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Latest & greatest articles for pressure ulcer
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Reconstructive surgery for treating pressureulcers. The management of pressureulcers involves several interventions ranging from pressure-relieving measures such as repositioning, to treatments that can include reconstructive surgery. Such surgery may be considered for recalcitrant wounds when full thickness skin loss arises and deeper structures such as muscle fascia and even bone are exposed. The surgery commonly involves wound debridement followed by the addition of new tissue (...) into the wound. Whilst reconstructive surgery is an accepted means of ulcer management, the benefits and harms of surgery compared with non-surgical treatments, or alternative surgical approaches are not clear.To assess the effects of reconstructive surgery for healing pressureulcers (stage II or above), comparing surgery with no surgery or comparing alternative forms of surgery in any care setting.We searched the following electronic databases to identify reports of relevant randomised clinical trials
Bed rest for pressureulcer healing in wheelchair users. Pressureulcers, which are localised injury to the skin or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressureulcers are often difficult to heal, painful, and impact negatively on the individual's quality of life. International guidelines suggest bed rest as a component of the treatment strategy to manage pressureulcers among wheelchair users. The potential (...) benefits and risks need to be considered when assessing the effectiveness of bed rest as an intervention for treating pressureulcers in this population. Therefore, it was important to search and appraise existing research evidence in order to determine the impact of bed rest on the healing of pressureulcers in wheelchair users.To assess the impact of bed rest on pressureulcer healing, in wheelchair users, of any age, who are living or being cared for in any setting.In October 2016 we searched
Emerging Technologies for the Prevention of PressureUlcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines Emerging Technologies for the Prevention of PressureUlcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Emerging Technologies for the Prevention of PressureUlcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines Emerging Technologies (...) for the Prevention of PressureUlcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines Published on: September 12, 2016 Project Number: RC0809-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of emerging technologies when used alone, or in combination with established interventions, for the prevention of pressureulcers in acute care settings? What is the clinical
Validation of the interRAI PressureUlcer Risk Scale in Acute Care Hospitals To validate the PressureUlcer Risk Scale (PURS) to screen for pressureulcer (PU) outcomes in the acute hospital setting.Secondary data analysis was undertaken using a combined dataset from three prospective cohort studies.General medical, surgical, and orthopedic wards in 11 hospitals in two states of Australia.Individuals aged 70 and older admitted to the hospital for longer than 48 hours from July 2005 to May 2010 (...) characteristic curve).Complete data were available for 1,371 (96.7%) participants, 85 of whom (6.2%) had a PU at admission. Of the 1,286 without PUs at admission, 42 (3.3%) developed a new PU during their hospital stay. The association between PURS and outcomes had a c-statistic of 0.81 (standard error (SE) 0.02) for prevalent ulcers at admission and 0.70 (SE 0.04) for incidence of new PUs.When derived from the interRAI AC tool, the PURS demonstrated good to strong ability to screen for PU outcome in acute
Exploring the challenge of health research priority setting in partnership: reflections on the methodology used by the James Lind Alliance PressureUlcer Priority Setting Partnership The James Lind Alliance (JLA) brings patients, carers and clinicians together in Priority Setting Partnerships (PSPs) to identify and prioritise shared uncertainties about the effects of treatment. The JLA emerged from the evidence-informed healthcare movement to address a concern that the research being carried (...) out on treatment effectiveness is not that of most importance to patients and health professionals. In the JLA PSPs, 'hard' evidence-informed ideals meet 'soft' participatory practices. This article explores the challenges of putting co-production methods into practice by reflecting on the methods used by the JLA PressureUlcer PSP (JLAPUP). The JLA principles are transparency, inclusivity and avoiding waste in research. This means paying the same close critical attention to how PSPs are designed
Characteristics of patients who are admitted with or acquire PressureUlcers in a District General Hospital; a 3Â year retrospective analysis The study aimed to characterize demographic and clinical practice factors associated with community (CAPU) and hospital acquired pressureulcers (HAPU).A comparative retrospective evaluation of pressureulcer data, collected from a district general hospital.Demographic and pressureulcer related data were collected from patients at risk of developing (...) a pressureulcer, collated by a single observer using a standardized tool. Comparisons were made within and between patient groups (no PU, CAPU and HAPU).CAPU and HAPU patient groups were significantly (P < 0·001) older, had extended lengths of hospital stay and were less likely to be provided quickly with a pressure relieving support surface than those with no PU. HAPU patients had a longer length of stay and a higher proportion of heel PUs compared to CAPU.
Nursing documentation of pressureulcers in nursing homes: comparison of record content and patient examinations The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressureulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.This study used a cross-sectional descriptive design.A retrospective audit of 155 patients' records and patient (...) examinations using the European PressureUlcer Advisory Panel form and the Braden scale, conducted in January and February 2013.The prevalence of pressureulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented pressureulcers were not graded. When comparing the patient examinations with the patient record contents, the patient records lacked information about pressureulcers and preventive interventions.
Systematic reviews on preventing pressureulcers 404: Denne siden er ikke helt frisk/404: This page isn’t feeling well - NIPH Selected items added to basket Close Search for: Søk Meny Infectious diseases & Vaccines Close Mental & Physical health Close Environment & Lifestyle Close Health in Norway Close Quality & Knowledge Close Research & Access to data Close About NIPH Close eller let i vår oversikt over temasider og studier i Fortell oss gjerne hva du ikke fant eller hva du trenger hjelp til
Psychometric Properties of the Spinal Cord Injury PressureUlcer Scale (SCIPUS) for PressureUlcer Risk Assessment During Inpatient Rehabilitation To assess the psychometric properties of the Spinal Cord Injury PressureUlcer Scale (SCIPUS) for pressureulcer (PU) risk assessment during inpatient rehabilitation.Prospective cohort.Tertiary rehabilitation centers.Individuals (N=759) participating in inpatient spinal cord injury rehabilitation between January 3, 2012, and April 23, 2014
PressureUlceR Programme Of reSEarch (PURPOSE): using mixed methods (systematic reviews, prospective cohort, case study, consensus and psychometrics) to identify patient and organisational risk, develop a risk assessment tool and patient-reported outcome PressureUlceR Programme Of reSEarch (PURPOSE): using mixed methods (systematic reviews, prospective cohort, case study, consensus and psychometrics) to identify patient and organisational risk, develop a risk assessment tool and patient
Prevention of PressureUlcers and Skin Degradation in Wheelchair Users: Guidelines Prevention of PressureUlcers and Skin Degradation in Wheelchair Users: Guidelines | CADTH.ca Find the information you need Prevention of PressureUlcers and Skin Degradation in Wheelchair Users: Guidelines Prevention of PressureUlcers and Skin Degradation in Wheelchair Users: Guidelines Published on: October 7, 2015 Project Number: RA0810-000 Product Line: Research Type: Devices and Systems Report Type (...) : Reference List Result type: Report Question What are the evidence-based guidelines regarding the management of heat and moisture in seating systems of wheelchair bound individuals? Key Message One evidence-based guideline regarding the management of heat and moisture for pressureulcer prevention for wheelchair bound individuals was identified. Tags hot temperature, pressureulcer, skin ulcer, wheelchairs, wounds and injuries, other miscellaneous topics, automated chair, cushion, decubitis, decubitus
Wound-care teams for preventing and treating pressureulcers. Pressureulcers, which are localised injury to the skin or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressureulcers are often difficult to heal, painful and impact negatively on the individual's quality of life. The cost implications of pressureulcer treatment are considerable, compounding the challenges in providing cost effective, efficient health (...) service delivery. International guidelines suggest that to prevent and manage pressureulcers successfully a team approach is required. Therefore, this review has been conducted to clarify the role of wound-care teams in the prevention and management of pressure ulcers.To assess the impact of wound-care teams in preventing and treating pressureulcers in people of any age, nursed in any healthcare setting.In April 2015 we searched: The Cochrane Wounds Group Specialised Register; The Cochrane Central
Negative pressure wound therapy for treating leg ulcers. Leg ulcers are open skin wounds that occur between the ankle and the knee that can last weeks, months or even years and are a consequence of arterial or venous valvular insufficiency. Negative pressure wound therapy (NPWT) is a technology that is currently used widely in wound care and is promoted for use on wounds. NPWT involves the application of a wound dressing to the wound, to which a machine is attached. The machine applies (...) a carefully controlled negative pressure (or vacuum), which sucks any wound and tissue fluid away from the treated area into a canister.To assess the effects of negative pressure wound therapy (NPWT) for treating leg ulcers in any care setting.For this review, in May 2015 we searched the following databases: the Cochrane Wounds Group Specialised Register (searched 21 May 2015); the Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library 2015, Issue 4); Ovid MEDLINE (1946 to 20 May
Massage therapy for preventing pressureulcers. Pressureulcers affect approximately 10% of patients in hospitals and the elderly are at highest risk. Several studies have suggested that massage therapy may help to prevent the development of pressureulcers, but these results are inconsistent.To assess the evidence for the effects of massage compared with placebo, standard care or other interventions for prevention of pressureulcers in at-risk populations.The review sought to answer (...) the following questions:Does massage reduce the incidence of pressureulcers of any grade?Is massage safe in the short- and long-term? If not, what are the adverse events associated with massage?We searched the Cochrane Wounds Group Specialised Register (8 January 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (2015, Issue 1), Ovid MEDLINE (1946 to 8 January 2015), Ovid MEDLINE (In-Process Other Non-Indexed Citations 8 January 2015), Ovid EMBASE (1974 to 8 January 2015), and EBSCO
Treating pressureulcers: new evidence, continued uncertainty Treating pressureulcers: new evidence, continued uncertainty - Evidently Cochrane Search and hit Go By May 29, 2015 // It’s not often that a pressureulcer sets someone’s heart pounding, apart, perhaps, for the nurse who discovers that his or her patient has one. But this was the experience of , a current practitioner in geriatric medicine and wound care, on finding a copy of Charcot’s Lectures on the Diseases of the Central Nervous (...) System, first published in 1877 and with it ‘the beginnings of the modern “avoidable-unavoidable” controversy on pressureulcers’. Practising in Paris, Dr Charcot and Dr Henri Brown-Sequard proposed differing theories about the mechanisms of ‘bedsore’ development but then, Levine notes, ‘pressureulcers dropped off the medical map for over a century’. They’re firmly on the map now but there’s much that we still don’t know. The debate about whether all pressureulcers are avoidable continues
Treatment of pressureulcers: 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 pressureulcers to reduce wound size. (Grade: weak recommendation, low-quality evidence).ACP recommends that clinicians use hydrocolloid
Use of the Braden Scale for Assessing PressureUlcer 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 pressureulcer risk for patients in acute care? 2. What are the evidence-based guidelines regarding the frequency of administration of the Braden Scale for predicting pressureulcer risk for patients in acute care? KEY FINDINGS Two evidence-based guidelines were identified regarding
Repositioning for treating pressureulcers. 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 pressureulcer 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 pressureulcer 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
PressureUlcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care PressureUlcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care. March 2015; pp. 1–87 PressureUlcer 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. Pressureulcer 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. PressureUlcer Multidisciplinary Teams via Telemedicine (PUMTT): A Pragmatic Randomized Controlled Trial in Long-Term Care. March 2015; pp. 1–87 PressureUlcer Multidisciplinary Teams via