94 results on '"Bed sore"'
Search Results
2. Formulation and Clinical Evaluation of A Topical Dosage Form of Alkanna orientalis Root Extract for Management of Pressure Lesions: A Pilot Cross-Sectional Clinical Trial
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Elham Lazarzareh, Babak Davami, Hadi Valizadeh, Kavous Shahsavarinia, Hossein Nazemiyeh, Laleh Khodaie, and Afshin Gharekhani
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alkanna orientalis ,herbal formulation ,bed sore ,pressure sore ,pressure ulcers ,Pharmacy and materia medica ,RS1-441 - Abstract
Background: Pressure lesions are chronic wounds causing the development of infection and inflammation into deeper structures and finally necrosis. In Persian medicine, Alkanna orientalis (Boraginaceae) has been used for centuries as a naturally derived remedy for managing lesions. A cross-sectional pilot clinical trial was conducted to assess the wound healing effect of an ointment made of chloroform extract of roots of A. orientalis (CERAO). Methods: Sixty patients (36 men and 24 women) diagnosed with bedsore staging 1-2 entered the study for one year. They were divided into two groups of control and treatment with equal proportions. The control group received conventional treatment from the hospital, including irrigation serum, mupirocin, phenytoin ointments, and gauze dressing. After rinsing and cleansing with normal saline, in the intervention group, patients received a thin layer of CERAO once daily for four weeks. Clinical outcomes were measured at weeks 2 and 4. Results: Recovery assessment was carried out by measuring wound area, days of epithelia formation, and complete wound closure. The difference between the two groups was statistically significant (P-value more...
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- 2023
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3. Effect of hydrocolloid dressings in the management of different grades of pressure wound ulcers in critically ill adult subjects: A meta‐analysis.
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Huang, Ruifeng, Hua, Zhaozhao, Li, Lan, Zhou, Yiyuan, Xu, Yuefang, and Zhang, Taiwei
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WOUND healing ,META-analysis ,CONFIDENCE intervals ,HYDROCOLLOID surgical dressings ,PRESSURE ulcers ,CRITICALLY ill ,SYSTEMATIC reviews ,PATIENTS ,TREATMENT effectiveness ,DESCRIPTIVE statistics ,ODDS ratio ,WOUND care - Abstract
A meta‐analysis was implemented to appraise the effect of hydrocolloid dressings (HCDs) in the management of different grades of pressure wound ulcers (PWUs) in critically ill adult subjects (CIUSs). Inclusive literature research until April 2023 was done, and 969 interconnected researches were revised. The 8 picked researches, enclosed 679 critically ill adult persons at the utilized researchers' starting point; 355 of them were utilizing HCDs, and 324 were controls. Odds ratio (OR) and 95% confidence intervals (CIs) were utilized to appraise the consequences of HCDs in treating CIUSs by the dichotomous approach and a fixed or random model. HCDs had significantly higher PWU complete healing (OR, 2.15; 95% CI, 1.54–3.02, p < 0.001), PWU stage II ulcers complete healing (OR, 2.82; 95% CI, 1.40–5.69, p = 0.004), and PWU stage III ulcers complete healing (OR, 3.73; 95% CI, 1.23–11.35, p = 0.02) compared to control in critically ill adult persons. HCDs had significantly higher PWU complete healing, PWU stage II ulcers complete healing, and PWU stage III ulcers complete healing compared with control in critically ill adult persons. However, caution needs to be taken when interacting with its values since there was a low sample size of most of the chosen research found for the comparisons in the meta‐analysis. [ABSTRACT FROM AUTHOR] more...
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- 2023
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4. Exploring perceptions of pressure ulcer risk assessment and pressure ulcer prevention practice among registered nurses in the acute hospital setting
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Ellis, Michael and Buckingham, Alan
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362.1963 ,pressure ulcer ,risk assessment ,pressure injury ,bed sore ,harm reduction ,nursing ,healthcare ,hospital - Abstract
Background: Pressure ulcers are generally considered to be preventable healthcare associated harm yet are prevalent within the patient population receiving NHS care at a rate of approximately 4% or higher. More than 90 risk assessment tools currently exist with the aim of preventing pressure ulcers by identifying those at risk. Despite the wide availability of risk assessment tools, pressure ulcers continue to pose a significant challenge, this raises questions about the role of current risk assessment approaches. This study explores the way that RNs undertake patient risk assessment and how they make decisions about care. Methodology: A phenomenological approach using a combination of 1 focus group and 9 semi-structured in-depth interviews was conducted. Thematic analysis techniques were used to code and analyse the data. Results: A total of 14 RNs participated in the study. 3 main themes emerged from this study: Learning and training opportunities influence the way nurses perceive pressure ulcer risk and respond to triggers; Decisions about risk in pressure ulcer care are influenced by conscious and unconscious cognitive processes; Organisational and workforce factors contribute to a theory practice gap. RNs appear heavily influenced by leaning opportunities, both formal and informal in the way they build a mental model of risk and of pressure ulcer prevention care. Regardless of their mental model, there are concerns about the operationalisation of pressure ulcer prevention care, including risk assessment. The view they hold is that the context of practice: the impact of the organisation, changing healthcare roles and changing patient needs, restricts their ability to deliver best possible nursing care. Conclusion: The RN holds a mental model of risk that is changeable based on the context in which they practice. This provides an opportunity to utilise practices such as "nudges" that facilitate pressure ulcer prevention. Changes within the healthcare team could be capitalised upon if the use of different roles within the team is well-thought out and properly structured for the benefit of risk reducing practices. An opportunity exists to revise the risk management paradigm to utilise technologies to more robustly deliver objective risk assessment methodologies to improve the reliability of good patient outcomes. more...
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- 2019
5. The Effectiveness of Topical Arnebia euchroma Oil in the Treatment of Pressure Ulcer: A Case Report.
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Erabi, Sakineh, Ghobadi, Ali, and Kenari, Hoorieh Mohammadi
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PRESSURE ulcers ,PARAPLEGIA ,WOUND healing ,HEALING ,BLOOD flow ,PETROLEUM - Abstract
Decreased tissue blood flow causes pressure ulcers due to prolonged pressure on the area, which becomes problematic for immobile individuals. The medical community has often been involved in curing such a problem in individuals with disabilities and immobility. To alleviate this problem, therefore, plenty of investigations are always seeking novel methods. Furthermore, herbal plants are increasingly used owing to the accepted status of plant-derived drugs in recent years. Our female case aged 52 years that was referred to the wound clinic complaining sensory and motor weakness of the upper extremity and sudden paralysis of the lower extremity as of 1 year ago, which was diagnosed as myelitis. She complained of two wounds on both sides of the right and left buttocks with a size of 9 x 5 and another 6 x 4.5 cm from 3 months ago, and a wound with a size of 5 x 4.5 in the sacral area (sacrum) from 20 days prior to the admission. There was tissue necrosis without muscle engagement, osteomyelitis, or tunneling; besides, nasty odors and sludge were absent accounted for in class 3 in the group of wounds. She received starting therapy using Arnebia euchroma oil. As of the 2nd week onward, she was treated very successfully, and the complete wound healing occurred in 8 weeks. The use of A. euchroma for wound healing and reducing infection and inflammation can greatly contribute to the cure of pressure ulcers and can be properly suggested in healing these ulcers. [ABSTRACT FROM AUTHOR] more...
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- 2022
6. High-Risk Pressure Ulcers
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Perez, Lisa A., Cauble, Denise, Daniel, Kathryn M., and Chun, Audrey, editor
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- 2020
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7. A Comparative Study of Iraqi Patients with Bedsore and other Inpatients as a Control Group.
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AlKareem, Diyar A. and Al aubydi, Mouruj A.
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PRESSURE ulcers , *INTENSIVE care patients , *CONTROL groups , *ENTEROBACTERIACEAE , *TEACHING hospitals , *CHRONICALLY ill - Abstract
Bedsore (pressure ulcers)is a major nurse-careoutcome. There are many influences that can contribute to the progress of pressure ulcers, but the final common pathway to ulceration is tissue ischemia. This study aimed to detect some etiological factors that predispose to bedsore. The study was conducted on patients attending intensive care departments. Out of 82 inpatients who suffered from pressure ulcer, 54were males and 28were females. Specimens were collected during the period of September, 2019 –February, 2020 from different Hospitals (Alkadhimiya Teaching Hospital, General Hospital of AlshaheedAl-Sadr, and Medical City/ Ghazi Al-Hariri hospital) in Baghdad, Iraq. Simultaneously, other 20 specimens were collected as control frominpatientswho did not suffer from any skin lesion.The patients were categorizing according to the causative agent into 48 patients with chronic diseases (58.6%), 26 with accidental and surgical processes (31.7%), and 8 dehydrated cases (severe diarrhea) (9.7%). The demographic results showed that malesconstituted a percentage of 65.9% of patients, while 34.1% were females. The majority of the patients wereat an age range of 36-65 years. The study also revealed that smoking did not affect significantly bed sore development. In addition, most patients were under chronic disease, and diabetes mellitus incidence significantly varied among different age groups. The results of the microbiological study showed that the most prevalent microbial isolates followed the order Staphylococcus spp.>Enterobacteriaceae spp. > Fungi >Acinetobacter spp. > Bacillus spp. > Pseudomonas spp. and Streptococcus spp. >Corynobacterium. The resultsrevealed no significant differences in microbial distribution between patients and control group [ABSTRACT FROM AUTHOR] more...
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- 2022
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8. Effects of vasopressor agents on the development of pressure ulcers in critically ill patients: a systematic review.
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McEvoy, Natalie, Patton, Declan, Avsar, Pinar, Curley, Ger, Kearney, Cathal, Clarke, Jennifer, and Moore, Zena
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VASOCONSTRICTORS ,LENGTH of stay in hospitals ,INTENSIVE care units ,CINAHL database ,MEDICAL information storage & retrieval systems ,INFORMATION storage & retrieval systems ,MEDICAL databases ,CONFIDENCE intervals ,PRESSURE ulcers ,SYSTEMATIC reviews ,CRITICALLY ill ,PATIENTS ,TREATMENT duration ,CATASTROPHIC illness ,RISK assessment ,DESCRIPTIVE statistics ,MEDLINE ,DATA analysis software ,ODDS ratio ,DISEASE risk factors - Abstract
Objective: The primary objective of this systematic review was to determine the effect of vasopressor agents on the development of pressure ulcers (PUs) among critically ill patients in intensive care units (ICUs). The secondary outcome of interest was length of stay in the ICU. Method: A systematic review was undertaken using the databases searched: Medline, Embase, CINAHL and The Cochrane Library. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to formulate the review. Data were extracted using a predesigned data extraction table and analysed as appropriate using RevMan. Quality appraisal was undertaken using the EBL Critical Appraisal Tool. Results: The inclusion criteria were met by 13 studies. Two studies provided sufficient data to compare the number of patients who developed a PU with and without the use of vasopressors. Consistently, within these two studies, being treated with a vasopressor increased the likelihood of PU development. RevMan analysis identified that shorter duration of administration of vasopressors was associated with less PU development (mean difference (MD) 65.97 hours, 95% confidence interval (CI): 43.47–88.47; p=0.0001). Further, a lower dose of vasopressors was also associated with less PU development (MD: 8.76μg/min, 95% CI: 6.06–11.46; p<0.00001). Mean length of stay increased by 11.46 days for those with a PU compared to those without a PU (MD: 11.46 days; 95% CI: 7.10–15.82; p<0.00001). The overall validities of the studies varied between 45–90%, meaning that there is potential for bias within all the included studies. Conclusion: Vasopressor agents can contribute to the development of PUs in critically ill patients in ICUs. Prolonged ICU stay was also associated with pressure ulcers in this specific patient group. Given the risk of bias within the included studies, further studies are needed to validate the findings of this review paper. [ABSTRACT FROM AUTHOR] more...
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- 2022
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9. Sleep Posture Recognition for Bedridden Patient
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Srisrisawang, Nitikorn, Narupiyakul, Lalita, Angrisani, Leopoldo, Series Editor, Arteaga, Marco, Series Editor, Panigrahi, Bijaya Ketan, Series Editor, Chakraborty, Samarjit, Series Editor, Chen, Jiming, Series Editor, Chen, Shanben, Series Editor, Chen, Tan Kay, Series Editor, Dillmann, Ruediger, Series Editor, Duan, Haibin, Series Editor, Ferrari, Gianluigi, Series Editor, Ferre, Manuel, Series Editor, Hirche, Sandra, Series Editor, Jabbari, Faryar, Series Editor, Jia, Limin, Series Editor, Kacprzyk, Janusz, Series Editor, Khamis, Alaa, Series Editor, Kroeger, Torsten, Series Editor, Liang, Qilian, Series Editor, Ming, Tan Cher, Series Editor, Minker, Wolfgang, Series Editor, Misra, Pradeep, Series Editor, Möller, Sebastian, Series Editor, Mukhopadhyay, Subhas, Series Editor, Ning, Cun-Zheng, Series Editor, Nishida, Toyoaki, Series Editor, Pascucci, Federica, Series Editor, Qin, Yong, Series Editor, Seng, Gan Woon, Series Editor, Veiga, Germano, Series Editor, Wu, Haitao, Series Editor, Zhang, Junjie James, Series Editor, Kim, Kuinam J., editor, and Kim, Hyuncheol, editor more...
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- 2019
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10. Knowledge and Attitude of Intensive Care Nurses regarding the Prevention of Pressure Ulcer
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SH Khojastehfar, T Najafi Ghezeljeh, and SH Haghani
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attitude ,bed sore ,knowledge ,nurse ,pressure ulcer ,prevention ,intensive care unit ,Nursing ,RT1-120 - Abstract
Background & Aim: Pressure ulcers are one of the indicators of the quality of nursing and health care. Nurses, as one of the main members of the health team, play an important role in the prevention of pressure ulcer in health care centers. Therefore, this study aimed to determine the knowledge, attitude, and practice of nurses in preventing pressure ulcer. Materials & Methods: This descriptive cross-sectional study was conducted in 2018. Through complete enumeration, all the employed intensive care unit nurses in the educational centers of Iran University of Medical Sciences were studied. Out of the 328 questionnaires, 308 questionnaires were completed by the participants. For data collection, Pieper Pressure Ulcer Knowledge Test (PPUKT) and Beeckman et al’s attitude toward pressure ulcer questionnaire were used. Data were analyzed by SPSS software version 16, using independent t-test, Chi-square, Fisher’s exact, and one-way ANOVA. Results: According to the results, the mean score of knowledge and attitude of nurses regarding the prevention of pressure ulcer were 63.10 ± 47.31, 39.39 ± 10.22, respectively. The knowledge and attitude of the majority of nurses, regarding the prevention of pressure ulcer was at an undesirable level. Different groups of gender, background of continuous education, work experience, and experience in ICU had a significant difference in knowledge score. There were significant differences between different groups of gender, working hours per week, work experience, and work experience in ICU in terms of attitude score. Conclusion: Considering the undesirable level of knowledge and attitude of nurses about the standards of prevention of pressure ulcers and the importance of improving the safety of patients admitted to the intensive care unit, it is suggested to develop appropriate educational planning to improve the knowledge and attitude of health care providers, especially nurses, in the area of prevention of pressure ulcer. more...
- Published
- 2019
11. Smart Healthcare Based on Internet of Things
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Rohatgi, Dhruv, Srivastava, Siddharth, Choudhary, Simran, Khatri, Aanchal, Kalra, Vaishali, Barbosa, Simone Diniz Junqueira, Series Editor, Filipe, Joaquim, Series Editor, Kotenko, Igor, Series Editor, Sivalingam, Krishna M., Series Editor, Washio, Takashi, Series Editor, Yuan, Junsong, Series Editor, Zhou, Lizhu, Series Editor, Deka, Ganesh Chandra, editor, Kaiwartya, Omprakash, editor, Vashisth, Pooja, editor, and Rathee, Priyanka, editor more...
- Published
- 2018
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12. Assessment of Pressure Ulcer Risk among Patients Admitted in Intensive Care Unit at a Tertiary Level Hospital
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Pramila Baral, Abja Sapkota, Rashmi Gachhadar, Ishwori Lama, Sita Bhusal, and Bikash Raj Thapa
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Braden scale ,Intensive care unit ,pressure ulcer ,Bed Sore ,Medicine (General) ,R5-920 - Abstract
Background: Pressure ulcer continues to be a major health problem and prevention has been the main emphasis of patient care. Rigorous evaluation of patients in intensive care unit is necessary for early identification of those at risk of developing pressure ulcer. Multiple risk assessment scales are in practice for its prevention. This study aims to assess pressure ulcer risk of the patients admitted in intensive care unit using Braden Scale. Methods: A cross-sectional descriptive study was conducted among 272 patients admitted in intensive care unit of Nepal Medical College Teaching Hospital from August 2019 to January 2020. Consecutive sampling technique was used to collect data from the patients. Data was analyzed using chi-square test and multiple binary logistic regression in the statistical package for social sciences in version 16. Results: Among 272 patients, the mean Braden score of pressure ulcer risk was 18.23±3.51. Nearly half of the patients 127 (46.7%) had risk of developing pressure ulcer, while two of them eventually developed pressure ulcer. The mean age was 51.11±18.82 years. Majority of the patients 221 (81.2%) were admitted in intensive care unit with medical disorders. Risk of developing pressure ulcer was significantly associated with age, gender, fever, use of ventilator, pressure ulcer prevention device, total duration of the hospital stay and duration of Intensive Care Unit stay (p= more...
- Published
- 2021
13. Preparation of Novel Arabic Gum-C6H9NO Biopolymer as a Bedsore for Wound Care Application
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Zahra Doozandeh, Saeed Saber-Samandari, and Amirsalar Khandan
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Wound ,Bed sore ,Hospital infectious ,Freeze drying ,Soft tissue engineering ,Medicine (General) ,R5-920 - Abstract
The subcutaneous or hypodermic tissue is the innermost layer of the skin, which is essential for adipose tissue. The dermal attachment to the epidermis is a basal layer composed of collagen. This basal layer performs four different functions and acts as a scaffold for soft tissue organization. It is citing for regeneration that has selective permeability for serum filtration. Also, it is a barrier between different cell types, and cite where the epithelium subcutaneous to the cells. Untreated, bedsores can lead to serious complications, one of which is cellulite, a potentially life-threatening bacterial infection. As the bedsore wound spreads to the joints and bones, it may cause bone and joint infections that can damage the cartilage, tissue, and reduce joint function. The bacteria can then enter the bloodstream through wounds, leading to shock and life-threatening conditions. Stage II wounds can heal in one to six weeks, but wounds that lead to stage three or four may last several months or may never heal, especially in children with health problems. The purpose of this study was to design bio-based wounds with gelatin, Gum Arabic, and polyurethane. The wounds were made with different bio composite specimens. The procedure is gelatin, and gum Arabic was combined with certain percentages. The temperature of mixing and solubilization was set at 50°C. After complete fabrication of the material and complete dissolution of the samples in the solvent without any agglomeration, the samples were placed in a low-temperature freezer at -70°C and were placed in a freeze dryer. After the drying process is completed and the pores are ready on the wound heal sample, in the next stages, several tests are carried out to check the suitability of the produced wounds. The SEM analysis was performed on bio-based wounds in which the results showed the suitability and porosity of these wound dress were suitable. The presence of proper porosity and moisture level for wound healing and non-acidity, as well as the use of bed wound healing, have been distinguished from other conventional wound healing products in the market and research domain. more...
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- 2020
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14. Preparation of Novel Arabic Gum-C6H9NO Biopolymer as a Bedsore for Wound Care Application.
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Doozandeh, Zahra, Saber-Samandari, Saeed, and Khandan, Amirsalar
- Subjects
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WOUND care , *GUM arabic , *PRESSURE ulcers , *JOINTS (Anatomy) , *WOUND healing , *GRANULATION tissue , *HYDROGELS in medicine - Abstract
The subcutaneous or hypodermic tissue is the innermost layer of the skin, which is essential for adipose tissue. The dermal attachment to the epidermis is a basal layer composed of collagen. This basal layer performs four different functions and acts as a scaffold for soft tissue organization. It is citing for regeneration that has selective permeability for serum filtration. Also, it is a barrier between different cell types, and cite where the epithelium subcutaneous to the cells. Untreated, bedsores can lead to serious complications, one of which is cellulite, a potentially life-threatening bacterial infection. As the bedsore wound spreads to the joints and bones, it may cause bone and joint infections that can damage the cartilage, tissue, and reduce joint function. The bacteria can then enter the bloodstream through wounds, leading to shock and life-threatening conditions. Stage II wounds can heal in one to six weeks, but wounds that lead to stage three or four may last several months or may never heal, especially in children with health problems. The purpose of this study was to design bio-based wounds with gelatin, Gum Arabic, and polyurethane. The wounds were made with different bio composite specimens. The procedure is gelatin, and gum Arabic was combined with certain percentages. The temperature of mixing and solubilization was set at 50°C. After complete fabrication of the material and complete dissolution of the samples in the solvent without any agglomeration, the samples were placed in a low-temperature freezer at -70°C and were placed in a freeze dryer. After the drying process is completed and the pores are ready on the wound heal sample, in the next stages, several tests are carried out to check the suitability of the produced wounds. The SEM analysis was performed on bio-based wounds in which the results showed the suitability and porosity of these wound dress were suitable. The presence of proper porosity and moisture level for wound healing and non-acidity, as well as the use of bed wound healing, have been distinguished from other conventional wound healing products in the market and research domain. [ABSTRACT FROM AUTHOR] more...
- Published
- 2020
15. A study on predictive value of pressure sore by the Braden scale in surgical intensive care units.
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R., Abraham Jebakumar and J., Karthick
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PRESSURE ulcers , *INTENSIVE care units , *SURGICAL intensive care - Abstract
A study on predictive value of pressure sore by the Braden scale in surgical intensive care units was conducted during the period of October 2018 to October 2019. 50 patients of age group above 40, post-operative hospital stay more than 48 hours, post-operative patients who were admitted in the Department of General Surgery, Government Stanley Medical College and Hospital were included. All patients were thoroughly examined and given scores according to Braden scale. According to the scores the patients were categorized as severe risk, high risk, moderate risk and mild risk. All patients were regularly examined for development of pressure sores 4 times at post-operative day -1, 7, 14 and 28 days or at the time of discharge. Based on scores patients were advised regarding preventive measures of pressure sores. All patients were monitored. All patients were followed up for a period of six months. Comparison of total Braden scale score revealed S.D of 1.57 and p-value of 0.0005 for those who developed pressure sore which was highly significant. The sensitivity of the scale was 90% and specificity of the scale was 93.70% with the cut off value at 16. Thus the Braden scale was highly significant and has high predictive value in predicting pressure sore in intensive care units. [ABSTRACT FROM AUTHOR] more...
- Published
- 2020
16. A Pre-Experimental Study to Assess the Effectiveness of Structured Teaching Programmme Regarding Knowledge on Prevention of Bed Sores among Bsc Nursing 1st Year Students of Army College of Nursing, Jalandhar Cant.
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Kaur, Rupinder
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PRESSURE ulcers ,EFFECTIVE teaching ,NURSING education ,BACHELOR of science degree - Abstract
Decubitus ulcer commonly known as Bed sore or Pressure ulcer is one of the commonest cause of skin and tissue disruptions 1. So here arises a need to create awareness regarding prevention of bed sores through education of student nurses to reduce the burden of bed sores. The study was undertaken to assess the knowledge regarding prevention of bed sores among B.Sc Nursing 1st year students and develop and implement a structured teaching programme in Army College of Nursing, Jalandhar cantt. The objectives of the study were to assess the pre - test knowledge scores, develop and implement structured teaching programme, to assess the post-test knowledge scores and to compare the pre - test and post-test knowledge scores. The pre experimental study was conducted on 40 selected subjects of B.Sc Nursing 1st year students, Army College of Nursing, Jalandhar cantt, Punjab. Data was collected by self structured questionnaire. The results indicated that the overall pre - test mean was 18.32 with the Standard deviation of 2.09 whereas the overall post-test mean knowledge score was 21.42 with the Standard deviation of 1.62 with the significant mean diffence of 3.1. Effectiveness of structured teaching programme was determined by Paired-t test. Value of t was found to be 5.58 which was greater than value of t
0.05 at 39 degree of freedom that is 2.023. [ABSTRACT FROM AUTHOR] more...- Published
- 2020
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17. Pressure Injury.
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Hajhosseini, Babak, Longaker, Michael T., and Gurtner, Geoffrey C.
- Abstract
Background: Pressure injury is seen across all healthcare settings and affects people of any age and health condition. It imposes a significant burden, with annual costs of up to $17.8 billion in the United States alone. Despite considerable resources it exhausts, the disease remains very prevalent, and the incidence is on the rise. This is in part due to aging population, growing number of nursing home residents, poorly understood biology, and dismal track record of clinical research in this field. Methods: In our Review Article, we discuss the disease pathophysiology, clinical manifestation, evidence based recommendations for risk assessment, prevention and timely management, existing challenges, and directions to improve research on the field. This article encompasses dedicated sections on the full spectrum of the pressure related pathologies including ''conventional pressure ulcers'', ''medical device related pressure injuries'', ''pressure injuries in mucosal membranes'', ''pressure injuries in pediatric population'', ''pressure injury at end of life'', and the ''role of pressure in pathogenesis of diabetic foot ulcers''. [ABSTRACT FROM AUTHOR] more...
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- 2020
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18. Role of Panchatikta Ghrita, Haridra and Nimba Churna Puran in Vrana with Respect to Bed Sore.
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Mishra, Reena Shivasgar, chandurkar, Vivek, Mishra, Reena Shivasgar, and chandurkar, Vivek
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The Vrana means Damage or destruction of the part or tissue of body, which leaves a scar after healing. From the beginning of civilization, Vrana was one of the major disease which was managed by human being. In ancient Indian literature there was large number of references related to the vrana (wound) and vrana ropan (wound healing) was mentioned. The acharya categorised vrana in to mainly two parts i.e. Nija and Aagantuja vrana along with this many classification, Nidan, Samprapti, Rupa, Lakshanas, vrana pareeksha, and treatment methods for vrana was mentioned in ayurvedic treaties. The healing process of Vrana is a natural process, which also starts immediate after injury. Acharya Sushruta described Vrana at different places in different context of Sushrut Samhita. The vrana is important topic in academic point of view, patient care and research of newer technique and drugs for easier and effective management. The management of wound is described in Sushruta samhita in very detail manner. He advised sixty upakrama (method) of treating wound is lot of different conditions known as shashtiupakram in Chikitsasthanam In this review article we have try to describe and compile the all detail description of vrana and try to compare the vrana ropan procedure with wound healing with the base of Lakshanas of vrana.  more...
- Published
- 2023
19. Posterior Thigh Advancement Flap
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Curtis, Bryan C., Mardini, Samir, Joumblat, Natalie R., Salgado, Christopher J., Anh Tran, Tuan, editor, Panthaki, Zubin J., editor, Hoballah, Jamal J., editor, and Thaller, Seth R., editor
- Published
- 2017
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20. Spinal cord injury rehabilitation and pressure ulcer prevention after the 2005 South Asian Earthquake: a CBR case study from Pakistan.
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Chishtie, Jawad, Chishtie, Farrukh, Yoshida, Karen, and Balogh, Robert
- Subjects
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COMMUNITY health services , *PRESSURE ulcers , *NATURAL disasters , *PATIENT education , *POPULATION geography , *REHABILITATION , *SPINAL cord injuries , *CROSS-sectional method , *EVALUATION of human services programs , *MIDDLE-income countries , *LOW-income countries , *PREVENTION - Abstract
Background: The 2005 South Asian earthquake led to large-scale injuries and disabilities in northern Pakistan, which were dealt with using various approaches. In this regard, a community-based rehabilitation approach was initiated in the Muzaffarabad district of Pakistan in early 2006, focused on preventing complications among persons with Spinal Cord Injury. This case study briefly describes its development, aims and service provision components, in addition to the distribution of injuries from the disaster. Pressure ulcer prevention education, its recall and decrease in prevalence over a year are presented as key outcomes and illuminate the process of implementing rehabilitation in this context. Methods: This case study presents findings from a larger internal program evaluation in 2010–11. The study design was cross-sectional, to elicit recall of education components and the resulting prevalence of pressure ulcers over the year, in 33 randomly selected persons with Spinal Cord Injury. Outcomes included retention of knowledge about pressure ulcer prevention, practices and reduction in the prevalence of pressure ulcers over the last year. We also conducted a narrative literature review on the types of injuries and complications in the Spinal Cord population from Northern Pakistan. Results: Hospital cohort studies reported "spine" injuries at 5%, while persons with spinal cord injury were identified as the most underserved needing rehabilitation services after the quake. Results from the evaluation of prevention education revealed that all 33 respondents were trained in detection of pressure ulcers, while 32 recalled "danger signs" for which they would seek immediate help. All correctly recalled postural change timings, however, their actual practices differed. Twenty-seven respondents (82%) reported no pressure ulcers over the last year. Conclusion: The decrease in pressure ulcer prevalence over the last year in persons with spinal cord injury highlights the strengths of the community-based rehabilitation approach, particularly preventive education in geographically challenging and highly resource constrained settings. The research also begins to fill a critical gap in the present literature as most research is limited to hospital based interventions from the first year of the 2005 earthquake. Prevention education for targeting pressure ulcers can be effective in reducing incidence of this important complication in persons with spinal cord injury. Community-based rehabilitation approaches can prove beneficial in post-disaster settings, especially in resource constrained settings and difficult hilly terrain. Rehabilitation programs should consider nutrition interventions to reduce multiple pressure ulcers, especially in lower middle income countries. [ABSTRACT FROM AUTHOR] more...
- Published
- 2019
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21. Nivel de aprendizaje adquirido por profesionales de enfermería sobre cuidados de heridas y lesiones cutáneas relacionadas con la dependencia
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Rumbo Prieto, José María, Universidade da Coruña. Facultade de Enfermaría e Podoloxía, Caride Seijo, Eva María, Rumbo Prieto, José María, Universidade da Coruña. Facultade de Enfermaría e Podoloxía, and Caride Seijo, Eva María more...
- Abstract
[Resumen] Cuantificar el nivel de conocimientos y satisfacción de los profesionales de enfermería del Área Sanitaria de Ferrol en relación a los cursos sobre heridas y lesiones relacionados con la dependencia del programa formativo “Úlceras Fóra”. METODOLOGÍA: Estudio observacional descriptivo y cuasi-experimental (antes y después). Se evaluaron los resultados de los test de conocimientos y las encuestas de satisfacción de todos los cursos incluidos en el programa “Úlceras Fóra” realizados durante los dos últimos años (2019-2021), dirigido a profesionales de enfermería. Se determinó la normalidad de los grupos apareados mediante el test de Shapiro-Wilk, aplicándose la prueba t de Student o el test de los rangos con signo de Wilcoxon, para observar si existía diferencias significativas. El nivel del efecto de conocimientos adquiridos se determinó por la fórmula de Cohen. Se consideraron significativos valores de p<0,05. RESULTADOS: Este estudio determinó la magnitud de la diferencia de aprendizaje adquirido a través de 11 cursos sobre lesiones relacionadas con la dependencia. La suma global alcanzó las 66 horas lectivas y 11,7 créditos de formación continuada. El nº de participantes fue de 313 profesionales de los cuales, 291 fueron aptos. La media global de aciertos en el 1º examen fue de 68,62% (DE=17,87) y la media del 2º examen fue de 92,38 (DE=10,22). El tamaño del efecto observado fue “grande”. La satisfacción global obtenida fue de 4,58 (± 0,22) puntos de 5 puntos posibles. Un 99,1% de los alumnos/as calificaron los cursos de formación como “satisfactorios”. CONCLUSIONES: Los datos observados demuestran objetivamente que los profesionales de enfermería del área Sanitaria de Ferrol poseen de inicio, los conocimientos suficientes sobre la prevención, cuidados y tratamientos para prevenir las lesiones relacionadas con la dependencia. La formación continuada cumplió su objetivo y mejoró estos conocimientos alrededor de un 24% por encima del promedio. Así mismo, lo, [Resumo] Cuantificar o nivel de coñecementos e satisfacción dos profesionais de enfermería da área Sanitaria de Ferrol en relación aos cursos sobre feridas e lesións relacionados coa dependencia do programa formativo “Úlceras Fóra”. METODOLOXÍA: Estudo observacional descritivo e case-experimental (antes e despois). Avaliáronse os resultados dos test de coñecementos e as enquisas de satisfacción de todos os cursos incluídos no programa “Úlceras Fóra” realizados durante os dous últimos anos (2019-2021), dirixido a profesionais de enfermería. Determinouse a normalidade dos grupos apareados mediante o test de Shapiro- Wilk, aplicándose a proba t de Student ou o test dos rangos con signo de Wilcoxon, para observar se existía diferenzas significativas. O nivel do efecto de coñecementos adquiridos determinouse pola fórmula de Cohen. Consideráronse significativos valores de p<0,05. RESULTADOS: Este estudo determinou a magnitude da diferenza de aprendizaxe adquirida a través de 11 cursos sobre lesións relacionadas coa dependencia. A suma global alcanzou as 66 horas lectivas e 11,7 créditos de formación continuada. O número de participantes foi de 313 profesionais dos cales, 291 foron aptos. A media global de acertos no 1º exame foi de 68,62% (DE=17,87) e a media do 2º exame foi de 92,38 (DE=10,22). O tamaño do efecto observado foi “grande”. A satisfacción global obtida foi de 4,58 (± 0,22) puntos de 5 puntos posibles. Un 99,1% dos participantes cualificaron os cursos de formación como “satisfactorios”. CONCLUSIÓNS: Os datos observados demostran obxectivamente que os profesionais de enfermería da Área Sanitaria de Ferrol posúen de inicio, os coñecementos suficientes sobre a prevención, coidados e tratamentos para previr as lesións relacionadas coa dependencia. A formación continuada cumpriu o seu obxectivo e mellorou estes coñecementos ao redor dun 24% por encima da media. Así mesmo, os cursos recibidos do programa «Úlceras Fóra» obtiveron unha cualificación excelente, tanto, [Abstract] To quantify the level of knowledge and satisfaction of the nursing professionals of the Ferrol Health Area in relation to the courses on wounds and injuries related to dependency of the training program "Úlceras Fóra". METHODOLOGY: Descriptive observational and quasi-experimental study (before and after). The results of the knowledge tests and satisfaction surveys of all the courses included in the "Úlceras Fóra" program carried out during the last two years (2019-2021), aimed at nursing professionals, were evaluated. The normality of the paired groups was determined using the Shapiro-Wilk test, applying the Student's t-test or the Wilcoxon signed-rank test to observe if there were significant differences. The level of the acquired knowledge effect was determined by Cohen's formula. Values of p<0.05 were considered significant. RESULTS: This study determined the magnitude of the difference in learning acquired through 11 courses on dependency-related injuries. The overall sum reached 66 teaching hours and 11.7 continuing education credits. The number of participants was 313 professionals, of whom 291 were qualified. The overall mean number of correct answers in the first exam was 68.62% (SD=17.87) and the mean number of correct answers in the second exam was 92.38 (SD=10.22). The observed effect size was "large". The overall satisfaction obtained was 4.58 (± 0.22) points out of a possible 5 points. 99.1% of the trainees rated the training courses as "satisfactory". CONCLUSIONS: The data observed objectively demonstrate that the nursing professionals of the Ferrol Health Area have sufficient knowledge of prevention, care and treatment to prevent injuries related to dependency. Continuing education fulfilled its objective and improved this knowledge by about 24% above the average. Likewise, the courses received from the "Úlceras Fóra" program obtained an excellent rating, both for their teaching quality and their organization. more...
- Published
- 2022
22. Pressure ulcers: Back to the basics
- Author
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Karoon Agrawal and Neha Chauhan
- Subjects
bed sore ,decubitus ulcer ,pressure ulcer ,prevention ,risk factors ,ulcer ,Surgery ,RD1-811 - Abstract
Pressure ulcer in an otherwise sick patient is a matter of concern for the care givers as well as the medical personnel. A lot has been done to understand the disease process. So much so that USA and European countries have established advisory panels in their respective continents. Since the establishment of these organizations, the understanding of the pressure ulcer has improved significantly. The authors feel that the well documented and well publicized definition of pressure ulcer is somewhat lacking in the correct description of the disease process. Hence, a modified definition has been presented. This disease is here to stay. In the process of managing these ulcers the basic pathology needs to be understood well. Pressure ischemia is the main reason behind the occurrence of ulceration. Different extrinsic and intrinsic factors have been described in detail with review of literature. There are a large number of risk factors causing ulceration. The risk assessment scales have eluded the surgical literature and mostly remained in nursing books and websites. These scales have been reproduced for completion of the basics on decubitus ulcer. The classification of the pressure sores has been given in a comparative form to elucidate that most of the classifications are the same except for minor variations. The management of these ulcers is ever evolving but the age old saying of "prevention is better than cure" suits this condition the most. more...
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- 2012
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23. Designing and Constructing an Optical Monitoring System of Blood Supply to Tissues under Pressure
- Author
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Akbari Hadi and Younessi Heravi Mohammad Amin
- Subjects
Bed sore ,blood flow ,photoplethysmography ,pressure ulcers ,Medical technology ,R855-855.5 - Abstract
Reduced blood flow due to obstruction is in most cases a primary factor in pressure ulcer formation and creation of bedsores. The aim of this study is to design and manufacture a care system for tissue under pressure, based on variations in blood flow at different depths of tissue. In the manufacture of the system two infrared light transmitters and receivers were located between 5 and 10 mm depth to measure the flow of blood at different in the under- pressure heel tissue. In addition, blood flow was evaluated in an unloaded and loaded condition, with 30 mmHg and 60.0 mmHg. A total of 15 people participated with a mean age of 50. Of these 15; 9 (60%) were men and 6 (40%) were women. Primary measurement results showed different individual differences in variation of blood flow in the tissue. To study signal amplitude changes significantly influenced by external pressure the PPG, P-value was measured. It was noted that there were significant changes in PPG signal amplitude during loading both pressures of 30 and 60 mmHg. Further development of this system would be possible with the use of a more flexible probe and by using a stronger optical receiver and transmitter to access more depth. more...
- Published
- 2012
24. A rare clinical image of fourth-degree bedsore.
- Author
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Dambhare, Minal and Mendhe, Deeplata
- Subjects
- *
DIAGNOSTIC imaging , *PRESSURE ulcers , *MEDICAL sciences , *SURGICAL intensive care , *COMMUNITY health nursing - Published
- 2022
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25. Nivel de aprendizaje adquirido por profesionales de enfermería sobre cuidados de heridas y lesiones cutáneas relacionadas con la dependencia
- Author
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Caride Seijo, Eva María, Arantón-Areosa, Luis, Rumbo Prieto, José María, and Universidade da Coruña. Facultade de Enfermaría e Podoloxía
- Subjects
Lesións na pel ,Bed sore ,Dermatología ,Úlceras ,Dermatology ,Dermatoloxía ,Skin injuries ,Lesiones en la piel - Abstract
[Resumen] Cuantificar el nivel de conocimientos y satisfacción de los profesionales de enfermería del Área Sanitaria de Ferrol en relación a los cursos sobre heridas y lesiones relacionados con la dependencia del programa formativo “Úlceras Fóra”. METODOLOGÍA: Estudio observacional descriptivo y cuasi-experimental (antes y después). Se evaluaron los resultados de los test de conocimientos y las encuestas de satisfacción de todos los cursos incluidos en el programa “Úlceras Fóra” realizados durante los dos últimos años (2019-2021), dirigido a profesionales de enfermería. Se determinó la normalidad de los grupos apareados mediante el test de Shapiro-Wilk, aplicándose la prueba t de Student o el test de los rangos con signo de Wilcoxon, para observar si existía diferencias significativas. El nivel del efecto de conocimientos adquiridos se determinó por la fórmula de Cohen. Se consideraron significativos valores de p more...
- Published
- 2022
26. Εκτίμηση Γνώσεων Νοσηλευτών Σχετικά με την Πρό...
- Author
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Iovu, Mihail, Καλογιάννη, Αντωνία, Παπαγεωργίου, Δημήτριος, Καλεμικεράκης, Ιωάννης, and Βασιλόπουλος, Γεώργιος
- Subjects
BEDSORES prevention ,INTENSIVE care units ,MEDICAL quality control ,NURSING ,PROFESSIONAL employee training ,PROFESSIONS ,QUESTIONNAIRES - Abstract
Copyright of Nosileftiki is the property of Hellenic Nurses' Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...
- Published
- 2017
27. Management of Pressure Ulcers and Pressure-Related Injury
- Author
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Armour, Doris J., Preston-Hsu, Elisabeth, and Tailor, Yogita
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- 2019
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28. Review : Pressure Ulcer and Its treatment
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Bijan Khorasani and Ali Ghafouri
- Subjects
Bed sore ,Pressure sore ,Dressing ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Pressure ulcer is a signifcant problem in elderly and critically ill patients, causing pain, decreasing quality of life and leading to prolonged hospital stay. Treatment of pressure ulcer to improve health status is a cost-effective approach. So, preventing the ulcers will be economical. Pressure ulcer is considered as a damage or necrosis of skin and its layers, which happens when there is a considerable pressure over the tissues. If the capillary arterie's pressure reaches 70 mmHg (2 times more than the normal pressure) pressure ulcer happens and depending on the depth of the ulcer, will be divided into 4 stages. The most important point for preventing the ulcers is reducing the pressure. Patients should be repositioned to relieve or minimize the tissue pressure. Considering the type of the ulcer, the necessary treatment (dressing, Antibiotic Therapy, debridement or surgery) should be performed. more...
- Published
- 2004
29. Effects of hydrocolloid dressing in prevention of bed sore in patients undergoing coronary artery bypass surgery
- Author
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M Salsali, M Shaban, P Kamali, and A NaderiPour
- Subjects
hydrocolloid dressing ,bed sore ,patients ,coronary artery bypass ,Nursing ,RT1-120 - Abstract
Introduction: Bed sore is an important complication of operation. Long immobility, hypotension and hypothermia in perioperative period predispose patients to bed sore. The prevention of bed sore is a priority in caring for immobilized patients and different methods have been used for this purpose. Hydrocolloid dressing is one of these methods. Materials and Methods: This study is a quasi-experimental research. Subjects consisted of 60 patients aged 40-70 years who had eligibility criteria for this study. Subjects were selected with convenience sampling and randomly allocated to two 30-patient groups (experimental and control). In experimental group, hydrocolloid dressing was used before surgery. No procedure was performed for control group. After surgery sacral area was examined on three occasions to detect bed sore: immediately, 24 and 48 hours after surgery. The data were collected by demographic questionnaire and staging bed sore checklist and analyzed by SPSS statistic program and use of descriptive methods such as Chi square, Fisher exact test, t test, ANOVA and least significant difference (LSD). Results: Incidence of bed sore was 13.3% in experimental group and %36.7 in control group. Chi square test showed significant difference between incidence of bed sore in two groups (p=0.03). Incidence of bed sore in two groups had no relationship with respect to gender and number of grafts. There was a significant relationship between bed sore and age, body mass index and duration of hypothermia, immobility and cardiopulmonary bypass (p more...
- Published
- 2004
30. Effects of hydrocolloid dressing in prevention of bed sore in patients undergoing coronary artery bypass surgery
- Author
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Salsali M, Shaban M, Kamali P, and NaderiPour A
- Subjects
Hydrocolloid dressing ,bed sore ,patients ,coronary artery bypass ,Nursing ,RT1-120 - Abstract
Introduction: Bed sore is an important complication of operation. Long immobility, hypotension and hypothermia in perioperative period predispose patients to bed sore. The prevention of bed sore is a priority in caring for immobilized patients and different methods have been used for this purpose. Hydrocolloid dressing is one of these methods. Materials and Methods: This study is a quasi-experimental research. Subjects consisted of 60 patients aged 40-70 years who had eligibility criteria for this study. Subjects were selected with convenience sampling and randomly allocated to two 30-patient groups (experimental and control). In experimental group, hydrocolloid dressing was used before surgery. No procedure was performed for control group. After surgery sacral area was examined on three occasions to detect bed sore: immediately, 24 and 48 hours after surgery. The data were collected by demographic questionnaire and staging bed sore checklist and analyzed by SPSS statistic program and use of descriptive methods such as Chi square, Fisher exact test, t test, ANOVA and least significant difference (LSD). Results: Incidence of bed sore was 13.3% in experimental group and %36.7 in control group. Chi square test showed significant difference between incidence of bed sore in two groups (p=0.03). Incidence of bed sore in two groups had no relationship with respect to gender and number of grafts. There was a significant relationship between bed sore and age, body mass index and duration of hypothermia, immobility and cardiopulmonary bypass (p more...
- Published
- 2004
31. Knowledge and Attitude of Intensive Care Nurses regarding the Prevention of Pressure Ulcer
- Author
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T Najafi Ghezeljeh, SH Khojastehfar, and Shima Haghani
- Subjects
bed sore ,lcsh:RT1-120 ,knowledge ,pressure ulcer ,lcsh:Nursing ,business.industry ,nurse ,intensive care unit ,Critical thinking ,Nursing ,prevention ,Intensive care ,attitude ,Medicine ,Qualitative content analysis ,business - Abstract
Background & Aim: Pressure ulcers are one of the indicators of the quality of nursing and health care. Nurses, as one of the main members of the health team, play an important role in the prevention of pressure ulcer in health care centers. Therefore, this study aimed to determine the knowledge, attitude, and practice of nurses in preventing pressure ulcer. Materials & Methods: This descriptive cross-sectional study was conducted in 2018. Through complete enumeration, all the employed intensive care unit nurses in the educational centers of Iran University of Medical Sciences were studied. Out of the 328 questionnaires, 308 questionnaires were completed by the participants. For data collection, Pieper Pressure Ulcer Knowledge Test (PPUKT) and Beeckman et al’s attitude toward pressure ulcer questionnaire were used. Data were analyzed by SPSS software version 16, using independent t-test, Chi-square, Fisher’s exact, and one-way ANOVA. Results: According to the results, the mean score of knowledge and attitude of nurses regarding the prevention of pressure ulcer were 63.10 ± 47.31, 39.39 ± 10.22, respectively. The knowledge and attitude of the majority of nurses, regarding the prevention of pressure ulcer was at an undesirable level. Different groups of gender, background of continuous education, work experience, and experience in ICU had a significant difference in knowledge score. There were significant differences between different groups of gender, working hours per week, work experience, and work experience in ICU in terms of attitude score. Conclusion: Considering the undesirable level of knowledge and attitude of nurses about the standards of prevention of pressure ulcers and the importance of improving the safety of patients admitted to the intensive care unit, it is suggested to develop appropriate educational planning to improve the knowledge and attitude of health care providers, especially nurses, in the area of prevention of pressure ulcer. more...
- Published
- 2019
32. 욕창의 치료와 예방.
- Author
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식, 박 창 and 영, 허 찬
- Subjects
BEDSORES prevention ,BEDSORES treatment ,TREATMENT effectiveness ,EVALUATION - Abstract
Repeated or chronic pressure on the eminent part of the body will cause circulation disorder to the affected part of the body. The lack of circulation will result in damage and necrosis of the tissue. This phenomenon is defined as pressure sore. Due to growth of aging population and chronic disease, incidence and prevalence rate is in-creasing rapidly. This leads to increased duration of hospital stay, and medical expenditure. Hence, prevention of pressure sore and appropriate treatment is essential in order to diminish distress of the patient and health care provider. Prevention of pressure sore can be accomplished by frequent position change of the patient, skin care, and appropriate nutrition care. Frequent position change is known to be the most important and effective method to prevent pressure sore. Skin care can be achieved by choosing proper dressing material, management of exu-date, and protection of the tissue around the wound. In addition, appropriate nutrition care in order to correct protein-calorie imbalance should also be performed. Necrotic tissue can cause inflammation, and it can also be a good source of bacterial growth. Therefore, debridement of necrotic tissue is most fundamental and essential part in the treatment of pressure sore. Meanwhile, when the patient is not a candidate for surgical treatment due to poor general condition, many methods of dressing can be performed. Recently, dressing material with silver component, and vacuum assisted closure dressing is being performed frequently. In case of surgical treatment, after debridement of necrotic tissue, reconstruction can be performed by split-thickness skin grafting, full-thickness skin grafting, or primary closure. However, majority of reconstruction is performed by flap surgery. Rotation or advancement flap is usually performed. [ABSTRACT FROM AUTHOR] more...
- Published
- 2015
- Full Text
- View/download PDF
33. Burden and Outcomes of Pressure Ulcers in Cancer Patients Receiving the Kerala Model of Home Based Palliative Care in India: Results From a Prospective Observational Study.
- Author
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Sankaran, Biji M., Chakraborty, Santam, Patil, Vijay M., Raghavan, Sindhu N., Thomas, Shibimol, and Sen, Subhradev
- Subjects
PRESSURE ulcers ,CANCER patients ,CONFIDENCE intervals ,HOME care services ,LONGITUDINAL method ,EVALUATION of medical care ,SCIENTIFIC observation ,HEALTH self-care ,TERMINAL care ,COST analysis ,KAPLAN-Meier estimator ,EQUIPMENT & supplies - Abstract
Aim: To report the prevalence and outcomes of pressure ulcers (PU) seen in a cohort of cancer patients requiring home-based palliative care. Materials and Methods: All patients referred for home care were eligible for this prospective observational study, provided they were living within a distance of 35 km from the institute and gave informed consent. During each visit, caregivers were trained and educated for providing nursing care for the patient. Dressing material for PU care was provided to all patients free of cost and care methods were demonstrated. Factors influencing the occurrence and healing of PUs were analyzed using logistic regression. Duration for healing of PU was calculated using the Kaplan Meier method. P < 0.05 are taken as significant. Results: Twenty-one of 108 (19.4%) enrolled patients had PU at the start of homecare services. None of the patients developed new PU during the course of home care. Complete healing of PU was seen in 9 (42.9%) patients. The median duration for healing of PU was found to be 56 days. Median expenditure incurred in patients with PU was Rs. 2323.40 with a median daily expenditure of Rs. 77.56. Conclusions: The present model of homecare service delivery was found to be effective in the prevention and management of PUs. The high prevalence of PU in this cohort indicates a need for greater awareness for this complication. Clinical Trial Registry Number: CTRI/2014/03/004477 [ABSTRACT FROM AUTHOR] more...
- Published
- 2015
- Full Text
- View/download PDF
34. Comparative study between photodynamic and antibiotic therapies for treatment of footpad dermatitis (bumblefoot) in Magellanic penguins (Spheniscus magellanicus).
- Author
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Nascimento, Cristiane Lassálvia, Ribeiro, Martha Simões, Sellera, Fábio Parra, Dutra, Gustavo Henrique Pereira, Simões, Alyne, and Teixeira, Carlos Roberto
- Abstract
Summary Background Bumblefoot, referring to bed-sore-like foot lesions, is one of the most important clinical complications in captive birds and has a multifactorial etiology. Photodynamic therapy has been proposed as an alternative treatment for localized infections in response to the escalating problem of antibiotic resistance. The aim of this study was to compare outcomes in a group of captive Spheniscus magellanicus with bumblefoot lesions treated with photodynamic therapy (PDT) or antibiotics (ATB). Methods Ten captive Magellanic penguins with preexisting stage III bumblefoot lesions were selected and randomly divided into one PDT and one ATB group, each including 11 pelvic-limb lesions. All animals underwent surgical debridement of lesions. In the ATB group, antibiotic ointment was applied topically three times a week, and systemic antibiotic and anti-inflammatory drugs were administered daily. In the PDT group, photodynamic therapy was applied three times a week without the use of topical or systemic medication. Lesion areas were photographed, and swabs were collected for culture and sensitivity, on the first day and every 14 days for a total of 84 days. The four species of bacteria showing the most resistance to the antibiotics screened on the antibiogram were used to determine resistance to PDT with an in vitro test. Results There were significant differences in healing rate and average healing time between the PDT and ATB groups (63.62% vs. 9.09% and 42 vs. 70 days, respectively). Conclusion The findings of this study attest to the effectiveness of photodynamic therapy for the treatment of stage III bumblefoot in Spheniscus magellanicus . [ABSTRACT FROM AUTHOR] more...
- Published
- 2015
- Full Text
- View/download PDF
35. Bed Sore
- Author
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Papadakos, Peter J., editor and Gestring, Mark L., editor
- Published
- 2015
- Full Text
- View/download PDF
36. From the Cochrane Library: Foam Surfaces for Preventing Pressure Ulcers.
- Author
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Nong Y, Sivesind T, and Dellavalle RP
- Published
- 2023
- Full Text
- View/download PDF
37. Therapieergebnisse und Anwendungssicherheit von Symphytum-Herba-Extrakt-Creme in der Behandlung von Dekubitus.
- Author
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Štepán, J., Ehrlichova, J., and Hladikova, M.
- Abstract
Copyright of Zeitschrift für Gerontologie und Geriatrie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) more...
- Published
- 2014
- Full Text
- View/download PDF
38. Bed Sore
- Author
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Vincent, Jean-Louis, editor and Hall, Jesse B., editor
- Published
- 2012
- Full Text
- View/download PDF
39. Pressure ulcers: Back to the basics.
- Author
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Agrawal, Karoon and Chauhan, Neha
- Subjects
- *
PRESSURE ulcers , *PATHOLOGY , *ISCHEMIA , *CELL death , *NECROSIS , *POSTURE - Abstract
Pressure ulcer in an otherwise sick patient is a matter of concern for the care givers as well as themedical personnel. A lot has been done to understand the disease process. So much so that USAand European countries have established advisory panels in their respective continents. Sincethe establishment of these organizations, the understanding of the pressure ulcer has improvedsignifi cantly. The authors feel that the well documented and well publicized defi nition of pressureulcer is somewhat lacking in the correct description of the disease process. Hence, a modifi eddefi nition has been presented. This disease is here to stay. In the process of managing theseulcers the basic pathology needs to be understood well. Pressure ischemia is the main reasonbehind the occurrence of ulceration. Different extrinsic and intrinsic factors have been described indetail with review of literature. There are a large number of risk factors causing ulceration. The riskassessment scales have eluded the surgical literature and mostly remained in nursing books andwebsites. These scales have been reproduced for completion of the basics on decubitus ulcer. Theclassifi cation of the pressure sores has been given in a comparative form to elucidate that most ofthe classifi cations are the same except for minor variations. The management of these ulcers isever evolving but the age old saying of "prevention is better than cure" suits this condition the most. [ABSTRACT FROM AUTHOR] more...
- Published
- 2012
- Full Text
- View/download PDF
40. The effect of fish oil on improvement of first stage bed sore.
- Author
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Elahi, Nasrin, Mojdeh, Soheila, and Poordad, Arezoo
- Subjects
- *
FISH oils , *BEDSORES treatment , *OINTMENTS , *PRESSURE ulcers , *QUESTIONNAIRES , *PATIENTS , *THERAPEUTICS - Abstract
Background: Bed sore is one of the main problems for people confined to bed for long time and cannot move. According to the fact that prevention is easier and cheaper than therapy, in this study the effect of fish oil ointment on the improvement of first stage bed sore was assessed. Materials and Methods: This study was carried out on two groups with 30 patients that had bed sore on shoulders, sacrum or heel. In the intervention group patients' position was changed every 2-3 hours and the bed sore was washed with water and cotton-wool and fish oil with thickness of 2-3 mm was applied on the place of sore. This method was used for seven days. If they improved, the method was stopped in the first days of procedure. At the end of seven days, again the first day checklist was completed, and it was compared to the questionnaire of the two groups, and analyzed separately according to the daily changes of intervention and control group. Findings: There was statistically significant difference between the average of changes in the size of sore of the study group and control group (p < 0.002). The time average of improvement in the intervention group was less than control group. Conclusions: Local use of fish oil could increase the improvement of first stage bed sore and increase in vessels, blood and oxygen supply of the place of sore. [ABSTRACT FROM AUTHOR] more...
- Published
- 2012
41. The biomechanics of heel ulcers.
- Author
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Gefen, Amit
- Abstract
Abstract: Heel ulcers are common, dangerous and costly, but their etiology is poorly understood and no biomechanical studies were conducted to explore it. This paper describes a biomechanical investigation of heel ulcers using a theoretical model that characterizes the internal mechanical loading at the soft tissues of a supported heel. The study is aimed first at identifying some heel-ulcer-specific risk factors pointed out by the biomechanical theory, and second, at demonstrating the kind of support that biomechanical theory and computer modeling can offer in the conduct of clinical studies in the pressure ulcer field. The modeling demonstrated that atypical foot anatomies characterized by heavy-weight foot, sharp posterior calcaneus and thin soft tissue padding are theoretically more prone to heel ulcers. Diabetes and edema at the feet were also predicted to impose risks for heel ulcers, which agrees very well with clinical observations. This paper therefore demonstrated that a biomechanical theory can be used to explain and interpret clinical and epidemiological findings related to heel ulcers. [Copyright &y& Elsevier] more...
- Published
- 2010
- Full Text
- View/download PDF
42. Muscle apoptosis is induced in pressure-induced deep tissue injury.
- Author
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Siu, Parco M., Tam, Eric W., Teng, Bee T., Pei, Xiao M., Ng, Joann W., Benzie, Iris F., and Mak, Arthur F.
- Subjects
APOPTOSIS ,MUSCLES ,TISSUE wounds ,PRESSURE ulcers ,ETIOLOGY of diseases ,SPRAGUE Dawley rats ,LABORATORY rats - Abstract
Pressure ulcer is a complex and significant health problem. Although the factors including pressure, shear, and ischemia have been identified in the etiology of pressure ulcer, the cellular and molecular mechanisms that contribute to the development of pressure ulcer are unclear. This study tested the hypothesis that the early-onset molecular regulation of pressure ulcer involves apoptosis in muscle tissue. Adult Sprague-Dawley rats were subjected to an in vivo protocol to mimic pressure-induced deep tissue injury. Static pressure was applied to the tibialis region of the right limb of the rats for 6 h each day on two consecutive days. The compression force was continuously monitored by a three-axial force transducer equipped in the compression indentor. The contralateral uncompressed limb served as intra-animal control. Tissues underneath the compressed region were collected for histological analysis, terminal dUTP nick-end labeling (TUNEL), cell death ELISA, immunocytochemical staining, and real-time RT-PCR gene expression analysis. The compressed muscle tissue generally demonstrated degenerative characteristics. TUNEL/dystrophin labeling showed a significant increase in the apoptotic muscle-related nuclei, and cell death ELISA demonstrated a threefold elevation of apoptotic DNA fragmentation in the compressed muscle tissue relative to control. Positive immunoreactivities of cleaved caspase-3, Bax, and Bcl-2 were evident in compressed muscle. The mRNA contents of Bax, caspase-3, caspase-8, and caspase-9 were found to be higher in the compressed muscle tissue than control. These results demonstrated that apoptosis is activated in muscle tissue following prolonged moderate compression. The data are consistent with the hypothesis that muscle apoptosis is involved in the underlying mechanism of pressure-induced deep tissue injury. [ABSTRACT FROM AUTHOR] more...
- Published
- 2009
- Full Text
- View/download PDF
43. The Compression Intensity Index: A practical anatomical estimate of the biomechanical risk for a deep tissue injury.
- Author
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Gefen, Amit
- Subjects
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TISSUE wounds , *HISTOLOGY , *ORGANS (Anatomy) , *AUTOLYSIS , *CONNECTIVE tissues - Abstract
Pressure-related deep tissue injury (DTI) is a severe form of pressure ulcer that initiates in compressed muscle tissues under bony prominences, and progresses superficially towards the skin. Patients with impaired motosensory capacities are at high risk of developing DTI. There is a critical medical need for developing risk assessment tools for DTI. A new anatomical index, the Compression Intensity Index: CII=(BW/Rt)^{1/2}, which depends on the body weight (BW), radius of curvature of the ischial tuberosities (R) and thickness of the underlying gluteus muscles (t), is suggested for approximating the loading intensity in muscle tissue during sitting in permanent wheelchair users, as part of a clinically-oriented risk assessment for DTI. Preliminary CII data were calculated for 6 healthy and 4 paraplegic subjects following MRI scans, and data were compared between the groups and with respect to a gold standard, being a previously developed subject-specific MRI-finite-element (MRI-FE) method of calculating muscle tissue stresses (Linder-Ganz et al., J. Biomech. 2007). Marked differences between the R and t parameters of the two groups caused the CII values of the paraplegics to be ∼ 1.6-fold higher than for the healthy (p<0.001), thereby indicating on the sensitivity of this parameter to the pathoanatomical changes that occur in the buttocks with paraplegia. Data of CII correlated reasonably with the gold standard calculations of MRI-FE muscle stresses (correlation coefficient 0.65). Since CII measurements do not require highly-specialized biomechanical numerical analyses such as MRI-FE, CII has the potential to serve as a practical, quick, and cost-effective approximation of the loading intensity in muscles of wheelchair-bound or bedridden patients. Hence, CII measurements can be integrated into DTI-risk-assessment tools, the need of which is now being discussed intensively in the American and European Pressure Ulcer Advisory Panel meetings. [ABSTRACT FROM AUTHOR] more...
- Published
- 2008
- Full Text
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44. A method for a mechanical characterisation of human gluteal tissue.
- Author
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Then, C., Menger, J., Benderoth, G., Alizadeh, M., Vogl, T. J., Hübner, F., and Silber, G.
- Subjects
- *
PRESSURE ulcers , *PHYSIOLOGICAL stress , *PHYSIOLOGIC strain , *MAGNETIC resonance imaging , *ULCERS - Abstract
The most common complication associated with immobilization is pressure sores caused by sustained localized tissue strain and stress. Computational simulations have provided insight into tissue stress-strain distribution, subject to loading conditions. In the simulation process, adequate soft tissue material parameters are indispensable. An in vivo procedure to characterise material parameters of human gluteal skin/fat and muscle tissue has been developed. It employs a magnetic resonance imaging (MRI) device together with an MRI compatible loading device. Using the derived data as constraints in an iterative optimization process the inverse finite element (FE) method was applied. FE-models were built and the material constants describing skin/fat and muscle tissue were parameterized and optimized. Separate parameter sets for human gluteal skin/fat and muscle were established. The long-term shear modulus for human gluteal skin/fat was G_{∞, S/F}= 1182 Pa and for muscle G_{∞, M} = 1025 Pa. The Ogden form for slightly compressible materials was chosen to define passive human gluteal soft tissue material behaviour. To verify the approach, the human skin/fat-muscle tissue compound was simulated using the derived material parameter sets and the simulation result was compared to empirical values. A correlation factor of R^{2} = 0.997 was achieved. [ABSTRACT FROM AUTHOR] more...
- Published
- 2007
- Full Text
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45. The effects of Boswellia (Frankincense) gel and hydrocolloid dressing on healing of second- and third-degree pressure ulcers among hospitalized patients.
- Author
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Vaziri, Marzieh, Hasanpour Dehkordi, Ali, Salehi Tali, Shahriar, and Ebrahimi, Nabi
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PRESSURE ulcers ,HYDROCOLLOIDS ,HOSPITAL patients ,TRANSFORMING growth factors ,HEALING ,BOSWELLIA - Abstract
Bed sores are among life-threatening factors in patients during hospital confinement. Thus, treating bed sores is one of the major responsibilities of nursing personnel. This study aimed to compare the effects of Frankincense gel and hydrocolloid dressing on healing of second- and third-degree pressure ulcers among hospitalized patients. This clinical trial was conducted on 75 patients with second- and third-degree pressure ulcers in the hospital affiliated Shiraz University of Medical Sciences, Iran. After obtaining the participants' informed consent forms, they were randomly divided into three groups. Accordingly, groups A, B, and C were treated by Frankincense (Boswellia corteri) gel and hydrocolloid dressing, placebo gel and hydrocolloid dressing, and hydrocolloid dressing alone, respectively for five weeks. The study data were collected via Pressure Ulcer Scale for Healing (PUSH), which was used to assess and compare pressure ulcers regarding size, tissue, and exudate. Additionally, blood samples were taken from the patients before and two weeks after the treatment in order to measure the level of Transforming Growth Factor (TGF). Pairwise comparisons revealed a significant difference between different time points in respect to PUSH scores (p < 0.001). Additionally, a significant difference was found between Frankincense and the two other groups regarding the ulcer score (p < 0.014). However, no significant difference was observed among the three groups concerning the tissue, exudate, and PUSH scores. Moreover, TGF-β1 increased in the three study groups, but the differences were not statistically significant. TGF-β3 also increased in Frankincense, but not in the two other groups. The study results indicated that the ulcers were healing after five weeks and growth factors increased in the study groups. Furthermore, Frankincense is cheaper and more easily prepared compared to hydrocolloid and does not cause allergic reactions. Therefore, it can be utilized as an appropriate treatment for bed sores. [ABSTRACT FROM AUTHOR] more...
- Published
- 2021
- Full Text
- View/download PDF
46. Reducing hospital-acquired pressure injuries
- Author
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Noura Alnowaiser, Arshur Rahman, and Yasser Alotaibi
- Subjects
medicine.medical_specialty ,Leadership and Management ,Health Personnel ,Psychological intervention ,Saudi Arabia ,Risk management tools ,prevention ,Health care ,Outcome Assessment, Health Care ,medicine ,Prevalence ,Humans ,hospital ,Pressure Ulcer ,Pressure injury ,business.industry ,Health Policy ,Public Health, Environmental and Occupational Health ,Outcome measures ,BMJ Quality Improvement report ,Quality Improvement ,Evidence-Based Practice ,Emergency medicine ,Risk assessment ,business ,bed Sore - Abstract
Hospital-acquired pressure injury is a common preventable condition. Our hospital is a 144-bed governmental hospital in the Kingdom of Saudi Arabia that was found to have a 7.5% prevalence of hospital-acquired pressure injury in 2016. The aim of the improvement project was to reduce the prevalence of pressure injuries in our hospital from 7.5% to below 4% by the end of 2017. Our strategy for improvement was based on the Institute for Healthcare Improvement Model for Improvement. The change strategy was based on implementing an evidence-based risk assessment tool and a bundled evidence-based pressure injury prevention (PIP) intervention termed PIP bundle. After implementing the change package, we observed a reduction in the prevalence of pressure injuries by 84% (RR 0.16;95% CI 0.07 to 0.3; p value more...
- Published
- 2018
47. Nurses’ Knowledge and Education about Oral Care of Cancer Patients Undergoing Chemotherapy and Radiation Therapy
- Author
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Radhika R Pai and Ravikiran Ongole
- Subjects
Superior hypogastric ,Volunteers ,Audiometric patterns ,Sociodemographic parameters ,Relaxation ,Intrathecal drug delivery system ,Bed sore ,Continuing professional development ,Educational program ,Oral care ,Iran ,Pressure ulcer ,Breast cancer ,Bedside ultrasound ,Palliative radiotherapy ,Muslim religion ,Cancer pain ,Hospice ,Interventions ,Mastectomy ,Ultrasonography ,Cancer ,Decubitus ulcer ,lcsh:R5-920 ,Staff nurses ,Depression ,Health Policy ,Celiac plexus block ,Neurolytic ,Radiation therapy ,Knowledge ,End-of-life care ,Palliative care ,Self-concept ,Mental health ,Original Article ,lcsh:Medicine (General) ,Lumbar sympathectomy ,Inclusion (education) ,174Behavioral intervention ,Quality of life ,medicine.medical_specialty ,Holistic care ,Prevalence of pain ,Context (language use) ,Nursing ,Guidelines ,Stress ,Home care ,Education ,Hope ,Qualitative research ,medicine ,Chemotherapy ,Nurse education ,Pre-tertiary education ,Curriculum ,Vertebroplasty ,Radiotherapy ,business.industry ,Regional cancer center ,Yoga ,Public Health, Environmental and Occupational Health ,Cancer patients ,Burn survivors ,medicine.disease ,Work experience ,Oncology nursing ,Epidural opioids ,Attitude ,Radiofrequency ,Family medicine ,End of life ,Severe pain ,Educational needs ,North West India ,Qualitative study ,Nursing students ,Medical intervention ,business ,Neurolysis ,Evidence-based - Abstract
Context: Oral health awareness and oral care are crucial aspects of oncology nursing practice. However very few studies concentrate on the oral care of cancer patients undergoing cancer treatment and nursing practice in the Indian subcontinent. Most of the published studies have been conducted in the Western and European countries. Aim: This study aimed to determine the nurses′ knowledge and education about oral care in cancer patient undergoing chemotherapy and radiation therapy. Setting and design: A cross sectional descriptive survey was conducted among 158 staff nurses working in oncology related areas from 4 different hospitals of Dakshina Kannada district and Udupi district of Karnataka state, India. Statistical Analysis: descriptive and inferential statistics was used by using SPSS 16 version. Results: Majority 81 (51.3%) of the staff nurses had poor knowledge of oral care in cancer patients whereas 87 (55.1%) reported that knowledge acquired through basic education in oral care is not sufficient. Most of the staff nurses 115 (72.8%) did not receive basic education in oral care of cancer patients. There was significant association between knowledge and variables such as designation (.005), years of work experience (.040) and years of experience in cancer wards (.000) at 0.05 levels. Conclusion: Lack of knowledge suggest the need to develop and implement continuing nursing education programs on oral care specifically for patients receiving cancer treatments, for improving knowledge of staff nurses′ in order to render comprehensive care to the patients. This study also recommends the importance of inclusion of cancer patient specific oral care in the curriculum which can enhance competency of the qualified nurses in cancer wards. more...
- Published
- 2015
48. Preserving Self-Concept in the Burn Survivors: A Qualitative Study
- Author
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Mojgan Lotfi, Llila Valizadeh, Feridoon Salehi, and Vahid Zamanzadeh
- Subjects
Superior hypogastric ,Volunteers ,Audiometric patterns ,Sociodemographic parameters ,Relaxation ,Burn injury ,Palliative care ,Intrathecal drug delivery system ,Bed sore ,Applied psychology ,Continuing professional development ,Poison control ,Iran ,computer.software_genre ,Pressure ulcer ,Meaningful life ,Bedside ultrasound ,Palliative radiotherapy ,Medicine ,Cancer pain ,Interventions ,Ultrasonography ,Cancer ,Decubitus ulcer ,lcsh:R5-920 ,Depression ,Health Policy ,Celiac plexus block ,Neurolytic ,Original Article ,Self-concept ,lcsh:Medicine (General) ,Lumbar sympathectomy ,174Behavioral intervention ,Prevalence of pain ,Context (language use) ,Guidelines ,Computer security ,Home care ,Injury prevention ,Chemotherapy ,Vertebroplasty ,Radiotherapy ,business.industry ,Regional cancer center ,Yoga ,Public Health, Environmental and Occupational Health ,Burn survivors ,Epidural opioids ,Radiofrequency ,Severe pain ,Educational needs ,North West India ,Qualitative study ,business ,computer ,Neurolysis ,Evidence-based ,Qualitative research - Abstract
Background: Burn injury is a devastating experience affecting all aspects of a person′s essence, including his/her identity and perception. These patients require complex cognitive efforts to redefine their identity to deal with difficult condition after burn injury and preserve self-concept. The experience of life after burn injury is generally a solitary one, closely related to the patients′ cultural and religious context. Therefore, this study was conducted aiming at investigating burn patients′ experiences regarding how to preserve self-concept in life after burn injury in Iran. Materials and Methods: This qualitative study was carried out using qualitative content analysis and in-depth unstructured interviews with 17 surviving burn subjects. Results: During the qualitative content analysis process, the concept of "locating" as the essence of the participants′ experience was extracted as follows: (A) self-exploration (exploring the changes in one′s life), (B) others′ exploration (exploring the changes in the life of family members and the relationship between self and others), (C) position evaluation (self-position analysis), and (D) self-concept preservation. Conclusion: The present study has developed new understandings of mental experiences of burn patients′ self-concept by describing the concept of "self-locating." It helps us in classifying and understanding the concepts described in comprehensive theories developed in this area. They do this by focusing on what burn patients experience for choosing self-preservation strategies and having a meaningful life. The finding can be used as a conceptual framework for palliative care program in Iran. more...
- Published
- 2015
49. Treating palliative care patients with pain with the body tambura: A prospective case study at St. Joseph′s hospice for dying destitute in Dindigul South India
- Author
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T Rathapillil, Kakuko Lopoyetum Samwel, Cordula Dietrich, G Thathews, Michael Teut, and S. Narayanasamy
- Subjects
Superior hypogastric ,Volunteers ,Audiometric patterns ,Sociodemographic parameters ,Relaxation ,Receptive music therapy ,Palliative care ,Intrathecal drug delivery system ,Bed sore ,Alternative medicine ,Continuing professional development ,Educational program ,Oral care ,Iran ,Pressure ulcer ,Social support ,Breast cancer ,Bedside ultrasound ,Palliative radiotherapy ,Muslim religion ,Cancer pain ,Hospice ,Body Tambura ,Uncertainty in illness ,Interventions ,Mastectomy ,Ultrasonography ,Cancer ,Decubitus ulcer ,Maximum intensity ,Staff nurses ,lcsh:R5-920 ,Depression ,Health Policy ,Celiac plexus block ,Neurolytic ,Radiation therapy ,Acquired Immune Deficiency Syndrome ,Knowledge ,End-of-life care ,Original Article ,Self-concept ,Mental health ,lcsh:Medicine (General) ,Lumbar sympathectomy ,After treatment ,174Behavioral intervention ,Human Immunodeficiency Virus ,Quality of life ,medicine.medical_specialty ,Randomization ,Music therapy ,Holistic care ,Prevalence of pain ,Pain ,Nursing ,Guidelines ,Stress ,Home care ,Education ,Hope ,Qualitative research ,medicine ,Chemotherapy ,Vertebroplasty ,Radiotherapy ,business.industry ,Regional cancer center ,Yoga ,Public Health, Environmental and Occupational Health ,Cancer patients ,Burn survivors ,Epidural opioids ,Pain reduction ,Attitude ,Radiofrequency ,End of life ,Physical therapy ,Severe pain ,Educational needs ,North West India ,Qualitative study ,Nursing students ,Medical intervention ,business ,Neurolysis ,Evidence-based - Abstract
Background: The Body Tambura is a recently invented stringed instrument that is used for receptive music therapy designed to be placed and attached on the human body. The aim of this study was to record perceived effects of a treatment with the Body Tambura on palliative care patients with special reference to pain. Materials and Methods: A prospective case study was carried out with patients of St. Joseph's Hospice for Dying Destitute in Dindigul/South India. Patients were treated with a treatment after baseline assessment and also on the next day. Outcomes were measured quantitatively by using a numeric rating scale (0-10, 10 maximum intensity of pain felt) at baseline, directly after treatment, and the day after the treatment to determine the intensity of the pain. Results: Ten patients (five women and five men) participated in the study. The majority described the therapy as a pleasant experience. The pain intensity at baseline was reduced from 8.3 ± standard deviation (SD) 1.16 to 4.6 ± 1.52 at day 1 and from 4.6 ± 2.07 to 2.4 ± 1.58 at day 2. Conclusion: A clinically relevant pain reduction was described as short time outcome; the therapy was received and perceived well. Forthcoming research should include a control group, randomization, a larger number of participants, and a longer period of treatment. more...
- Published
- 2015
50. Impact of medical intervention on stress and quality of life in patients with cancer
- Author
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Vijay Prasad Barre, Ravi Kumar Saxena, Suvashisa Rana, and Gadiraju Padmaja
- Subjects
Superior hypogastric ,Volunteers ,Audiometric patterns ,Sociodemographic parameters ,Relaxation ,Intrathecal drug delivery system ,Bed sore ,Psychological intervention ,Continuing professional development ,Educational program ,Disease ,Iran ,Pressure ulcer ,Breast cancer ,Quality of life ,Bedside ultrasound ,Palliative radiotherapy ,Medicine ,Muslim religion ,Cancer pain ,Everyday life ,Interventions ,Mastectomy ,Ultrasonography ,Cancer ,Decubitus ulcer ,lcsh:R5-920 ,Depression ,Health Policy ,Celiac plexus block ,Neurolytic ,End-of-life care ,Palliative care ,Original Article ,Self-concept ,Mental health ,lcsh:Medicine (General) ,Lumbar sympathectomy ,174Behavioral intervention ,Clinical psychology ,medicine.medical_specialty ,Prevalence of pain ,Context (language use) ,Guidelines ,Stress ,Home care ,Hope ,Intervention (counseling) ,Chemotherapy ,Cognitive skill ,Vertebroplasty ,Descriptive statistics ,Radiotherapy ,business.industry ,Regional cancer center ,Yoga ,Public Health, Environmental and Occupational Health ,Burn survivors ,Epidural opioids ,Attitude ,Radiofrequency ,Physical therapy ,Severe pain ,Educational needs ,North West India ,Qualitative study ,Nursing students ,Medical intervention ,business ,Neurolysis ,Evidence-based - Abstract
Context: Many studies have explored stress and quality of life in (QOL) patients with cancer, under several phases of disease and treatment. However, the impact of medical intervention on psychological parameters, such as stress and quality of life focusing on psychological intervention has been sparsely studied. Aims: The main aim of the study was to examine the impact of medical intervention on the level of stress and quality of life of patients with lung, breast, and head and neck cancers. Settings and Design: The study was carried out in hospital settings by following a one-group pre-test-post-test pre-experimental design. Statistical analysis used: The quantitative data were analysed by means of descriptive statistics, paired t-tests, Cohen's d, and bar graphs accordingly. Results: The effect of medical intervention was medium in case of reduction of overall stress in participants. So far as the components are concerned, the effect was high in case of psychosomatic complaints, medium in case of fear and information deficit, and low in case of everyday life restrictions. The effect of medical intervention in respect of the quality of life was found to be high in case of symptom scale (pain) and additional symptoms (constipation); medium in case of functional scale (emotional functioning, cognitive functioning) and symptoms scale (nausea, vomiting). In additional symptoms scale the effect of medical intervention was found to be medium in dyspnoea and appetite loss. Conclusions: The findings revealed that though the medical intervention reduced stress and improved the quality of life, it was not instrumental in bringing down the stress to minimal level and enhancing the quality of life to optimum level. Therefore, the findings point to the need of inclusion of psychological intervention along with the medical intervention for minimizing stress and optimizing the quality of life of patients with cancer. more...
- Published
- 2015
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