Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

61. Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the american college of physicians. (PubMed)

Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the american college of physicians. The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations based on the comparative effectiveness of risk assessment scales and preventive interventions for pressure ulcers.This guideline is based on published literature on this topic that was identified by using MEDLINE (1946 through February 2014), CINAHL (...) (1998 through February 2014), the Cochrane Library, clinical trials registries, and reference lists. Searches were limited to English-language publications. The outcomes evaluated for this guideline include pressure ulcer incidence and severity, resource use, diagnostic accuracy, measures of risk, and harms. This guideline grades the quality of evidence and strength of recommendations by using ACP's clinical practice guidelines grading system. The target audience for this guideline includes all

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2015 Annals of Internal Medicine

62. Treatment of pressure ulcers: a clinical practice guideline from the american college of physicians. (PubMed)

Treatment of pressure ulcers: a clinical practice guideline from the american college of physicians. The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations based on the comparative effectiveness of treatments of pressure ulcers.This guideline is based on published literature on this topic that was identified by using MEDLINE, EMBASE, CINAHL, EBM Reviews, the Cochrane Central Register of Controlled Trials, the Cochrane (...) , and infection). This guideline grades the quality of evidence and strength of recommendations by using ACP's clinical practice guidelines grading system. The target audience for this guideline includes all clinicians, and the target patient population is patients with pressure ulcers.ACP recommends that clinicians use protein or amino acid supplementation in patients with pressure ulcers to reduce wound size. (Grade: weak recommendation, low-quality evidence).ACP recommends that clinicians use hydrocolloid

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2015 Annals of Internal Medicine

63. A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial. (PubMed)

A nutritional formula enriched with arginine, zinc, and antioxidants for the healing of pressure ulcers: a randomized trial. Trials on specific nutritional supplements for the treatment of pressure ulcers (PUs) have been small, inconsistent in their formulations, or unsuccessful in controlling for total supplement calorie or protein content.To evaluate whether supplementation with arginine, zinc, and antioxidants within a high-calorie, high-protein formula improves PU healing.Multicenter

2015 Annals of Internal Medicine

64. Use of the Braden Scale for Assessing Pressure Ulcer Risk in Acute Care

Use of the Braden Scale for Assessing Pressure Ulcer Risk in Acute Care Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should (...) Ulcer Risk in Acute Care: Clinical Evidence and Guidelines DATE: 30 January 2015 RESEARCH QUESTIONS 1. What is the clinical evidence regarding the frequency of administration of the Braden Scale for predicting pressure ulcer risk for patients in acute care? 2. What are the evidence-based guidelines regarding the frequency of administration of the Braden Scale for predicting pressure ulcer risk for patients in acute care? KEY FINDINGS Two evidence-based guidelines were identified regarding

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

65. Repositioning for treating pressure ulcers. (PubMed)

Repositioning for treating pressure ulcers. Pressure, from lying or sitting on a particular part of the body results in reduced oxygen and nutrient supply, impaired drainage of waste products and damage to cells. If a patient with an existing pressure ulcer continues to lie or bear weight on the affected area, the tissues become depleted of blood flow and there is no oxygen or nutrient supply to the wound, and no removal of waste products from the wound, all of which are necessary for healing (...) . Patients who cannot reposition themselves require assistance. International best practice advocates the use of repositioning as an integral component of a pressure ulcer management strategy. This review has been conducted to clarify the role of repositioning in the management of patients with pressure ulcers.To assess the effects of repositioning patients on the healing rates of pressure ulcers.For this third update we searched the Cochrane Wounds Group Specialised Register (searched 28 August 2014

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2015 Cochrane

66. Pressure Ulcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care

Pressure Ulcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care Pressure Ulcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care. March 2015; pp. 1–87 Pressure Ulcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care VE RAC, J WONG, AS BROOKER, N MITSAKAKIS, M PAULDEN, B PHAM, S CARCONE, MD KRAHN MARCH 2015 This article (...) is repurposed with permission from BioMed Central Ltd. Stern A, Mitsakakis N, Paulden M, Alibhai S, Wong J, Tomlinson G, et al. Pressure ulcer multidisciplinary teams via telemedicine: a pragmatic cluster randomized stepped wedge trial in long term care. BMC Health Serv Res. 2014;14(83). doi:10.1186/1472-6963-14-83. Pressure Ulcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care. March 2015; pp. 1–87 Pressure Ulcer Multidisciplinary Teams via

2015 Health Quality Ontario

67. Risk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians

Risk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Risk Assessment and Prevention of Pressure Ulcers | Annals of Internal Medicine | American College of Physicians '); } '); })(); Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You (...) will be directed to acponline.org to complete your purchase. Search Clinical Guidelines | 3 March 2015 Risk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Tanveer P. Mir, MD; Melissa Starkey, PhD; Thomas D. Denberg, MD, PhD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians, Philadelphia, Pennsylvania; New York

2015 American College of Physicians

68. Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians

Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Treatment of Pressure Ulcers | Annals of Internal Medicine | American College of Physicians '); } Sign in below to access your subscription for full content INDIVIDUAL SIGN IN | You will be directed to acponline.org to register and create your Annals account INSTITUTIONAL SIGN IN | | Subscribe to Annals of Internal Medicine . You will be directed to acponline.org to complete your purchase. Search (...) Clinical Guidelines | 3 March 2015 Treatment of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Free Amir Qaseem, MD, PhD, MHA; Linda L. Humphrey, MD, MPH; Mary Ann Forciea, MD; Melissa Starkey, PhD; Thomas D. Denberg, MD, PhD; for the Clinical Guidelines Committee of the American College of Physicians Amir Qaseem, MD, PhD, MHA From the American College of Physicians and University of Pennsylvania Health System, Philadelphia, Pennsylvania; Oregon Health & Science

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2015 American College of Physicians

69. Pressure Relief for Children, Adolescents and Young Adults with a Traumatic Spinal Cord Injury ? Comparison of ?Push-Up? Pressure Relief and Wheelchair Tilt Pressure Relief to Reduce the Incidence of Pressure Ulcer Formation

Pressure Relief for Children, Adolescents and Young Adults with a Traumatic Spinal Cord Injury ? Comparison of ?Push-Up? Pressure Relief and Wheelchair Tilt Pressure Relief to Reduce the Incidence of Pressure Ulcer Formation Copyright © 2015 Cincinnati Children's Hospital Medical Center; all rights reserved Page 1 of 14 Occupational Therapy & Physical Therapy/Traumatic Spinal Cord Injury/Pressure Relief/BESt 195 Best Evidence Statement Date: December 14, 2015 Title: Comparison of “Push-Up (...) ” Pressure Relief and Wheelchair Tilt Pressure Relief to Reduce the Incidence of Pressure Ulcer Formation in Children, Adolescents and Young Adults with a Traumatic Spinal Cord Injury 1 Clinical Question P (Population/Problem) Among children aged 5 to 21 years who sustain a traumatic spinal cord injury I (Intervention) does “push-up” pressure relief C (Comparison) compared to wheelchair tilt pressure relief* O (Outcome) reduce the incidence of pressure ulcers? Definitions for terms marked with * may

2015 Cincinnati Children's Hospital Medical Center

70. Use of the Braden Scale for assessing pressure ulcer risk in acute care: clinical evidence and guidelines

Use of the Braden Scale for assessing pressure ulcer risk in acute care: clinical evidence and guidelines Use of the Braden Scale for assessing pressure ulcer risk in acute care: clinical evidence and guidelines Use of the Braden Scale for assessing pressure ulcer risk in acute care: clinical evidence and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation CADTH. Use of the Braden Scale for assessing pressure ulcer risk in acute care: clinical evidence and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2015 Authors' conclusions Two evidence-based guidelines were identified regarding the frequency of administration of the Braden Scale for predicting pressure ulcer risk for patients in acute care. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH

2015 Health Technology Assessment (HTA) Database.

71. Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation

Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation Turning for the prevention and management of pressure ulcers: OHTAC Recommendation Turning for the prevention and management of pressure ulcers: OHTAC Recommendation Ontario Health Technology Advisory Committee Citation Ontario Health Technology Advisory Committee. Turning for the prevention and management of pressure ulcers: OHTAC Recommendation. Toronto: Health Quality Ontario (HQO). OHTAC Recommendation. 2014 (...) Authors' conclusions For prevention of pressure ulcers in acute care, OHTAC recommends that a high-density foam mattress should be provided to all persons receiving acute care. For prevention of pressure ulcers in the operating room, a high-quality support surface (foam or gel) should be used during surgical procedures longer than 90 minutes. Strong evidence exists for using a gel pad for this population. For prevention of pressure ulcers in long-term care, a high-density foam mattress should

2014 Health Technology Assessment (HTA) Database.

72. Preventing pressure ulcers

Preventing pressure ulcers Preventing pressure ulcers Preventing pressure ulcers Centre for Reviews and Dissemination Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Centre for Reviews and Dissemination. Preventing pressure ulcers. University of York. Effectiveness Matters. 2014 Authors' objectives This issue of Effectiveness Matters (...) summarises the evidence relating to the implementation of interventions to prevent pressure ulcers in hospital and community care settings. The bulletin is based on existing sources of synthesised and quality-assessed evidence. Authors' conclusions Pressure ulcers affect around 5% of patients: but the majority of these may be avoidable. Pressure ulcers can become painful, infected and malodorous, reduce health related quality of life and increase length of hospital stay. Multicomponent interventions

2014 Health Technology Assessment (HTA) Database.

73. Preventing Pressure Ulcers: A Multisite Randomized Controlled Trial in Nursing Homes

Preventing Pressure Ulcers: A Multisite Randomized Controlled Trial in Nursing Homes Preventing pressure ulcers: a multisite randomized controlled trial in nursing homes Preventing pressure ulcers: a multisite randomized controlled trial in nursing homes Bergstrom N, Horn SD, Rapp M, Stern A, Barrett R, Watkiss M, Krahn M Citation Bergstrom N, Horn SD, Rapp M, Stern A, Barrett R, Watkiss M, Krahn M. Preventing pressure ulcers: a multisite randomized controlled trial in nursing homes. Toronto (...) activities as feeding, walking, and toileting. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Nursing Homess; Pressure Ulcer; Wound Healing Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address for correspondence Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5 Email: EDSinfo@hqontario.ca AccessionNumber

2014 Health Technology Assessment (HTA) Database.

74. Pressure ulcers: evidence and uncertainty

Pressure ulcers: evidence and uncertainty Pressure ulcers: evidence and uncertainty - Evidently Cochrane Search and hit Go By November 13, 2014 // Most dangerous 6 words in English language: “We’ve always done it this way” David Barton (@Bartontd), Associate Professor of Nursing at Swansea University, threw this into the debate on Tuesday evening, joining me, WeNurses founder Teresa Chinn (@WeNurses @AgencyNurse) and many others for a on pressure ulcer risk assessment. We were asking (...) , is it time for a new way, time to ditch the Waterlows and Bradens, given the lack of evidence of benefit of such tools? Why change practice? A was updated early this year and showed that there is no reliable evidence that using these tools reduces the incidence of pressure ulcers. I blogged about it and nurses on Twitter started questioning their continued use, engaging in lively discussion in , back in March, with some considering trying to make changes, perhaps experimenting with assessing risk using

2014 Evidently Cochrane

75. Natural Sheepskins for the Treatment of Pressure Ulcers

Natural Sheepskins for the Treatment of Pressure Ulcers TITLE: Natural Sheepskins for the Treatment of Pressure Ulcers: Clinical Effectiveness, Cost-Effectiveness, and Guidelines DATE: 03 September 2014 RESEARCH QUESTIONS 1. What is the clinical effectiveness of natural sheepskins for the treatment of pressure ulcers in adults with impaired mobility? 2. What is the cost-effectiveness of natural sheepskins for the treatment of pressure ulcers in adults with impaired mobility? 3. What (...) are the evidence-based guidelines regarding the use of natural sheepskins for the treatment of pressure ulcers in adults with impaired mobility? KEY FINDINGS One health technology assessment report and two systematic reviews regarding the clinical effectiveness of natural sheepskins for the treatment of pressure ulcers in adults with impaired mobility were identified. METHODS A limited literature search was conducted on key resources including PubMed, The Cochrane Library (2014, Issue 8), University of York

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

76. Nutritional interventions for preventing and treating pressure ulcers. (PubMed)

Nutritional interventions for preventing and treating pressure ulcers. Pressure ulcers affect approximately 10% of people in hospitals and older people are at highest risk. A correlation between inadequate nutritional intake and the development of pressure ulcers has been suggested by several studies, but the results have been inconsistent.To evaluate the effects of enteral and parenteral nutrition on the prevention and treatment of pressure ulcers.In March 2014, for this first update, we (...) applied.Randomised controlled trials (RCTs) evaluating the effects of enteral or parenteral nutrition on the prevention and treatment of pressure ulcers, which measured the incidence of new ulcers, ulcer healing or changes in pressure ulcer severity. There were no restrictions on types of patient, setting, date, publication status or language.Two review authors independently screened for inclusion, and disagreement was resolved by discussion. Two review authors independently extracted data and assessed quality

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2014 Cochrane

77. Nurses under pressure: do risk assessment tools help prevent pressure ulcers?

Nurses under pressure: do risk assessment tools help prevent pressure ulcers? Nurses under pressure: do risk assessment tools help prevent pressure ulcers? | Evidently Cochrane sharing the latest Cochrane Reviews Search Main menu Post navigation by Tools to help assess a patient’s risk of developing a pressure ulcer have been in use for half a century, but do they actually result in fewer pressure ulcers, or do they take up nurses’ time which could be better spent with the patient? An updated (...) Cochrane review gives us the current state of the evidence. Barts student nurses learning the ‘Australian lift’ in 1983 Looking back on my nurse training in the 1980s, it seems that efforts to prevent pressure ulcers were a really basic, and essential, part of caring for our patients. Any new reddening of the skin was like a mark of shame for the nurse looking after the bearer of it. I remember sheepskin booties, creams, sorbo rings, a variety of mattresses and, for those particularly at risk, soft

2014 Evidently Cochrane

78. Nurses under pressure: do risk assessment tools help prevent pressure ulcers?

Nurses under pressure: do risk assessment tools help prevent pressure ulcers? Nurses under pressure: do risk assessment tools help prevent pressure ulcers? - Evidently Cochrane Search and hit Go By February 14, 2014 // Tools to help assess a patient’s risk of developing a pressure ulcer have been in use for half a century, but do they actually result in fewer pressure ulcers, or do they take up nurses’ time which could be better spent with the patient? An updated Cochrane review gives us (...) the current state of the evidence. Barts student nurses learning the ‘Australian lift’ in 1983 Looking back on my nurse training in the 1980s, it seems that efforts to prevent pressure ulcers were a really basic, and essential, part of caring for our patients. Any new reddening of the skin was like a mark of shame for the nurse looking after the bearer of it. I remember sheepskin booties, creams, sorbo rings, a variety of mattresses and, for those particularly at risk, soft pink and white squares

2014 Evidently Cochrane

79. Nurses under pressure: do risk assessment tools help prevent pressure ulcers?

Nurses under pressure: do risk assessment tools help prevent pressure ulcers? Nurses under pressure: do risk assessment tools help prevent pressure ulcers? | Evidently Cochrane sharing the latest Cochrane Reviews Search Main menu Post navigation by Tools to help assess a patient’s risk of developing a pressure ulcer have been in use for half a century, but do they actually result in fewer pressure ulcers, or do they take up nurses’ time which could be better spent with the patient? An updated (...) Cochrane review gives us the current state of the evidence. Barts student nurses learning the ‘Australian lift’ in 1983 Looking back on my nurse training in the 1980s, it seems that efforts to prevent pressure ulcers were a really basic, and essential, part of caring for our patients. Any new reddening of the skin was like a mark of shame for the nurse looking after the bearer of it. I remember sheepskin booties, creams, sorbo rings, a variety of mattresses and, for those particularly at risk, soft

2014 Evidently Cochrane

80. Pressure-relieving devices for treating heel pressure ulcers. (PubMed)

Pressure-relieving devices for treating heel pressure ulcers. Pressure ulcers are areas of localised damage to the skin and underlying tissue caused by pressure or shear. Pressure redistribution devices are used as part of the treatment to reduce the pressure on the ulcer. The anatomy of the heel and the susceptibility of the foot to vascular disease mean that pressure ulcers located there require a particular approach to pressure relief.To determine the effects of pressure-relieving (...) interventions for treating pressure ulcers on the heel.In May 2013, for this first update, we searched the Cochrane Wounds Group Specialised Register; The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid EMBASE; Ovid MEDLINE (In-Process & Other Non-Indexed Citations); and EBSCO CINAHL. No language or publication date restrictions were applied.We included randomised controlled trials (RCTs) that compared the effects of pressure-relieving devices

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2014 Cochrane