Pressure ulcers: the core, care and cure approach

Pressure ulcer/injury remains a significant health problem in the community, requiring comprehensive care. Nurses are involved in the management and prevention of pressure injury. However, to date, studies focusing on applying nursing theory to pressure ulcer care have been limited. In the present study, the three dimensions of Lydia Hall's 1964 theory—core, care and cure—are extensively discussed and linked with the practice of pressure injury management. It is hoped that this review will help community nurses understand the application of this nursing theory to the prevention and management of pressure injury.

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Teste de conhecimento sobre lesão por pressão

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i6a234578p1738-1750-2018 ◽

2018 ◽

Vol 12 (6) ◽

pp. 1738

Author(s):

Adriana Montenegro de Albuquerque ◽

Josilene De Melo Buriti Vasconcelos ◽

Ana Paula Marques Andrade de Souza ◽

Tereza Raquel Costa de Lima Chaves ◽

Isabelle Katherinne Fernandes Costa ◽

...

Keyword(s):

Pressure Ulcer ◽

Health Professionals ◽

Pressure Ulcers ◽

Test Method ◽

Knowledge Test ◽

Level Of Evidence ◽

Hospital Units ◽

Knowledge Deficit ◽

Pressure Injury ◽

Terapia Intensiva

RESUMOObjetivo: analisar a produção científica referente à utilização do Teste de Conhecimento sobre Úlcera por Pressão. Método: revisão integrativa, realizada entre os meses de março e julho de 2017, norteada pela questão << Quais as produções científicas sobre úlcera por pressão que utilizaram o Teste de Conhecimento? >> Realizou-se busca nas bases de dados SCOPUS, CINAHL, MEDLINE, BDENF e LILACS, no período de 1995 a 2017, com descritores “nursing”, “prevention pressure ulcers” e “knowledge”, utilizando o boleano “and”. Foram incluídos artigos originais nos idiomas português e inglês, publicados na íntegra e disponíveis eletronicamente. Resultados: foram identificadas 22 publicações, 12 nacionais e 10 internacionais, a maioria produzida em 2015 (27,3%), predomínio no nível de evidência VI, aplicando o teste, realizado, prioritariamente, em terapia intensiva e setores críticos, nos hospitais universitários e privados, contemplando profissionais de enfermagem e de outras áreas da saúde. Conclusão: é indiscutível o deficit de conhecimento por parte dos profissionais de saúde, em unidades críticas hospitalares sobre avaliação, estadiamento e prevenção da lesão por pressão utilizando o instrumento. Descritores: Conhecimento; Úlcera por Pressão; Enfermagem; Prevenção; Educação Continuada; Cuidados Críticos. ABSTRACT Objective: to analyze the scientific production regarding the use of the Pressure Ulcer Knowledge Test. Method: this is an integrative review, conducted between March and July 2017, guided by the question << What are the scientific productions about pressure ulcer used by the Knowledge Test? >> There was a search in the databases SCOPUS, CINAHL, MEDLINE, BDENF, and LILACS, from 1995 to 2017, with descriptors “nursing”, “prevention pressure ulcers” and “knowledge”, using the Boolean “and”. Original articles have been included in Portuguese and English, published in full and electronically available. Results: there were 22 publications, 12 national and 10 international identified, most of them produced in 2015 (27.3%), predominantly in the level of evidence VI, applying the test, carried out primarily in intensive care and critical sectors, in university and private hospitals, including nurses and other health professionals. Conclusion: the knowledge deficit by health professionals in critical hospital units on evaluation, staging, and prevention of pressure injury using the instrument is indisputable. Descriptors: Knowledge; Pressure Ulcer; Nursing; Prevention; Continuing Education; Critical Care.RESUMEN Objetivo: analizar la producción científica referente a la utilización del Test de Conocimiento sobre Úlcera por Presión. Método: revisión integradora, realizada entre los meses de marzo y julio de 2017, guiada por la pregunta << Cuáles son las producciones científicas sobre úlcera por presión que utilizaron el Test de Conocimiento? >> Se realizo un búsqueda en las bases de datos SCOPUS, CINAHL, MEDLINE, BDENF y LILACS, en el período de 1995 a 2017, con descriptores “nursing”, “prevention pressure ulcers” y “knowledge”, utilizando el boleano “and”. Fueron incluidos artículos originales en los idiomas portugués e inglés, publicados en su íntegra y disponibles electrónicamente. Resultados: fueron identificadas 22 publicaciones, 12 nacionales y 10 internacionales, la mayoría producida en 2015 (27,3%), predominio em el nivel de evidencia VI, aplicando el test, realizado, prioritariamente, en terapia intensiva y sectores críticos, en los hospitales universitarios y privados, contemplando profesionales de enfermería y de otras áreas de la salud. Conclusión: es indiscutible el deficit de conocimiento por parte de los profesionales de salud, en unidades críticas hospitalares sobre evaluación, fases y prevención de la lesión por presión utilizando el instrumento. Descriptores: Conocimiento; Úlcera por Presión; Enfermería; Prevención; Educación Continua; Cuidados Críticos.

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Application of Self-Adhesive Soft Silicone Common Foam Dressing in Reducing Intraoperative Pressure Ulcers in Elderly ICU Patients

Computational and Mathematical Methods in Medicine ◽

10.1155/2021/4482201 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Fen Wang ◽

Xiaoqing Gan ◽

Xu Zhou ◽

Yanbing Shen ◽

Ruiying Zhang ◽

...

Keyword(s):

Pressure Ulcer ◽

Soft Tissues ◽

Pressure Ulcers ◽

Severe Illness ◽

Nursing Satisfaction ◽

Regular Group ◽

Icu Patients ◽

Mechanical Loads ◽

Pressure Injury ◽

Psychological Concern

Pressure ulcer (PU), also called pressure injury, is localized damage to the skin and underlying soft tissues, usually over bony prominences, as a result of sustained mechanical loads applied to the tissues. However, in many situations, complete off-loading of sacral PUs is not possible. Minimising the exposure of wounds and their surroundings to elevated mechanical loads is crucial for healing. We for the first time reported the application of Meipicang in the prevention and treatment of intraoperative pressure ulcers in elderly ICU patients with severe illness. We found that the pressure ulcer risk score ( 20.15 ± 2.17 ) in the dressing group after intervention was higher than that ( 17.42 ± 3.62 ) in the regular group. The incidence of pressure sores in the dressing group was 3.77% lower than the 18.88% in the regular group. The psychological concern score ( 31.41 ± 3.15 ) of the dressing group was higher than that ( 26.92 ± 3.43 ) of the regular group. The trust score ( 29.57 ± 2.61 ) of the dressing group was higher than the score ( 24.28 ± 2.29 ) of the regular group. The score of physiological problems in the dressing group ( 34.69 ± 3.82 ) is higher than that in the regular group ( 29.88 ± 3.54 ). The skin complication rate of the dressing group was 5.56% lower than that of the regular group (22.64%). The comfort score (92.46 ± 4.15) of the dressing group was higher than that ( 80.59 ± 5.43 ) of the regular group. The nursing satisfaction score ( 94.53 ± 3.72 ) of the dressing group was higher than that ( 81.79 ± 4.61 ) of the regular group. To conclude, in this study, we found that the Meipicang dressing can reduce the incidence of pressure ulcers in ICU patients with severe ICU and improve the comfort and nursing satisfaction of elderly ICU patients with severe ICU, which is worthy of promotion.

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From the Cochrane Library: Foam surfaces for preventing pressure ulcers (Preprint)

10.2196/preprints.34112 ◽

2021 ◽

Author(s):

Yvonne Nong ◽

Torunn Sivesind ◽

Robert P. Dellavalle

Keyword(s):

Systematic Review ◽

Pressure Ulcer ◽

Pressure Ulcers ◽

Cochrane Library ◽

Cochrane Systematic Review ◽

Pressure Ulcer Prevention ◽

The Cochrane Library ◽

Ulcer Prevention

UNSTRUCTURED This article summarizes an important Cochrane systematic review on the evidence of foam surfaces for pressure ulcer prevention.

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Assessing Pressure Injury Knowledge Using the Pieper-Zulkowski Pressure Ulcer Knowledge Test

Advances in Skin & Wound Care ◽

10.1097/01.asw.0000540071.45158.29 ◽

2018 ◽

Vol 31 (9) ◽

pp. 406-412 ◽

Cited By ~ 6

Author(s):

Barbara Delmore ◽

Elizabeth A. Ayello ◽

Hiske Smart ◽

R. Gary Sibbald

Keyword(s):

Pressure Ulcer ◽

Knowledge Test ◽

Pressure Injury

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Prevention and treatment of pressure sore following spinal cord injury

Journal of Korean Medical Association ◽

10.5124/jkma.2020.63.10.623 ◽

2020 ◽

Vol 63 (10) ◽

pp. 623-632

Author(s):

Myeong Ok Kim

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Pressure Ulcer ◽

Wound Care ◽

Pressure Sore ◽

Therapeutic Interventions ◽

Advisory Panel ◽

Pressure Sores ◽

Cord Injury ◽

Pressure Injury

Pressure sores or pressure injury is a serious complication of a spinal cord injury (SCI), representing a challenging problem for patients, their caregivers, and their physicians. Persons with SCI are vulnerable to pressure sores throughout their life. Pressure sores can potentially interfere with the physical, psychosocial, and overall quality of life. Outcomes directly depend on education and prevention along with conservative and surgical management. Therefore, it is very important to understand everything about pressure sores following SCI. This review covers epidemiology, cost, pathophysiology, risk factors, staging, evaluation tools, prevention, education, conservative wound care methods, surgical treatment, and future trends in wound healing related to post-SCI pressure sores. A change in nomenclature was adopted by the National Pressure Ulcer Advisory Panel in 2016, replacing “pressure ulcer”with “pressure injury.” New concepts of pressure injury staging, such as suspected deep tissue injuries and unstageable pressure injuries, were also introduced. A systematic evidence-based review of the prevention of and therapeutic interventions for pressure sores was also discussed.

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Analysis of epidemiological characteristics and surgical treatment of patients with pressure ulcer

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh200319093p ◽

2021 ◽

pp. 93-93

Author(s):

Dragana Petrovic-Popovic ◽

Milan Stojicic ◽

Maja Nikolic-Zivanovic

Keyword(s):

Surgical Treatment ◽

Pressure Ulcer ◽

Traffic Accidents ◽

Pressure Ulcers ◽

Stage Iv ◽

Clinical Center ◽

Bony Prominence ◽

The University ◽

Epidemiological Characteristics ◽

Reconstructive Methods

Introduction/Objective. A pressure ulcer is a localized injury to the skin and/or underlying tissue, usually over a bony prominence. It appears as a result of pressure or combination of pressure and shear. Pressure ulcers can be identified within a wide variety of patient subpopulations and a major role in their treatment plays epidemiological and etiological aspects. Methods. A retrospective study of data analysis included 72 patients with pressure ulcers that were hospitalized and surgically treated during a five-year period at the Clinic for Burns, Plastic and Reconstructive Surgery of the University Clinical Center of Serbia in Belgrade. Main data features used in the analysis were: gender, age, principal diseases, comorbidities and biochemical indicators of malnutrition. The patients' data was obtained from the existing patients? records. Additionally, the study analyzed the method of treating pressure ulcers, types of reconstructive methods in surgical treatment, as well as the incidence rate of partial osteotomy. Results. A total of 72 patients with pressure ulcers were included into this study with 54.7 ? 16.1 mean age. Three times more patients injured in traffic accidents were male (75% vs. 25%), while the most of the patients with multiple sclerosis were female (85.7%). More than 95% of patients who had pressure ulcers of III or IV stage were treated surgically with a reconstructive method of transposition or rotation myocutaneous flap. The patient with pressure ulcer of stage IV was usually treated with partial osteotomy. Conclusion. A surgical reconstructive treatment with fasciocutaneous and myocutanaeous flaps represents a gold standard for treating patients with pressure ulcers. These procedures provide reconstruction with adequate flap coverage and obliteration of dead space with well-vascularized tissue but with necessity of further implementation of antidecubitus measures.

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Pressure ulcers and incontinence-associated dermatitis: effectiveness of the Pressure Ulcer Classification education tool on classification by nurses

BMJ Quality & Safety ◽

10.1136/qshc.2008.028415 ◽

2010 ◽

Vol 19 (5) ◽

pp. e3-e3 ◽

Cited By ~ 10

Author(s):

D. Beeckman ◽

L. Schoonhoven ◽

J. Fletcher ◽

K. Furtado ◽

H. Heyman ◽

...

Keyword(s):

Pressure Ulcer ◽

Pressure Ulcers ◽

Education Tool

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Cultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test for use in Brazil

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0029 ◽

2018 ◽

Vol 71 (4) ◽

pp. 1977-1984 ◽

Cited By ~ 4

Author(s):

Soraia Assad Nasbine Rabeh ◽

Simon Palfreyman ◽

Camilla Borges Lopes Souza ◽

Rodrigo Magri Bernardes ◽

Maria Helena Larcher Caliri

Keyword(s):

Internal Consistency ◽

Pressure Ulcer ◽

Cultural Adaptation ◽

Intervention Studies ◽

Knowledge Test ◽

Nursing Knowledge ◽

Back Translation ◽

Pressure Injury ◽

Two Phases ◽

Total Test

ABSTRACT Objective: To carry out the cultural adaptation of the Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT) for use in Brazil and analyze the internal consistency of the adapted version. Method: This was a methodological study. The PZ-PUKT is a knowledge test consisting of 72 items, divided into: prevention, staging, and wound description. The present study was developed in two phases: (1) translation of the questionnaire from English to Brazilian Portuguese, back-translation, and assessment of equivalence between the original and back-translated version by an expert panel; (2) pre-testing with nurses. Results: The questionnaire showed face and content validity according to the opinions of the experts. Cronbach's alpha for the total test score was higher than 0.70. The adapted version presented satisfactory internal consistency for the studied sample. Conclusion: The adapted version of the instrument for Portuguese can be used in intervention studies as a tool to measure “nursing knowledge about pressure injury/ulcers” as a dependent variable.

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