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https://www.readbyqxmd.com/read/28809176/potential-of-decision-support-in-preventing-pressure-ulcers-in-hospitals
#1
Ju Wang, Yang Gong
The development of hospital-acquired pressure ulcers signals low quality of care. Despite the established guidelines and best practices on pressure ulcer prevention, the incidence of pressure ulcers in hospital remains high. To meet the challenges of consistently translating best practices into effective clinical practices and promote effective teamwork communication and interprofessional collaboration, we consider the failure of consistent care delivery as loss of information and reveal the opportunities of informatics methods to reinforce information delivery, evidenced by typical cases...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28792613/peripheral-perfusion-and-oxygenation-in-areas-of-risk-of-skin-integrity-impairment-exposed-to-pressure-patterns-a-phase-i-trial-poter-study
#2
Silvia Garcia-Mayor, Juan Carlos Morilla-Herrera, Inmaculada Lupiáñez-Pérez, Shakira Kaknani Uttumchandani, Álvaro Leon Campos, Marta Aranda-Gallardo, Ana Belén Moya-Suárez, José Miguel Morales-Asencio
AIM: To analyse the changes in peripheral oxygenation and microvascular flow in tissues subjected to different pressure regimes in healthy subjects and in hospitalised patients. BACKGROUND: The presence of pressure ulcers in hospitalised patients is a common complication that has a negative impact on health and often prolongs hospital stay and increases health care costs. DESIGN: Experimental non-controlled, non-randomised study in two phases: preclinical and clinical...
August 9, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28777906/can-amputation-be-prevented-in-diabetic-foot-interdisciplinary-approach-to-diabetic-foot-a-case-report
#3
Ali Erdal Gunes, Maide Cimsit
Diabetic foot ulcers may result in loss of an extremity and may even lead to mortality. The use of comprehensive foot care programs which include early screening and evaluation of problems, foot care education, preventive therapy and referral to specialists has been shown to reduce amputation rates by 49-85 [percent]. A 51-year-old woman with Type 2 diabetes under surveillance for nine months was referred from the emergency department. She presented with an entirely inflamed right foot with ulcer covering two-thirds proximal of the foot for 30 days' duration...
March 2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/28757086/multidrug-resistant-acinetobacter-risk-factors-and-outcomes-in-veterans-with-spinal-cord-injuries-and-disorders
#4
Swetha Ramanathan, Katie J Suda, Margaret A Fitzpatrick, Linda Poggensee, Sherri L LaVela, Stephen P Burns, Charlesnika T Evans
BACKGROUND: Multidrug-resistant (MDR) Acinetobacter is a growing concern and has been identified as a serious threat by the Centers for Disease Control and Prevention. However, there is little information on MDR Acinetobacter in individuals with spinal cord injuries and disorders (SCI/Ds). Therefore, the objective of this study was to identify risk factors for, and assess outcomes of, MDR Acinetobacter in veterans with SCI/Ds. METHODS: This was a retrospective cohort study from January 1, 2012-December 31, 2013, using national Veterans Affairs medical encounter and microbiology data...
July 27, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28755424/healthy-skin-wins-a-glowing-pressure-ulcer-prevention-program-that-can-guide-evidence-based-practice
#5
Donna Martin, Lisa Albensi, Stephanie Van Haute, Maria Froese, Mary Montgomery, Mavis Lam, Kendra Gierys, Rob Lajeunesse, Lorna Guse, Nataliya Basova
BACKGROUND: In 2013, an observational survey was conducted among 242 in-patients in a community hospital with a pressure ulcer (PU) prevalence of 34.3%. An evidence-based pressure ulcer prevention program (PUPP) was then implemented including a staff awareness campaign entitled "Healthy Skin Wins" with an online tutorial about PU prevention. AIMS: To determine the effectiveness of the PUPP in reducing the prevalence of PUs, to determine the effectiveness of the online tutorial in increasing hospital staff's knowledge level about PU prevention, and to explore frontline staff's perspectives of the PUPP...
July 29, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28752210/helicobacter-pylori-infection-and-atherosclerosis-is-there-a-causal-relationship
#6
REVIEW
Z Xu, J Li, H Wang, G Xu
For many years, the coexistence of Helicobacter pylori (H. pylori) infection and atherosclerotic diseases in a disproportional number of patients has inspired the presumption that a causal relationship exists between the conditions. This presumption was evidenced by the simultaneously declining epidemics of duodenal ulcer and coronary artery diseases in the United States in the past 40 years, and was further evidenced by the detection of H. pylori and their DNA in atherosclerotic plaques. Suggested mechanisms underlying this possible causality include intensified inflammatory stress, dyslipidemia, abnormal glucose metabolism, arterial stiffness, increased blood pressure and malnutrition...
July 27, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/28746159/percutaneous-endoscopic-gastrostomy-confirming-the-clinical-benefits-far-beyond-anthropometry
#7
Gonçalves T Cúrdia, Carla Marinho, Joana Magalhães, Mara Barbosa, Sara Monteiro, Francisca Dias de Castro, Pedro Boal Carvalho, Bruno Rosa, Lília Figueiredo, José Cotter
OBJECTIVES: The real benefit of gastrostomy is still a matter of debate. We aimed to prospectively evaluate the global impact of percutaneous endoscopic gastrostomy (PEG) in patients followed at a specialized multidisciplinary clinic, namely, the impact on the need for healthcare resources, anthropometric measures, pressure ulcers prevention and healing, and nutritional and hydration status. PATIENTS AND METHODS: From the 201 patients who underwent PEG between May 2011 and September 2014, 60 were included in a prospective study...
September 2017: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28737194/-face-protective-patches-do-not-reduce-facial-pressure-ulcers-in-a-simulated-model-of-non-invasive-ventilation
#8
Hugo Riquelme M, David Wood V, Santiago Martínez F, Fernando Carmona M, Axel Peña V, Adriana Wegner A
Noninvasive ventilation (NIV) frequently involves the development of facial pressure ulcers (FPU). Its prevention considers the empirical use of protective patches between skin and mask, in order to reduce the pressure exerted by it. OBJECTIVES: To evaluate the effect of protective patches on the pressure exerted by the facial mask, and its impact on the programmed ventilatory parameters. METHOD: Bilevel NIV simulated model using full face mask in phantom with a physiological airway (ALS PRO +) in supine position...
June 2017: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/28720229/perioperative-registered-nurses-knowledge-attitudes-behaviors-and-barriers-regarding-pressure-ulcer-prevention-in-perioperative-patients
#9
Peggy C Tallier, Patricia R Reineke, Kathy Asadoorian, John G Choonoo, Marc Campo, Christine Malmgreen-Wallen
BACKGROUND: Hospital acquired pressure ulcers have a detrimental effect on patient quality of life, morbidity, mortality, and cost to the healthcare industry. Little is known about pressure ulcer prevention in perioperative services. OBJECTIVES: The objectives of this study were to describe perioperative registered nurses (RNs) knowledge, attitudes, behaviors, and barriers about pressure ulcer prevention and to determine if knowledge and the availability of a pressure ulcer staging tool are predictors of pressure ulcer prevention behavior...
August 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28712194/blocked-coronary-artery-due-to-coronary-spasm-treated-with-stent-insertion-a-sub-optimal-result
#10
Habib Rehman Khan, Sajid Aslam
Myocardial infarction (MI) is an extremely common cause of chest pain. MI can be acute with ST elevation (STEMI) or non-STEMI (NSTEMI). Coronary artery spasm can be severe enough to cause occlusion of the coronary arteries particularly with an exaggerated response in regions of coronary atheroma and plaque ulceration. It is not uncommon for coronary spasm to be mistaken with acute thrombotic occlusion of the coronary artery. We describe a case of a 42-year old man with known cardiac risk factors presents with chest pain for few hours to a tertiary centre hospital...
January 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/28711725/the-cost-effectiveness-of-a-patient-centred-pressure-ulcer-prevention-care-bundle-findings-from-the-intact-cluster-randomised-trial
#11
Jennifer A Whitty, Elizabeth McInnes, Tracey Bucknall, Joan Webster, Brigid M Gillespie, Merrilyn Banks, Lukman Thalib, Marianne Wallis, Jose Cumsille, Shelley Roberts, Wendy Chaboyer
BACKGROUND: Pressure ulcers are serious, avoidable, costly and common adverse outcomes of healthcare. OBJECTIVES: To evaluate the cost-effectiveness of a patient-centred pressure ulcer prevention care bundle compared to standard care. DESIGN: Cost-effectiveness and cost-benefit analyses of pressure ulcer prevention performed from the health system perspective using data collected alongside a cluster-randomised trial. SETTINGS: Eight tertiary hospitals in Australia...
June 27, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28699545/predictive-models-for-pressure-ulcers-from-intensive-care-unit-electronic-health-records-using-bayesian-networks
#12
Pacharmon Kaewprag, Cheryl Newton, Brenda Vermillion, Sookyung Hyun, Kun Huang, Raghu Machiraju
BACKGROUND: We develop predictive models enabling clinicians to better understand and explore patient clinical data along with risk factors for pressure ulcers in intensive care unit patients from electronic health record data. Identifying accurate risk factors of pressure ulcers is essential to determining appropriate prevention strategies; in this work we examine medication, diagnosis, and traditional Braden pressure ulcer assessment scale measurements as patient features. In order to predict pressure ulcer incidence and better understand the structure of related risk factors, we construct Bayesian networks from patient features...
July 5, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28696493/total-contact-cast-system-to-heal-diabetic-foot-ulcers
#13
Brock Liden
Off-loadinga diabetic foot ulcer is a cornerstone of quality wound care for diabetic patients to allow cellular growth in the wound bed. While total contact casts (TCC) have been described as the gold standard for off-loading the wound, the complexity of application and the time commitment for both application and drying have discouraged health professionals from using them. This retrospective case series, conducted in a podiatric practice, evaluated using a TCC system that helps address the three components in which guidelines should be addressed when caring for a diabetic foot: V - vascular management, I - infection management and prevention, and P - pressure relief...
July 25, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28694849/optimisation-of-rocker-sole-footwear-for-prevention-of-first-plantar-ulcer-comparison-of-group-optimised-and-individually-selected-footwear-designs
#14
Stephen J Preece, Jonathan D Chapman, Bjoern Braunstein, Gert-Peter Brüggemann, Christopher J Nester
BACKGROUND: Appropriate footwear for individuals with diabetes but no ulceration history could reduce the risk of first ulceration. However, individuals who deem themselves at low risk are unlikely to seek out bespoke footwear which is personalised. Therefore, our primary aim was to investigate whether group-optimised footwear designs, which could be prefabricated and delivered in a retail setting, could achieve appropriate pressure reduction, or whether footwear selection must be on a patient-by-patient basis...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28668918/pediatric-skin-failure
#15
Katie E Cohen, Matthew C Scanlon, Amin Bemanian, Christine A Schindler
BACKGROUND: The phenomenon of skin failure as distinct from pressure ulcers has been documented in the adult literature. However, in the pediatric population, skin injury continues to be grouped indiscriminately as various types of pressure ulcers. OBJECTIVE: To identify and describe the phenomenon of skin failure in critically ill children. METHODS: Retrospective chart review of 19 patients who had serious skin injuries develop. Organ dysfunction scores, medications, pressure ulcer prevention techniques used, and laboratory values in the 7 days leading up to the development of a skin lesion were evaluated...
July 2017: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/28664809/importance-of-nutrition-in-preventing-and-treating-pressure-ulcers
#16
Carolyn Taylor
Pressure ulcers are painful, and affect patients' health, mobility and well-being. They also cost the NHS between £1.4-2.1 billion a year. Although a large proportion of pressure ulcers are avoidable, many still occur and, because pressure ulcer incidence is an indicator of care quality, it can put carers under scrutiny. The National Institute for Health and Care Excellence states that adequate risk assessment of pressure ulcer development, including the role of malnutrition, improves care. Adequate nutrition is vital for the prevention of pressure ulcers and malnutrition can hinder healing when pressure ulcers have developed...
June 30, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28657899/a-descriptive-cross-sectional-survey-of-turkish-nurses-knowledge-of-pressure-ulcer-risk-prevention-and-staging
#17
Asiye Gul, Isil Isik Andsoy, Birgul Ozkaya, Ayten Zeydan
Nurses' knowledge of pressure ulcer (PU) prevention and management is an important first step in the provision of optimal care. To evaluate PU prevention/risk, staging, and wound description knowledge, a descriptive, cross-sectional survey was conducted among nurses working in an acute care Turkish hospital. The survey instrument was a modified and translated version of the Pieper Pressure Ulcer Knowledge Test (PUKT), and its validity and reliability were established. Nurses completed a Personal Characteristics Form, including sociodemographic information and exposure to educational presentations and information about and experience with PUs, followed by the 49-item modified PUKT which includes 33 prevention/risk items, 9 staging items, and 7 wound description items...
June 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/28655961/use-of-merocel-%C3%A2-aids-in-prevention-of-nasal-pressure-ulcers-following-nasal-intubation-case-series-of-33-patients
#18
Rahil Singh, Nishant Sood, Sukhyanti Kerai, Arun Puri
No abstract text is available yet for this article.
June 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28650412/pressure-injury-knowledge-in-critical-care-nurses
#19
Donna M Miller, Lisa Neelon, Kathleen Kish-Smith, Laura Whitney, Christopher J Burant
PURPOSE: The purpose of this study was to identify pressure injury knowledge in critical care nurses related to prevention and staging following multimodal education initiatives. DESIGN: Postintervention descriptive study. SETTING AND SAMPLE: The sample comprised 32 RNs employed in medical intensive care/coronary intensive care or surgical intensive care units. The study setting was a 237-bed Veterans Affairs acute care hospital in the Midwestern United States...
June 21, 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28647425/use-of-antibiotics-and-the-prevalence-of-antibiotic-associated-diarrhoea-in-patients-with-spinal%C3%A2-cord-injuries-an-international-multi-centre-study
#20
S Wong, P Santullo, S P Hirani, N Kumar, J R Chowdhury, A García-Forcada, M Recio, F Paz, I Zobina, S Kolli, C Kiekens, N Draulans, E Roels, J Martens-Bijlsma, J O'Driscoll, A Jamous, M Saif
BACKGROUND: Little is known about the use of antibiotics and the extent of antibiotic-associated diarrhoea (AAD) in patients with spinal cord injuries (SCIs). AIMS: To record the use of antibiotics, establish the prevalence of AAD and Clostridium difficile infection (CDI), and assess if there was any seasonal variation in antibiotic use and incidence of AAD in patients with SCIs. METHODS: A retrospective study was conducted in six European SCI centres between October 2014 and June 2015...
June 21, 2017: Journal of Hospital Infection
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