ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

To investigate the patient and healing characteristics related to full-thickness pressure ulcers, 119 consecutive patients admitted with ulcers in three acute care, four long-term care, and one rehabilitation agency were studied. Of the 119 patients with 153pressure ulcers, only 48 (40%) had full-thickness ulcers. Compared to patients with partial-thickness ulcers, patients with full-thickness ulcers were more likely to have multiple ulcers, occasional incontinence of urine and feces, a compromised overall skin condition, and a less than optimal nutritional status at baseline. Full-thickness ulcers treated with a hydrocolloid dressing (DuoDERM® Hydroactive) did not develop adverse reactions; clinicians perceived the dressing to be efficacious. Ulcers that healed during the study decreased 47% in area in two weeks. This distinguished ulcers that healed from those that did not heal. The findings suggest that ulcers that do not decrease in size within two weeks should be reevaluated for additional or alternate treatments.

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

This descriptive, comparative study examined the relationship between three body positions, body weight, and tissue interface pressure measurement on three support surfaces among residents who were 65 years of age or older. The support surfaces included the Sof•Care®bed cushion, Biogard® foam mattress, and hospital mattress.Subjects included 12 ideal body-weight and six less-than-ideal body-weight individuals from a long-term care facility in a Midwestern state. Results indicated no significant difference in sacral tissue interface difference between ideal body weight and less-than-ideal body weight subjects. However, the sacral measurements were significantly greater in the supine position than those taken in the Fowler's and semi-Fowler's positions. A significant interaction was found between position and support surface with subjects in Fowler and semi-Fowler positions on the Sof•Care Surface exhibiting the lowest mean tissue interface pressure at the sacrum.

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

Improving quality care for patients with pressure ulcers resulted in a two-year intensive effort to educate staff, keep morale high, standardize care plans by stage of ulcer, and participate in a comparison study of two support surfaces (Thera-Pulse, Kinetic Concepts and Geo-Matt, SpanAmerica). When all pressure ulcers were considered, the analysis of covariance revealed no statistically significant difference in the healing of pressure ulcers with respect to type of support surface used (F[1, 78] = 0.35, p> .05). For patients with stage III and IV pressure ulcers, the proportion of patients improving more than 10cm2was higher in the air-suspension group. There was relatively little difference in the Stage II ulcer patients.

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

摘要:

The use of genuine sheepskin was compared to the use of synthetic sheepskin in two long term care institutions. Data for the control group of 44 residents placed on synthetic sheepskin were obtained by retrospecitve chart audit. Sixty-four residents were randomly placed on genuine merino sheepskin (WoolTec USA, Maspeth, NY). The two groups were similar in age, diagnosis, polypharmacy, and risk assessment score. In the control group 41% maintained skin integrity, 38% improved, and 21% deteriorated; in the study group 63% maintained skin integrity, 37% improved, and none deteriorated. The use of genuine sheepskin is recommended to reduce the risk factors of friction and shear.

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID

ISSN:0898-1655    

出版商:OVID    

年代:1993

数据来源: OVID