ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

&NA;Critical paths and clinical algorithms are an adjunct for quality management of an average person's health problems. A critical path attempts to achieve continuous quality improvement by aligning actions of the care team. Critical paths are difficult to construct for chronically ill patients with comorbidities. Therefore, clinicians are challenged to consider key elements of critical paths: describing normalcy, identifying variances, creating differential diagnoses, handling individual responses to care, managing continuity of care, communicating among team members, discerning chronic disease dilemmas, and developing a common pathway model. Continuity of care and cost effectiveness can be the result of close attention to aspects of critical pathways. Medicine is frequently described as art blended with science. Nowhere is the art of medicine more apparent than in the management of wounds. The challenge of wound care has taxed the ingenuity of countless caregivers from the days when therapeutic armaments consisted of only salves, balms, and poultices to the present plethora of high‐tech therapies. Unfortunately, the treatment of patients with wounds for the most part has been relegated to a little‐appreciated segment of an equally unappreciated and “unattractive” category of chronic disease.

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

&NA;Although concern for the costs associated with pressure ulcer treatments persists, studies that precisely quantify costs are limited. A retrospective research design was used to describe the costs incurred by an 830‐bed, long‐term care facility to treat 81 pressure ulcers over a one‐year period following implementation of a research‐based, skin care protocol. The total cost for the study period was $30,079 with 73% of these expenditures attributable to nursing care. Mean cost of treatment was $3.74/pressure ulcer/day, which was a reduction from the $5.35/pressure ulcer/day cost prior to implementation of the skin care protocol. These findings suggest that implementing a researchbased, skin care protocol can promote a reduction in treatment costs.

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

&NA;Synthesizing scientific information from the literature, even in a well‐defined area, is difficult because not all studies report similar information. A template was developed by the authors to abstract information from articles reviewed for the Agency for Health Care Policy and Research (AHCPR) Clinical Practice Guideline on Pressure Ulcer Treatment. The research template specifies content to be included in a study report (e.g., variables, methods, endpoints, statistics, and conclusions). The authors also propose the use of the template to guide researchers so that future studies include important elements and provide greater methodologic consistency.

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

&NA;Recurrence of pressure ulcers is a serious problem following myocutaneous flap surgery and can lead to prolonged and expensive hospitalization. One of the most important aspects of patient care after surgery is the monitoring of reduced pressure in the area of the flap. Usually reducing pressure requires an expensive high‐tech support surface. The purpose of this study was to evaluate the effectiveness of a less expensive support surface. There were 12 patients involved in a clinical trial that lasted 14 days and compared the effectiveness of the ROHO dry‐floatation mattress to that of the Clinitron bed. Findings indicated that post‐operative patients were effectively treated on either support surface.

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1995

数据来源: OVID