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interventions for bed sores

Chikul Mittal, Hsien Chieh Daniel Lee, Kiat Sern Goh, Cheng Kiang Adrian Lau, Leeanna Tay, Chuin Siau, Yik Hin Loh, Teck Kheng Edward Goh, Chit Lwin Sandi, Chien Earn Lee
BACKGROUND: To test a population health program which could, through the application of process redesign, implement multiple evidence-based practices across the continuum of care in a functionally integrated health delivery system and deliver highly reliable and consistent evidence-based surgical care for patients with fragility hip fractures in an acute tertiary general hospital. METHODS: The ValuedCare (VC) program was developed in three distinct phases as an ongoing collaboration between the Geisinger Health System (GHS), USA, and Changi General Hospital (CGH), Singapore, modelled after the GHS ProvenCare® Fragile Hip Fracture Program...
May 30, 2018: Journal of Orthopaedic Surgery and Research
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
Li-Yin Chang, Hsiu-Hui Yu, Yann-Fen C Chao
BACKGROUND: Nursing workload is highly associated with patient safety. It has been argued that the imbalance between nursing payment and nursing workload in Taiwan National Health Insurance (NHI)-covered intensive care units (ICUs) has resulted in the inadequate allocation of nursing manpower. However, limited empirical data are currently available to support this argument. PURPOSE: The aim of this study was to investigate the correlation between nursing workload, quality of care, and NHI-covered nursing payments in ICU settings...
April 3, 2018: Journal of Nursing Research: JNR
Annalisa Bargellini, Stefano Mastrangelo, Monica Cervi, Michele Bagnasco, Jlenia Reghizzi, Sandra Coriani
. A pilot study on pain assessment among elderly with severe dementia in residential aged care facilities of Reggio Emilia district. INTRODUCTION: Despite the availability of pain assessment tools and best practice recommendations for the assessment and management of pain in people with severe dementia, pain in residential aged care facilities is still undetected or misinterpreted. OBJECTIVE: To assess pain prevalence and analgesic load medication in people with severe cognitive impairment admitted to residential aged care facilities of Reggio Emilia (Italy) province...
April 2017: Assistenza Infermieristica e Ricerca: AIR
Lisa Q Corbett, Marjorie Funk, Gilbert Fortunato, David M OʼSullivan
PURPOSE: The purpose of this study was to describe present-on-admission pressure injuries (POA-PIs) in community-dwelling adults admitted to acute care. The specific aims of the study were to (1) measure the prevalence of POA-PIs during a 1-year period; (2) determine prehospital location of patients with POA-PIs; and (3) describe demographics, pressure injury (PI) characteristics, risk factors, and posthospital outcome of community-dwelling adults with PIs admitted to hospital. DESIGN: Retrospective descriptive study...
May 2017: Journal of Wound, Ostomy, and Continence Nursing
Tonya Moyse, Jacqueline Bates, Matthew Karafa, Angela Whitman, Nancy M Albert
PURPOSE: The purpose of this study was to validate a 10-factor model of risk factors for hospital-acquired pressure injury (HAPI) risk in patients with vascular disease. SUBJECTS AND SETTING: Medical reviews identified 800 patients from a 1063 admissions to a 1400 bed quarternary care hospital in the midwestern United States. DESIGN: Retrospective review of medical records. METHODS: Medical records of consecutive patients treated during an 18-month period on a medical-surgical vascular progressive care unit were reviewed...
March 2017: Journal of Wound, Ostomy, and Continence Nursing
Jane R Oliver, Nevil Pierse, Niki Stefanogiannis, Catherine Jackson, Michael G Baker
AIM: Acute rheumatic fever (ARF) is an important public health problem in low- and middle-income countries and in certain populations in high-income countries. Indigenous Australians, and New Zealand Māori and Pacific people, have incidence rates among the highest in the world. We aimed to investigate ARF cases' housing conditions and sore throat treatment to identify opportunities for improving ARF prevention in New Zealand. METHODS: Recently diagnosed cases and their care givers were interviewed...
April 2017: Journal of Paediatrics and Child Health
A Ashman, R Harris
No abstract text is available yet for this article.
June 2017: Clinical Otolaryngology
Tracey L Yap, Mary Pat Rapp, Susan Kennerly, Stanley G Cron, Nancy Bergstrom
PURPOSE: The Braden Scale for Predicting Pressure Sore Risk is used to assess risk, and the Centers for Medicare & Medicaid guidelines suggest the use of a tissue tolerance procedure that detects time-to-erythema (TTE) to further refine tissue tolerance, a component of the Braden Scale. The aim of this study was to compare the Braden Scale and TTE as risk classification methods and their utility in identifying care planning interventions. DESIGN: Descriptive study using retrospective chart review...
September 2015: Journal of Wound, Ostomy, and Continence Nursing
Sarvesh Kumar Singh, Kshipra Rajoria
Spinal cord injury (SCI) is associated with consequences such as full loss of spinal movements, incontinence of bladder functions, bed sores, etc. There is no satisfactory treatment available in biomedicine with only limited treatments only for enhancement of spinal cord function. These treatments have many limitations. Ayurvedic drugs and Pancakarma procedures have been in use to treat such conditions since a long time. We present a case of SCI with lesion at C4 level which was treated for 2 months with an Ayurvedic combined intervention...
April 2015: Ancient Science of Life
Suzanne L Groah, Manon Schladen, Cynthia G Pineda, Ching-Hui J Hsieh
OBJECTIVES: To evaluate the literature on the effectiveness of bed and wheelchair positioning and repositioning in the prevention of pressure ulcers (PUs) in both the spinal cord injury (SCI) and non-SCI populations. DESIGN: Systematic review. METHODS: PubMed, CINAHL, PsycINFO, and EMBASE were queried with the subject heading terms "pressure sore," "pressure ulcer," "position or turn in bed, wheelchair," "pressure relief," and "pressure release...
June 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
Brigid M Gillespie, Wendy P Chaboyer, Elizabeth McInnes, Bridie Kent, Jennifer A Whitty, Lukman Thalib
BACKGROUND: A pressure ulcer (PU), also referred to as a 'pressure injury', 'pressure sore', or 'bedsore' is defined as an area of localised tissue damage that is caused by unrelieved pressure, friction or shearing forces on any part of the body. PUs commonly occur in patients who are elderly and less mobile, and carry significant human and economic impacts. Immobility and physical inactivity are considered to be major risk factors for PU development and the manual repositioning of patients in hospital or long-term care is a common pressure ulcer prevention strategy...
April 3, 2014: Cochrane Database of Systematic Reviews
Nasrin Elahi, Soheila Mojdeh, Arezoo Poordad
BACKGROUND: Bed sore is one of the main problems for people confined to bed for long time and cannot move. According to the fact that prevention is easier and cheaper than therapy, in this study the effect of fish oil ointment on the improvement of first stage bed sore was assessed. MATERIALS AND METHODS: This study was carried out on two groups with 30 patients that had bed sore on shoulders, sacrum or heel. In the intervention group patients' position was changed every 2-3 hours and the bed sore was washed with water and cotton-wool and fish oil with thickness of 2-3 mm was applied on the place of sore...
May 2012: Iranian Journal of Nursing and Midwifery Research
(no author information available yet)
UNLABELLED: In April 2008, the Medical Advisory Secretariat began an evidence-based review of the literature concerning pressure ulcers.Please visit the Medical Advisory Secretariat Web site, to review these titles that are currently available within the Pressure Ulcers series.PRESSURE ULCER PREVENTION: an evidence based analysisThe cost-effectiveness of prevention strategies for pressure ulcers in long-term care homes in Ontario: projections of the Ontario Pressure Ulcer Model (field evaluation)MANAGEMENT OF CHRONIC PRESSURE ULCERS: an evidence-based analysis (anticipated pubicstion date - mid-2009) PURPOSE: A pressure ulcer, also known as a pressure sore, decubitus ulcer, or bedsore, is defined as a localized injury to the skin/and or underlying tissue occurring most often over a bony prominence and caused by pressure, shear, or friction, alone or in combination...
2009: Ontario Health Technology Assessment Series
Alyson Dare Kelleher, Amanda Moorer, MaryBeth Flynn Makic
We conducted a quality improvement project in order to evaluate the effect of nurse-to-nurse bedside "rounding" as a strategy to decrease hospital-acquired pressure ulcers (HAPU) in a surgical intensive care unit. We instituted weekly peer-to-peer bedside skin rounds in a 17-bed surgical intensive care unit. Two nurses were identified as skin champions and trained by the hospital's certified WOC nurse to conduct skin rounds. The skin champion nurses conducted weekly peer-to-peer rounds that included discussions about key elements of our patients' skin status including current Braden Scale for Pressure Sore Risk score, and implementation of specific interventions related to subscale risk assessment...
March 2012: Journal of Wound, Ostomy, and Continence Nursing
Antun Maricević, Marinko Erceg, Goran Gulan, Darko Srsen
The stability of the revision endoprosthesis components is more difficult to achieve than in primary endoprosthesis due to large bone defects and/or decreased bone mass quality. That is the reason for more frequent complications for revision than in primary arthroplasty. The aim of this study was to investigate the frequency of complications in 122 patients who were operated with the revision endoprosthesis in the Department of Orthopedics in University Hospital Split in the period of 1998 to 2007 and accepted to participate in this study...
September 2011: Collegium Antropologicum
J J Gregory, K Kostakopoulou, W P Cool, D J Ford
The outcome of patients with a displaced intracapsular femoral neck fracture treated non-operatively was assessed at 1 year and compared with patients managed operatively over the same time period. Data were collected prospectively for 102 consecutive patients. 80 patients underwent hemiarthroplasty and 22 were managed non-operatively. Patients were managed non-operatively if they were felt to have an unacceptably high risk of death within the perioperative period despite medical optimisation. Non-operative management entailed active early mobilisation without bed rest or traction...
December 2010: Injury
Tina R Meyers
PURPOSE: An intervention using heel pressure ulcer and plantar flexion contracture prevention protocols for high-risk patients was established to promote earlier recognition of heel skin issues and provide effective prevention of both conditions. SUBJECTS AND SETTING: Fifty-three patients who were sedated, managed in an intensive care unit for 5 days or more, and had a Braden Scale score of 16 or less were treated with heel protector devices that maintained the foot in a neutral position and floated the heel off the bed...
July 2010: Journal of Wound, Ostomy, and Continence Nursing
Qing-ge Fu, Chun-cai Zhang, Zhi-wei Wang, Jia-can Su, Shuo-gui Xu, Lie-hu Ca, Xin-wei Liu, Zhuo-dong Li
OBJECTIVE: To explore the therapeutic strategies of the aged wounded patients evacuated from Wenchuan earthquake area. METHODS: The characteristics of traumatic conditions and therapeutic methods of 14 aged wounded patients evacuated from Wenchuan earthquake area were retrospectively analyzed. RESULTS: All cases accepted the effective treatment for 4 to 8 weeks and attained good recovery. There was no anesthetic and surgical complications, deep venous thrombosis, hypostatic pneumonia, pulmonary embolism, bed sore, stroke and other complications happened...
October 2008: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Paola Di Giulio, Franco Toscani, Daniele Villani, Cinzia Brunelli, Simona Gentile, Patrizia Spadin
OBJECTIVE: The aim of this study is to describe the last month of life of severely demented elders in long-term care institutions, and the clinical decisions in the management of their end-of-life events. DESIGN: Retrospective exploratory study. SETTING: Seven Italian long-term care institutions with more than 200 beds. PARTICIPANTS: One hundred forty-one patients with advanced (FAST stage = 7c) dementia (Alzheimer disease, vascular, other kinds of dementia, severe cognitive impairment)...
September 2008: Journal of Palliative Medicine
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