ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The reported costs of treating pressure ulcers have varied widely from study to study. Previous studies have focused on single health care settings and computed only the costs occurring while the patient was a resident in that facility. The purpose of this study was to assess the cost of managing pressure ulcers from their initial occurrence in long-term care through their natural history, including hospital treatment ot complications. The 30 patients in this year-long study developed 45 ulcers. The mean length ot treatment for an ulcer was 116 days (SD = 127). The mean cost ot treatment, including long-term care and hospital costs, was $2.731 per ulcer (SD = 12.184); excluding hospital costs, the mean cost of treatment was $489 per ulcer (SD = 629). The mean cost of treatment per patient was $4,647 (SD = 15,102); excluding hospital costs, the mean treatment cost was $1,284 per patient (SD = 1,380). Eighty percent of the total cost of pressure ulcer treatment was generated by the 4% of patients who required hospitalization lor their pressure ulcers. In the absence of complications, pressure ulcers can be treated successfully and cost-effectively in long-term care.

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Under treatment of all types of acute and chronic pain is common, both in the United States and around the world. Moreover, a literature review of pressure ulcer pain and its management suggests that this area of pain medicine is truly in its infancy.This article includes a discussion of current literature, anatomy and physiology ol pain related to pressure and ischemic ulcers, and assessment methods. It also describes treatment modalities, including conservative measures, medication management, and invasive procedures. Special emphasis is placed on the use of opioid analgesics in the management of severe acute and chronic wound pain.

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This descriptive correlational study explored the predictive validity of the Braden Scale and factors affecting it. A Braden score was determined within 4 hours of admission lor 50 adult medical/surgical inpatients. Independent skin assessments were made three times a week and at discharge.Fourteen patients (28%) developed pressure ulcers. A Braden score cutoff of 18 or less resulted in a 71% sensitivity. 83% specificity. 63% predictive value of a positive test, and 88% predictive value of a negative test.Three of the tour patients incorrectly predicted to be not at risk scored “inadequate” on the nutrition subscale Two of the four also were underweight. Of the six patients incorrectly predicted at risk for a pressure ulcer, three had been placed on air mattresses and were receiving levothyroxine (Synthroid).This study provides further evidence of the Braden Scales predictive validity. The results suggest that patients who are underweight or getting inadequate nutrition be considered at increased risk for pressure ulcers.

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1996

数据来源: OVID