ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The current competitive health care environment has intensified the need tor data that provide a snapshot of the realities of clinical practice. As decision making moves from a clinically based perspective to one grounded in scientific data, health care providers are increasingly being challenged to document the extent of a problem and the effectiveness of its management. This is especially true with pressure ulcers, which are viewed as high-volume, high-risk problems in most health care settings. Moreover, in long-term care facilities, regulatory agencies have designated the development of pressure ulcers as an indicator of quality of care provided to patients. Thus, it is essential that data related to the scope and severity of pressure ulcers in a facility be gathered accurately.The aim of this article is to describe a methodology lor determining prevalence and incidence of pressure ulcers that accurately measures the effectiveness of preventive intervention. The importance of risk assessment and of clear operational definitions of the population and a case will be addressed.

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Neuropathic foot ulcers, a serious complication of impaired pedal sensation, are the most common complication of diabetes mellitus leading to hospitalization. One of the goals in treating neuropathic ulcers is to reduce or eliminate pressure from the ulcer site to prevent further breakdown and allow healing. These treatments must address several forms of stress—vertical pressure, shearing force, and tissue strain. This paper reviews several techniques for off-weighting plantar ulcers and describes and recommends the felt-to-foam contact padding technique used at the Northern California Center for the Diabetic and Insensitive Foot and the California College of Podiatric Medicine.

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Because a pressure ulcer may be related to malnutrition, clinicians should assess patients' nutritional status and ensure that patients receive adequate nutrition to support healing. The Agency for Health Care Policy and Research's guideline Treatment ol Pressure Ulcers outlines recommended calorie and protein levels for patients at risk lor pressure ulcers and with pressure ulcers. This article focuses on practical aspects of providing adequate nutrition to patients with pressure ulcers, using a variety of products available for oral supplementation.

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This multicenter. retrospective study evaluated the wound healing and limb salvage outcomes over a 4-year period In 3.830 patients in 39 hospital -affiliated Wound Care Centers. These centers provide comprehensive outpatient wound care tor chronic, nonhealing wounds.Two distinct outcomes were identified: (1) wound healing with comprehensive wound care (CWC) alone, and (2) wound healing with comprehensive wound care plus platelet releasate (CWC + PR) Data were analyzed with respect to healing and limb salvage in two groups: 1.019 patients who received CWC and 2,811 patients who received CWC + PR.Analysis of the standardized, customized database showed that overall healing rates were higher (p <. 00001) and amputation rates were lower (p =.00005) in the CWC + PR group than in the CWC group. In addition, when healing rates were analyzed according to underlying condition, patients with all underlying conditions except autoimmune disorders showed higher healing rates in the CWC + PR group than in the CWC group.This study showed that patients treated with comprehensive wound care plus topical use of autologous platelet releasate had significantly higher rates of wound healing and increased limb salvage for most wounds than those treated with comprehensive wound care alone.

ISSN:1076-2191    

出版商:OVID    

年代:1997

数据来源: OVID