify the pressure relieving effect of adding a pelvic well pad, a firm pad that is cut in the ischial area, to a wheelchair cushion on the ischium. Methods: Medical records of 77 individuals with SCI, who underwent interface pressure mapping of the buttock-thigh area, were retrospectively reviewed. The pelvic well pad is a 2.5-cm thick firm pad and has a cut in the ischial area. Expecting additional pressure relief, it can be inserted under a wheelchair cushion...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29743767/pressure-ulcer-and-nutrition
#15
REVIEW
Seied Hadi Saghaleini, Kasra Dehghan, Kamran Shadvar, Sarvin Sanaie, Ata Mahmoodpoor, Zohreh Ostadi
Pressure ulcers can diminish global life quality, contribute to rapid mortality in some patients and pose a significant cost to health-care organizations. Accordingly, their prevention and management are highly important. Nutritional deprivation and insufficient dietary intake are the key risk factors for the development of pressure ulcers and impaired wound healing. Unplanned weight loss is a major risk factor for malnutrition and pressure ulcer development. Suboptimal nutrition interferes with the function of the immune system, collagen synthesis, and tensile strength...
April 2018: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/29738293/the-use-of-sub-epidermal-moisture-measurement-in-predicting-blanching-erythema-in-jaundice-patients
#16
Seungmi Park, Chul-Gyu Kim, Ji Woon Ko
OBJECTIVE: To investigate the relationship between sub-epidermal moisture (SEM) and visual skin assessment (VSA) in pressure ulcers (PU) patients with jaundice in Korea. METHOD: This is a longitudinal observational study. Data was collected by a wound care nurse, at a tertiary hospital, for six weeks beginning in June 2013. Once a week for the six weeks, the nurse assessed VSA and measured SEM, for each subject, on seven anatomical sites (both buttocks, both ischial tuberosities, both trochanters, and the sacral coccyx), using a NOVA Petite dermal phase meter for SEM...
May 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29738002/evidence-based-synthesis-for-prevention-of-noninvasive-ventilation-related-facial-pressure-ulcers
#17
Jaber S Alqahtani, Mohammed D AlAhmari
The last 2 decades have seen a growing trend towards the use of noninvasive ventilation (NIV) therapy in the management of many conditions that cause acute respiratory failure. However, there is a serious side effect that results in using these devices; the development of facial skin pressure damage, specifically pressure ulcers. This skin damage has a considerable effect on patients' quality of life, treatment adherence and patients' comfort in addition to the therapy challenges of wound care. The aim of this clinical review is to discuss the different characteristics of NIV interfaces and to provide evidence based recommendations to facilitate the selection and application of such interfaces to reduce NIV interfaces related pressure ulcers...
May 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29736104/evaluation-of-the-validity-and-reliability-of-the-waterlow-pressure-ulcer-risk-assessment-scale
#18
Charalambos Charalambous, Agoritsa Koulori, Aristidis Vasilopoulos, Zoe Roupa
Introduction: Prevention is the ideal strategy to tackle the problem of pressure ulcers. Pressure ulcer risk assessment scales are one of the most pivotal measures applied to tackle the problem, much criticisms has been developed regarding the validity and reliability of these scales. Objective: To investigate the validity and reliability of the Waterlow pressure ulcer risk assessment scale. Method: The methodology used is a narrative literature review, the bibliography was reviewed through Cinahl, Pubmed, EBSCO, Medline and Google scholar, 26 scientific articles where identified...
April 2018: Medical Archives
https://www.readbyqxmd.com/read/29733461/topical-application-of-quercetin-improves-wound-healing-in-pressure-ulcer-lesions
#19
Guimei Yin, Zhijing Wang, Zhaoxia Wang, Xirui Wang
The ischemia-reperfusion (I/R) induced skin lesion has been identified as primary cause of pressure ulcers. To date, attempts to prevent pressure ulcers have not produced a significant improvement. Quercetin, one of the most widely distributed flavonoids in fruits and vegetables, exhibits its antioxidant and anti-inflammatory properties against many diseases, including ischemic heart disease, atherosclerosis, and renal injury. In vitro wound scratch assay was first used to assess the function of quercetin in wounding cell model...
May 7, 2018: Experimental Dermatology
https://www.readbyqxmd.com/read/29722753/knowledge-and-attitudes-of-nurses-toward-pressure-injury-prevention-a-cross-sectional-multisite-study
#20
Michelle Barakat-Johnson, Catherine Barnett, Timothy Wand, Kathryn White
PURPOSE: The purpose of the study was to examine the knowledge and attitudes of nurses on pressure injury prevention and determine if there was a relationship between knowledge, attitude, and years of experience following an unexplained increase in reported hospital-acquired pressure injuries across 1 health district in Sydney, Australia. DESIGN: Multisite cross-sectional study. SUBJECTS AND SETTING: Registered and enrolled nurses working in acute, medical, and rehabilitation units in 4 hospitals and 5 community health centers across a local health district...
May 2018: Journal of Wound, Ostomy, and Continence Nursing
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