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interventions for bed sores

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https://www.readbyqxmd.com/read/26780978/outpatient-management-of-patients-with-acute-tonsillitis-and-peritonsillar-abscess-in-ninety-adult-patients
#1
A Ashman, R Harris
METHODS: Ethical considerations: the protocol used in this evaluation was based upon current best practices and was reviewed and accepted by departmental heads prior to use. A protocol (see Figure 1) was devised based upon the aforementioned current evidence base.(3-6) Patients already able to eat and drink prior to treatment were excluded from the protocol; such cases were expected to be managed as outpatients in our Trust. Patients unable to eat and drink were then stratified according to risk level, with the aim of identifying patients who were likely to require at least 24 hours' admission...
January 18, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/26336042/comparison-study-of-braden-scale-and-time-to-erythema-measures-in-long-term-care
#2
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
https://www.readbyqxmd.com/read/26283809/ayurvedic-approach-in-the-management-of-spinal-cord-injury-a-case-study
#3
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
https://www.readbyqxmd.com/read/25529614/prevention-of-pressure-ulcers-among-people-with-spinal-cord-injury-a-systematic-review
#4
REVIEW
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
https://www.readbyqxmd.com/read/24700291/repositioning-for-pressure-ulcer-prevention-in-adults
#5
REVIEW
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...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/23833633/the-effect-of-fish-oil-on-improvement-of-first-stage-bed-sore
#6
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
https://www.readbyqxmd.com/read/23074524/pressure-ulcer-prevention-an-evidence-based-analysis
#7
(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, http://www.health.gov.on.ca/english/providers/program/mas/tech/tech_mn.html 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
https://www.readbyqxmd.com/read/22415120/peer-to-peer-nursing-rounds-and-hospital-acquired-pressure-ulcer-prevalence-in-a-surgical-intensive-care-unit-a-quality-improvement-project
#8
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
https://www.readbyqxmd.com/read/22053569/complications-after-hip-rearthroplastics-with-revision-endoprosthesis
#9
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
https://www.readbyqxmd.com/read/20630527/one-year-outcome-for-elderly-patients-with-displaced-intracapsular-fractures-of-the-femoral-neck-managed-non-operatively
#10
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
https://www.readbyqxmd.com/read/20571472/preventing-heel-pressure-ulcers-and-plantar-flexion-contractures-in-high-risk-sedated-patients
#11
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
https://www.readbyqxmd.com/read/19105361/-treatment-of-the-aged-wounded-patients-evacuated-from-wenchuan-earthquake-area
#12
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
https://www.readbyqxmd.com/read/18788965/dying-with-advanced-dementia-in-long-term-care-geriatric-institutions-a-retrospective-study
#13
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
https://www.readbyqxmd.com/read/18728303/hazards-of-hospitalization-residence-prior-to-admission-predicts-outcomes
#14
Susan M Friedman, Daniel A Mendelson, Karilee W Bingham, Robert M McCann
PURPOSE: Previous studies investigating adverse outcomes of hospitalized elders have focused on community-dwelling patients. Given the rapid growth of populations living in other settings, such as assisted living facilities, it is important to understand whether these patients are at higher risk of experiencing specific adverse outcomes during hospitalization, so that interventions can be developed to reduce risk. METHODS: This is a prospective, observational study of 212 sequential patients admitted during a 1-month period in 2006 to a 38-bed Acute Care for Elders unit in Rochester, New York and followed until discharge...
August 2008: Gerontologist
https://www.readbyqxmd.com/read/18199942/reducing-hospital-acquired-heel-ulcer-rates-in-an-acute-care-facility-an-evaluation-of-a-nurse-driven-performance-improvement-project
#15
Mary Louise McElhinny, Christine Hooper
PURPOSE: A nurse-driven performance improvement project designed to reduce the incidence of hospital-acquired ulcers of the heel in an acute care setting was evaluated. DESIGN: This was a descriptive evaluative study using secondary data analysis. Data were collected in 2004, prior to implementation of the prevention project and compared to results obtained in 2006, after the project was implemented. SUBJECTS AND SETTING: Data were collected in a 172-bed, not-for-profit inpatient acute care facility in North Central California...
January 2008: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/17602385/-six-treatment-principles-of-the-basle-pressure-sore-concept
#16
U Rieger, O Scheufler, D Schmid, M Zweifel-Schlatter, D Kalbermatten, G Pierer
The treatment of pressure sores has gained importance due to the increase of geriatric patients and general life expectancy as well as improved therapeutic options in patients with spinal cord injuries. The aetiology of pressure sores is multifactorial. Risk factors such as immobility, malnutrition, and other co-morbidities have to be considered. Therapy of pressure sores is time- and cost-consuming and recurrence rates are high. Successful treatment is based on the interdisciplinary cooperation between conservative and surgical disciplines, nursing, as well as on continuous patient education...
June 2007: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/17475016/experiences-with-waterjet-hydrosurgery-system-in-wound-debridement
#17
Raffi Gurunluoglu
BACKGROUND: Recently, a new device, the Versajet, involving "Hydrosurgery Technology" which combines lavage and sharp debridement instrumentation has been described for soft tissue debridement. METHODS: The Versajet Hydrosurgery System utilizes a reusable power console with foot pedal activation, disposable handpiece and tubing assembly in conjunction with sterile saline and standard waste receptacle. The purpose of this paper is to report our experiences with this instrument in debridement of a variety of wounds prior to final reconstructive surgery...
2007: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/16926357/preventing-pressure-ulcers-a-systematic-review
#18
REVIEW
Madhuri Reddy, Sudeep S Gill, Paula A Rochon
CONTEXT: Pressure ulcers are common in a variety of patient settings and are associated with adverse health outcomes and high treatment costs. OBJECTIVE: To systematically review the evidence examining interventions to prevent pressure ulcers. DATA SOURCES AND STUDY SELECTION: MEDLINE, EMBASE, and CINAHL (from inception through June 2006) and Cochrane databases (through issue 1, 2006) were searched to identify relevant randomized controlled trials (RCTs)...
August 23, 2006: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/16566743/scientific-basis-for-the-selection-of-absorbent-underpads-that-remain-securely-attached-to-underlying-bed-or-chair
#19
Richard F Edlich, Kathryne L Winters, William B Long, K Dean Gubler
The occurrence of pressure ulcers in patients is very high in certain high-risk groups. These special high-risk groups include elderly patients, patients with spinal cord injuries, or any individual with an impaired ability to reposition. Prevention of pressure ulcers is by far the best treatment of this condition, warranting certain interventions and preventive measures. One major risk factor to be minimized is the exposure of skin to moisture. Underpads are often used to protect the skin of patients who are incontinent...
2006: Journal of Long-term Effects of Medical Implants
https://www.readbyqxmd.com/read/15545696/a-three-year-multiphase-pressure-ulcer-prevalence-incidence-study-in-a-regional-referral-hospital
#20
Lynda Cole, Caroline Nesbitt
Pressure ulcers can have a devastating impact on health and care provision, ranging from patient discomfort and increased healthcare costs to a potential reflection on the quality of care. To evaluate the outcomes of prevention education and skin integrity interventions on the incidence of pressure ulcers, a multiphase project was initiated in an urban 154-bed regional referral community hospital in Ontario, Canada that provides care to an urban and rural population. The prevalence study included 84 adult subjects at baseline, 77 after one year (Phase 1), and 100 after 3 years (Phase 2)...
November 2004: Ostomy/wound Management
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