摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Abstract not available.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

This review of the literature summarizes research completed during the past 10 years with regard to pressure‐reduction support surfaces. Data are summarized within Tables, focusing on each type of support surface (foam overlays, air overlays, and replacement mattresses) with the corresponding tissue interface pressure research and clinical trials. The review is intended to provide an evidence‐based platform for selecting a support surface in clinical practice.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Support surfaces have been used for many years to treat or prevent pressure ulcers. In early 1996, the availability, application, and reimbursement for use of these products in the home care setting changed dramatically with the implementation of a new Medicare Part B “Medical Policy for Support Surfaces.” This article reviews definitions and characteristics of the products as outlined in this policy, clinical criteria for patient qualification, and documentation requirements. Products assigned to Group 2 of the Medical Policy (those designed to treat patients with advanced stage wounds) are emphasized. Additional issues concerning billing, product selection based on patient need, environmental factors, and related financial implications are also presented.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

PurposeWe examined pressure ulcer incidence and prevalence, the cutoff score for risk for skin breakdown, and the contribution of each of the subscale risk factors of the Braden pressure ulcer risk‐assessment tool in an inpatient rehabilitation unit.Subjects and SettingOne hundred seventy adult men hospitalized on a rehabilitation unit during 1 calendar year were included in the research. Subject ages ranged from 35 to 99 years (M = 69).InstrumentsPressure ulcer risk was assessed using the Braden Scale.MethodsA retrospective chart review of a continuous series of 170 adult male patients hospitalized during a 1‐year period on a 50‐bed rehabilitation unit was conducted. Data were documented on a standardized researcher‐designed form.ResultsA total of 46 pressure ulcers occurred, with the sacrum the most common location (46%), followed closely by the heel–ankle area (44%,n= 20). Most pressure ulcers (57%) were stage II, 24% were stage I, 15% stage III, and 4% stage IV. When using a cutoff score of 16, the Braden Scale demonstrated limited usefulness in predicting pressure ulcer development on our inpatient rehabilitation unit. Further calculations were completed, and a cutoff score of 18 or higher was found to provide better predictive value. With use of multiple logistic regression analysis, three of the six risk factors from the Braden Scale were found to significantly contribute to risk for pressure ulcer development in this sample: moisture, nutrition, and friction and shear. Therefore a modified Braden Scale was developed, with a possible range of scores from 3 to 11; the cutoff score was 8, sensitivity was 52%, and specificity 66%.ConclusionsThe mean prevalence rate of 12% was comparable, and the incidence rate of 6% for this unit was lower, compared with other skilled care and rehabilitation settings reported in the literature. The proactive, interdisciplinary approach to skin integrity on this unit likely contributed to the lower incidence rate. Risk factors most predictive of pressure ulcer development in this sample were moisture, nutrition, and friction and shear. Predicting risk for skin breakdown with use of a consistent risk‐assessment tool is essential for all rehabilitation patients. Assessing risk with the Braden Scale merits further research.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

PurposeThe purpose of this study was to investigate pressure ulcer treatment protocol selection and use by care providers in extended health care facilities.DesignDescriptive survey.Setting and SubjectsThe target population was directors of extended health care facilities in the southwestern border region of Arizona, New Mexico, and west Texas.MethodsQuestionnaires were mailed to 427 directors of extended‐care facilities, who were asked to self‐report treatment selection methods. The results from 96 returned and usable questionnaires were analyzed.Main Outcome MeasuresDescriptive statistics were used to analyze the returned data.ResultsMost (56.25%) of the respondents reported using a facility‐developed assessment tool, 15.63% used no assessment tool at all, and less than 50% of the responding institutions reported using established protocols for pressure ulcer treatment. Although selection methods differed, most (61.46%) pressure ulcer treatments were reported to be determined by collaboration among nurses, physicians, and other health care providers.ConclusionSelection and use of pressure ulcer risk‐assessment tools and treatment protocols showed a wide range of variation by extended‐care facilities. A high percentage of institutions did not report the use of established, research‐based protocols for pressure ulcer treatment, although interdisciplinary collaboration for treatment selection was reported.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The creation of an ostomy provokes an emotional crisis for its recipient. The ostomy patient typically experiences a wide range of emotions and often feels a profound sense of isolation. Although health care professionals are able to provide substantial education and training, the patient usually requires additional knowledge and experience to manage and cope with the ostomy on a day‐to‐day basis. An ostomy support group can provide this much‐needed information and emotional support. The WOC nurse can serve a vital role as facilitator for the ostomy support group. To fulfill this role, an understanding of key issues in promoting and maintaining a successful support group is necessary. These issues include understanding the role of the support group and how it differs from the self‐help group, marketing the group, acting as a group facilitator, recognizing leadership resources within the group, and evaluating its effectiveness.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Options in Practice presents different management approaches to the same clinical situation. You are invited to submit a brief case description, including the specialty nursing care provided, and several glossy, color photographs of the clinical situation. The case material will then be sent to another wound, skin, ostomy, or continence care clinician, who will also address management concerns. Alternative solutions to difficult wound, skin, ostomy, or incontinence clinical situations will be published.

ISSN:1071-5754    

出版商:OVID    

年代:1998

数据来源: OVID