Pressure ulcer prevention in the community setting

Jones, Donna

doi:10.7748/ns2013.09.28.3.47.e7660

Cited by 12 publications

(6 citation statements)

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“…However, recent Cochrane reviews reveal a lack of evidence for repositioning as a prevention (Gillespie et al 2014, Moore & Cowman 2015. Additionally, while there is compelling evidence that pressure injury occurs outside of hospital and older person care settings (Jones 2013), most prevalence studies and evaluations are hospital-based. There is a need for more robust research about pressure injury prevention and management across a range of clinical contexts.…”

Section: Introductionmentioning

confidence: 99%

Towards international consensus on patient harm: perspectives on pressure injury policy

et al. 2016

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The pressure injury policy agenda has fostered a discourse of attention to incidents, compliance and penalty (sanctions). Prevention and intervention strategies are informed by technical and biomedical interpretations of patient risk and harm, with little attention given to the nature or design of nursing work. Considerable challenges remain if this policy agenda is successfully to eliminate pressure injury as a source of patient harm.

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Section: Introductionmentioning

confidence: 99%

Towards international consensus on patient harm: perspectives on pressure injury policy

et al. 2016

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“…However, prevention measures are still precarious. 13 had appropriate precautions measures of UPs. 9 Patients at intensive care units may have the skin care overshadowed at the expense of demands on the respiratory system, breathing and circulation.…”

Section: Resultsmentioning

confidence: 99%

“…overload monitoring of tissues with pressure reduction and, especially, control of bacterial colonization and infection. 13 It should be noted that in addition to the stigma of rehab, the reduction in the quality of life is driven by ignorance of this injury, which carries a deficiency in these patients self-care. [14][15] To assess the rehabilitation process of these subjects, a study used a psychosocial approach that, in addition to including variables, pain management, prevention of UP, skin care skin integrity and control of bladder emptying, provided a means of social reintegration.…”

Section: Introduction Methodsmentioning

confidence: 99%

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Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Bomfim¹,

Cabral²,

Lopes-Júnior³

et al. 2014

R.pesq.:cuid.fundam.Online

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To determine the prevalence of bacterial species in pressure ulcers (PU) in patients with spinal cord injury treated by a Physically Handicapped Association. Method: A descriptive, cross-sectional, quantitative study, conducted in a northeastern city from 2009 to 2010. The sample was consecutive, not probabilistic and comprised 20 individuals with spinal cord injury and PU being treated in the Association and without antibiotic therapy. Samples were collected from exudates of PU, using sterile swabs, plated on Blood Agar plates and incubated at 35°C for 24 hours. For identification of microorganisms were employed biochemical tests. Descriptive statistics were used for data analysis. Results: The six microorganisms were: S. aureus, S. epidermidis, S. saprophyticus, Proteus spp., Escherichia coli and Enterobacter spp. Conclusion: Additional prospective microbiological investigations are needed to assess the prevalence of pathogens in patients with PU injured thus instituting, nutritional, therapeutic and educational programs that reduce bacterial colonization and infection. Descriptors: Pressure ulcer, Microbiology, Spinal cord injuries. Objetivo: Determinar a prevalência de espécies bacterianas em úlceras por pressão (UP) de pacientes com lesão raquimedular assistidos por uma associação de deficientes físicos. Método: Estudo descritivo, transversal, quantitativo, conduzido em uma cidade nordestina de 2009 a 2010. A amostra foi consecutiva não probabilística e compreendeu 20 indivíduos com lesão raquimedular e UP, em acompanhamento na associação e sem uso de antibioticoterapia. Coletaram-se amostras de exsudatos das UP, utilizando suabes estéreis, semeadas em ágar sangue e incubadas a 35°C por 24 horas. Para identificação dos microrganismos, foram empregadas provas bioquímicas. Utilizou-se estatística descritiva para análise dos dados. Resultados: Os seis microrganismos encontrados foram: S. aureus, S. epidermides, S. saprophyticus, Proteus spp., Escherichia coli e Enterobacter spp. Conclusão: Investigações microbiológicas prospectivas adicionais são necessárias para avaliar a prevalência dos agentes patogênicos de UP em pacientes lesionados, a fim de instituir programas educacionais, nutricionais e terapêuticos que reduzam a colonização e infecção bacteriana. Descritores: Úlcera por pressão, Microbiologia, Traumatismos da medula espinal. Objetivo: Determinar la prevalencia de especies bacterianas en las úlceras por presión (UPP) en pacientes con lesión medular espinal (LME) tratada por una Asociación de Discapacitados Físicos. Método: Estudio descriptivo-transversal, cuantitativo, realizado en una ciudad del noreste en 2009-2010. La muestra fue no probabilística, secuencial y comprende 20 individuos con LME y UPP y sin tratamiento antibiótico. Se recogieron muestras de exudados de la UPP, utilizando torundas estériles, sembradas en placas de Agar Sangre y se incubaron a 35°C durante 24 horas. Los microorganismos fueron identificados por pruebas bioquímicas. Se utilizó estadística descriptiva para el análisis de da...

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“…These lesions, independent of their origin (venous, arterial, diabetic, and pressure), have a great importance because in most cases they can compromise mobility, resulting in loss of labor productivity and in high costs in health care. Most of these injuries tend to be chronic, compromising the quality of life of the person affected (Jones, ). Skin ulcers are a relatively common condition amongst adults.…”

Section: The Prp In Dermatologymentioning

confidence: 99%

Platelet‐rich plasma, a powerful tool in dermatology

Merchán

Gómez

Chasoy

et al. 2019

J Tissue Eng Regen Med

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Platelet‐rich plasma (PRP), a platelet concentrate contained in a small volume of plasma, has become a promising option in the last decade to treat different diseases related to the skin due to its high concentration of growth factors. When it is of autologous origin, it decreases the probability of suffering adverse reactions and transfusion‐transmitted infections, thus it is an optimal and safe therapy for the patient. PRP has been used in the treatment of several dermatological conditions such as acne, alopecia, and skin ulcers. Its use has also extended to other skin conditions such as melasma, hyperpigmentation, and burns, where it stimulates tissue repair and regeneration. The purpose of this article is to review the management and treatment of different dermatological alterations with PRP. Although there are a variety of studies that support the use of PRP, more research is needed to standardise the protocols for obtaining, processing, and applying it as well as understanding the biological and molecular bases of its functioning.

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Pressure ulcer prevention in the community setting

Cited by 12 publications

References 0 publications

Towards international consensus on patient harm: perspectives on pressure injury policy

Towards international consensus on patient harm: perspectives on pressure injury policy

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Platelet‐rich plasma, a powerful tool in dermatology

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