ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

&NA;There is not yet a universal system for describing the status of pressure sores. The purpose of this study was to assess the validity and reliability of an instrument developed by the researchers for evaluation of pressure sores, the Pressure Sore Status Tool (PSST). This study was part of a larger study, which included development of a theoretical model for creation of items for the PSST. A nine‐member expert judge panel established content validity of items on the instrument. Data were analyzed using a content of validity index (average index for tool = .91) and judges' comments were used to modify two items on the PSSTTwo Enterostomal Therapy (ET) nurses independently used the revised tool to rate 20 pressure sores on ten adult medical‐surgical patients, at two observation times. Interrater reliability was established at r = .91 for first observation and r = .92 for the second observation (p < .001). Intrarater reliability was r = .99 for rater one and r = .96 for rater two (p < .001). Future research will focus on refinement and further reliability testing of the instrument.

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

&NA;Osteomyelitis is recognized as an often intractable hindrance to healing in the deep pressure ulcer. The mainstays of treatment of this disease have traditionally been surgical debridement followed by muscle flap revascularization, supplemented by antibiotic coverage. Hyperbaric oxygenation has also been shown to be effective in healing refractory osteomyelitis when used as an adjunct to surgical and medical therapy. This review defines the disease, and presents a current literature review and discussion of its treatment, including adequacy of debridement, options for wound closure, appropriate antimicrobial strategy, and the role of hyperbaric oxygenation. A short review of investigational modalities is also included.

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

&NA;When choosing a tool or instrument to gather data, the clinician must consider many factors including the validity, reliability, sensitivity, and specificity of the measuring device. While all of these factors are important measurement issues, this article focuses on assessment and enhancement of reliability.

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

&NA;As one way to meet the standards of quality patient care, a new tool was developed to document the clinical competence of healthcare providers in preventing and managing care for patients with pressure ulcers. The “Clinical Competency Tool for Documentation of Pressure Ulcer Prevention and Management” is described as well as suggestions for incorporating its use in the education of healthcare providers.

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

&NA;What is pain?Pain is an uncomfortable feeling that tells you something may be wrong in your body. Pain is your body's way of sending a warning to your brain. Your spinal cord and nerves provide the pathway for messages to travel to and from your brain and the other parts of your body.Receptor nerve cells in and beneath your skin sense heat, cold, light, touch, pressure, and pain. You have thousands of these receptor cells, most sense pain and the fewest sense cold. When there is an injury to your body — in this case surgery — these tiny cells send messages along nerves into your spinal cord and then up to your brain. Pain medicine blocks these messages or reduces their effect on your brain.Sometimes pain may be just a nuisance, like a mild headache. At other times, such as after an operation, pain that doesn't go away — even after you take pain medicine — may be a signal that there is a problem. After your operation, your nurses and doctors will ask you about your pain because they want you to be comfortable, but also because they want to know if something is wrong. Be sure to tell your doctors and nurses when you have pain.

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1992

数据来源: OVID