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31. |
Pressure Ulcers and Lateral Rotation BedsA Case Study |
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Journal of Wound, Ostomy and Continence Nursing,
Volume 30,
Issue 3,
2003,
Page 143-145
Teresa Russell,
Angela Logsdon,
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摘要:
During a 6-month period, the WOC nurses at a 500-bed medical treatment facility noticed the development of nosocomial pressure ulcers on the sacrum, occiput, and heel areas of patients who were placed on lateral rotation specialty beds because they had pulmonary disorders. Measures were taken to address the problem by repositioning the patients and through a staff education program. Repositioning included repositioning the patient's head every 2 hours, thorough skin assessments every 2 hours, and ensuring that the patient's heels were subject to zero pressure. Staff education centered on the importance of using a risk assessment tool (the Braden scale) and understanding the clinical uses for lateral rotation beds. During the subsequent 6 months, the incidence of hospital-acquired pressure ulcers decreased by 52%. Efforts to further decrease the number of pressure ulcers related to the use of lateral rotation beds continue. Issues such as length of stay on the bed and the appropriateness of manufacturer's guidelines still need to be addressed at this facility. This case study highlights the potential issues associated with lateral rotation beds and identifies the need for further research.
ISSN:1071-5754
出版商:OVID
年代:2003
数据来源: OVID
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32. |
Managing Recurrent Urinary Catheter BlockageProblems, Promises, and Practicalities |
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Journal of Wound, Ostomy and Continence Nursing,
Volume 30,
Issue 3,
2003,
Page 146-151
Kathryn Getliffe,
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PDF (415KB)
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摘要:
Long-term urinary catheterization is rarely completely free of complications, and encrustation by mineral salts leading to catheter blockage is common in around 40% to 50% of long-term catheterized patients. Recurrent blockage is a problem, which is both distressing to patients and caregivers and costly to health services in terms of time and resources. This article addresses the causes of recurrent urinary catheter blockage, proactive approaches to care, and the evidence for use of catheter maintenance solutions to reduce buildup of mineral deposits.
ISSN:1071-5754
出版商:OVID
年代:2003
数据来源: OVID
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33. |
Case StudyChallenges of Pessary Management |
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Journal of Wound, Ostomy and Continence Nursing,
Volume 30,
Issue 3,
2003,
Page 152-158
Karen Sasso,
Lesley Hanson,
Diane Smith,
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PDF (529KB)
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摘要:
Genital prolapse is the relaxation of the supporting structures of the pelvic floor. Significant morbidity can be associated if left untreated. Patients can elect to have surgical repair of their prolapse or use a pessary. The more significant the pelvic organ prolapse the more difficult it is to manage with pessary support. The case study in this article describes such a patient and the challenges we faced with managing her advanced genital prolapse.
ISSN:1071-5754
出版商:OVID
年代:2003
数据来源: OVID
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34. |
Managing a Highly Exudative Wound Adjacent to an Ileostomy |
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Journal of Wound, Ostomy and Continence Nursing,
Volume 30,
Issue 3,
2003,
Page 159-164
Kathleen Braun,
Amy Roma-Moore,
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PDF (408KB)
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ISSN:1071-5754
出版商:OVID
年代:2003
数据来源: OVID
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