Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

1. Organisation of health services for preventing and treating pressure ulcers.

Organisation of health services for preventing and treating pressure ulcers. BACKGROUND: Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner (...) -patient interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services. Research is needed to demonstrate clearly the effect of different provider-orientated approaches to pressure ulcer prevention and treatment. OBJECTIVES: To assess the effects of different provider-orientated interventions targeted at the organisation of health services, on the prevention and treatment of pressure ulcers. SEARCH METHODS: In April 2018 we searched

Cochrane2018

2. Dressings and topical agents for preventing pressure ulcers.

Dressings and topical agents for preventing pressure ulcers. BACKGROUND: Pressure ulcers, localised injuries to the skin or underlying tissue, or both, occur when people cannot reposition themselves to relieve pressure on bony prominences. These wounds are difficult to heal, painful, expensive to manage and have a negative impact on quality of life. Prevention strategies include nutritional support and pressure redistribution. Dressing and topical agents aimed at prevention are also widely used (...) , however, it remains unclear which, if any, are most effective. This is the first update of this review, which was originally published in 2013. OBJECTIVES: To evaluate the effects of dressings and topical agents on pressure ulcer prevention, in people of any age, without existing pressure ulcers, but considered to be at risk of developing one, in any healthcare setting. SEARCH METHODS: In March 2017 we searched the Cochrane Wounds Group Specialised Register, CENTRAL, MEDLINE, MEDLINE (In-Process &

Cochrane2018

3. Evaluating the development and validation of empirically-derived prognostic models for pressure ulcer risk assessment: A systematic review

Evaluating the development and validation of empirically-derived prognostic models for pressure ulcer risk assessment: A systematic review 30352322 2018 11 07 1873-491X 89 2018 Aug 15 International journal of nursing studies Int J Nurs Stud Evaluating the development and validation of empirically-derived prognostic models for pressure ulcer risk assessment: A systematic review. 88-103 S0020-7489(18)30188-3 10.1016/j.ijnurstu.2018.08.005 Researchers advocate developing empirically-derived (...) prognostic models to predict pressure ulcer risk. However, there remains a scarcity of evidence about the performance and clinical value of these models. To identify and describe empirically-derived models for predicting pressure ulcer risk; to assess the predictive performance of these models; and to evaluate their clinical impact in reducing pressure ulcer incidence. We performed a comprehensive database search up to February 2017 and searched other resources to identify longitudinal studies

EvidenceUpdates2018

4. A new tool may help identify more patients at risk of developing pressure ulcers

A new tool may help identify more patients at risk of developing pressure ulcers Signal - A new tool may help identify more patients at risk of developing pressure ulcers Dissemination Centre Discover Portal NIHR DC Discover A new tool may help identify more patients at risk of developing pressure ulcers Published on 22 December 2015 This was an NIHR-funded study to develop and evaluate a new tool for assessing pressure ulcer risk, called PURPOSE-T. The tool, developed as part of a five year (...) NIHR research programme, is used by following a and assesses eight risk factors: mobility; skin; previous pressure ulcer; sensory perception; perfusion (blood flow); nutrition; moisture; and diabetes. Field testing by nurses showed very good agreement between tests and between assessors. This tool, drawing on new research, has many advantages over the various current assessment tools, which show numerous inconsistencies. PURPOSE-T is already being used by early adopter Trusts and could help

NIHR Dissemination Centre2018

5. Support surfaces for treating pressure ulcers.

Support surfaces for treating pressure ulcers. BACKGROUND: Pressure ulcers are treated by reducing pressure on the areas of damaged skin. Special support surfaces (including beds, mattresses and cushions) designed to redistribute pressure, are widely used as treatments. The relative effects of different support surfaces are unclear. This is an update of an existing review. OBJECTIVES: To assess the effects of pressure-relieving support surfaces in the treatment of pressure ulcers. SEARCH (...) no restrictions with respect to language, date of publication or study setting. SELECTION CRITERIA: We included published or unpublished randomised controlled trials (RCTs), that assessed the effects of support surfaces for treating pressure ulcers, in any participant group or setting. DATA COLLECTION AND ANALYSIS: Data extraction, assessment of 'Risk of bias' and GRADE assessments were performed independently by two review authors. Trials with similar participants, comparisons and outcomes were considered

Cochrane2018

6. Pressure ulcer

Pressure ulcer Top results for pressure ulcer - Trip Database or use your Google+ account Find evidence fast My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing (...) the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for pressure ulcer The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines

Trip Latest and Greatest2018

7. Education of healthcare professionals for preventing pressure ulcers.

Education of healthcare professionals for preventing pressure ulcers. BACKGROUND: Pressure ulcers, also known as bed sores or pressure sores, are localised areas of tissue damage arising due to excess pressure and shearing forces. Education of healthcare staff has been recognised as an integral component of pressure ulcer prevention. These educational programmes are directed towards influencing behaviour change on the part of the healthcare professional, to encourage preventative practices (...) with the aim of reducing the incidence of pressure ulcer development. OBJECTIVES: To assess the effects of educational interventions for healthcare professionals on pressure ulcer prevention. SEARCH METHODS: In June 2017 we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase and EBSCO CINAHL Plus. We also searched clinical trials registries for ongoing

Cochrane2018

8. A new tool may help identify more patients at risk of developing pressure ulcers

A new tool may help identify more patients at risk of developing pressure ulcers NIHR DC | Signal - A new tool may help identify more patients at risk of developing pressure ulcers Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal A new tool may help identify more patients at risk of developing pressure ulcers Published on 22 December 2015 This was an NIHR-funded study to develop and evaluate a new tool for assessing pressure ulcer risk, called PURPOSE-T. The tool, developed (...) as part of a five year NIHR research programme, is used by following a and assesses eight risk factors: mobility; skin; previous pressure ulcer; sensory perception; perfusion (blood flow); nutrition; moisture; and diabetes. Field testing by nurses showed very good agreement between tests and between assessors. This tool, drawing on new research, has many advantages over the various current assessment tools, which show numerous inconsistencies. PURPOSE-T is already being used by early adopter Trusts

NIHR Dissemination Centre2018

9. Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit

Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit Electronic Physician (ISSN: 2008-5842) http://www.ephysician.ir January 2018, Volume: 10, Issue: 1, Pages: 6140-6147, DOI: http://dx.doi.org/10.19082/6140 Corresponding author: Assistant Professor Dr. Haleh Tajadini, Kerman University of Medical Sciences, Kerman, Iran. Tel.: +989131972312 and +983432102020, Email: dr_haleh@yahoo.com Received: August 07, 2017 (...) or adaptations are made. Page 6140 Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit Masoud Moghadari 1,2 , Mozafar Rezvanipour 1 , Mitra Mehrabani 3 , Mehdi Ahmadinejad 4 , Haleh Tajadini 1,2 , Mohammad Hashem Hashempur 5,6 1 Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran 2 Department of Persian Medicine, School of Persian Medicine, Kerman University

Electronic physician2018 Full Text: Link to full Text with Trip Pro

10. Pressure ulcer

Pressure ulcer Pressure ulcer - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Pressure ulcer Last reviewed: August 2018 Last updated: March 2018 Summary Pressure ulcers are commonly encountered in patients admitted to hospital and those in long-term care facilities. Older people, and all patients with limited mobility or impaired sensation, are at particular risk. Pressure damage most commonly occurs over bony (...) are appropriate strategies to prevent pressure ulcers. Management of pressure ulcers is determined by the location and condition or severity of the wound. Wounds should be managed in accordance with wound care practices or policies. Definition Pressure ulcers have been defined by the National Pressure Ulcer Advisory Panel and the European Pressure Ulcer Advisory Panel as localised injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or of pressure in combination

BMJ Best Practice2018

11. Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines

Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical (...) Effectiveness. Cost-Effectiveness, and Guidelines Published on: December 8, 2017 Project Number: RB1170-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of natural sheepskins for the prevention or treatment of pressure ulcers in adults with impaired mobility? What is the cost-effectiveness of natural sheepskins for the prevention or treatment of pressure ulcers in adults with impaired mobility? What

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017

12. Foam dressings for treating pressure ulcers.

Foam dressings for treating pressure ulcers. BACKGROUND: Pressure ulcers, also known as pressure injuries and bed sores, are localised areas of injury to the skin or underlying tissues, or both. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. An evidence-based overview of dressings for pressure ulcers is needed to enable informed decision-making on dressing use. This review is part of a suite of Cochrane Reviews investigating the use of dressings (...) in the treatment of pressure ulcers. Each review will focus on a particular dressing type. OBJECTIVES: To assess the clinical and cost effectiveness of foam wound dressings for healing pressure ulcers in people with an existing pressure ulcer in any care setting. SEARCH METHODS: In February 2017 we searched: the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase; EBSCO CINAHL Plus

Cochrane2017

14. The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial

The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial 28789467 2017 08 09 2017 09 08 2017 09 08 1538-6724 97 8 2017 Aug 01 Physical therapy Phys Ther The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial. 777-789 10.1093/ptj/pzx052 Studies show that anode and cathode (...) electrical stimulation (ES) promotes the healing of wounds, but specific protocols for both electrodes are not available. To compare the effectiveness of cathodal versus cathodal+anodal ES in the treatment of Category II-IV pressure ulcers (PrUs). Prospective, randomized, controlled, clinical study. Three nursing and care centers. Sixty-three participants with PrUs were randomly formed into a cathodal ES group (CG: N = 23; mean age of 79.35; SD 8.48), a cathodal+anodal ES group (CAG: N = 20; mean age

EvidenceUpdates2017

15. The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial

The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial 28711725 2017 07 16 2017 07 16 1873-491X 75 2017 Jun 27 International journal of nursing studies Int J Nurs Stud The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial. 35-42 S0020-7489(17)30139-6 10.1016/j.ijnurstu.2017.06.014 Pressure ulcers are serious, avoidable, costly and common (...) adverse outcomes of healthcare. To evaluate the cost-effectiveness of a patient-centred pressure ulcer prevention care bundle compared to standard care. Cost-effectiveness and cost-benefit analyses of pressure ulcer prevention performed from the health system perspective using data collected alongside a cluster-randomised trial. Eight tertiary hospitals in Australia. Adult patients receiving either a patient-centred pressure ulcer prevention care bundle (n=799) or standard care (n=799). Direct costs

EvidenceUpdates2017

16. Anabolic steroids for treating pressure ulcers.

Anabolic steroids for treating pressure ulcers. BACKGROUND: Pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers develop as a result of a localised injury to the skin or underlying tissue, or both. The ulcers usually arise over a bony prominence, and are recognised as a common medical problem affecting people confined to a bed or wheelchair for long periods of time. Anabolic steroids are used as off-label drugs (drugs which are used without regulatory approval) and have (...) been used as adjuvants to usual treatment with dressings, debridement, nutritional supplements, systemic antibiotics and antiseptics, which are considered to be supportive in healing of pressure ulcers. Anabolic steroids are considered because of their ability to stimulate protein synthesis and build muscle mass. Comprehensive evidence is required to facilitate decision making, regarding the benefits and harms of using anabolic steroids. OBJECTIVES: To assess the effects of anabolic steroids

Cochrane2017

17. Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles

Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles | CADTH.ca CADTH Document Viewer Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Table of Contents Search this document Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure (...) in order to relieve unsafe pressures. The SurroSense Rx system is used in addition to current standard-of-care treatment for the prevention of plantar ulcers in diabetic patients. There is currently no available evidence that using the SurroSense Rx system prevents plantar ulcers. However, there are ongoing clinical trials that may identify patient populations that will benefit from its use. Issue Over time, high blood sugar in people living with diabetes causes damage to the peripheral nerves

CADTH - Issues in Emerging Health Technologies2017

18. Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles

Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles | CADTH.ca CADTH Document Viewer Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Table of Contents Search this document Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure (...) in order to relieve unsafe pressures. The SurroSense Rx system is used in addition to current standard-of-care treatment for the prevention of plantar ulcers in diabetic patients. There is currently no available evidence that using the SurroSense Rx system prevents plantar ulcers. However, there are ongoing clinical trials that may identify patient populations that will benefit from its use. Issue Over time, high blood sugar in people living with diabetes causes damage to the peripheral nerves

CADTH - Issues in Emerging Health Technologies2017

19. Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial

Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial 28460263 2017 05 01 2017 05 01 1873-491X 72 2017 Apr 21 International journal of nursing studies Int J Nurs Stud Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial. 53-59 S0020-7489(17)30093-7 10.1016/j.ijnurstu.2017.04.007 Pressure ulcers cause suffering to patients and costs to society. Reducing pressure at the interface between (...) the patient's body and the support surface is a valid clinical intervention for reducing the risk of pressure ulcers. However, studies have shown that knowledge of how to reduce pressure and shear and to prevent pressure ulcers is lacking. To evaluate the effect of a pressure mapping system on pressure ulcer prevalence and incidence in a hospital setting. Pragmatic randomised controlled trial. A geriatric/internal medical ward with 26 beds in a Swedish university hospital. 190 patients were recruited

EvidenceUpdates2017

20. Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines

Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines (...) Published on: April 3, 2017 Project Number: RC0866-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of polyurethane foam dressings for the prevention of pressure ulcers? What is the cost-effectiveness of polyurethane foam dressings for the prevention of pressure ulcers? What are the evidence-based guidelines regarding the use of polyurethane foam dressings for the prevention of pressure ulcers

Canadian Agency for Drugs and Technologies in Health - Rapid Review2017