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Case study: the role of surgical debridement and dural patching in the prevention of a recurrent radiation-induced sacral ulcer. 案例研究:外科清创和硬脑膜修补在预防复发性放射性骶骨溃疡中的作用。
Decubitus Pub Date : 1993-09-01
G R Evans, N H Goldberg
{"title":"Case study: the role of surgical debridement and dural patching in the prevention of a recurrent radiation-induced sacral ulcer.","authors":"G R Evans,&nbsp;N H Goldberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effects of radiation are not tissue selective. Changes are consistent with thermal injury, but evolve in a more insidious manner. Erythema, edema, itching, and osteonecrosis can occur. These changes, over the sacrum, can lead to a spinal cutaneous fistula with persistent cerebrospinal fluid (CSF) leak in association with ulceration. Soft tissue coverage alone appears to be inadequate treatment. Aggressive bony debridement with dural patching have prevented recurrence of the fistula in a recent case.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 5","pages":"36-8, 40"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19273911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pressure ulcer prevalence, incidence and associated risk factors in the community. 社区压疮患病率、发病率及相关危险因素分析。
Decubitus Pub Date : 1993-09-01
B A Oot-Giromini
{"title":"Pressure ulcer prevalence, incidence and associated risk factors in the community.","authors":"B A Oot-Giromini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the prevalence and incidence of pressure ulcers as well as associated risk factors in the community. By using the Web of Causation and the Braden conceptual schema, barriers to effective interventions were identified and analyzed. The Web of Causation for pressure ulcer development includes socioeconomic factors and personal belief systems. It also includes the following risk factors: mobility, activity, moisture, nutrition, friction, shear, and altered sensory perception. There were 103 participants in this study. Data gathered by public health nurses included occurrence, risk assessment score, and demographics. Significant demographics for the pressure ulcer group included age greater than 70 years and diagnoses related to altered mobility, activity, and circulatory status. Pressure ulcer patients who were incontinent accounted for 73% of the total, with urinary incontinence accounting for 33%. There were 1.4 ulcers per patient. Most of the ulcers (78%) occurred on the sacral/coccygeal area and were either Stage II or Stage III. The prevalence rate of pressure ulcers in the community was 29% and the incidence rate was 16.5%.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 5","pages":"24-32"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19273910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparative study of wound dressings on full-thickness wounds in micropigs. 微猪全层创面敷料的比较研究。
Decubitus Pub Date : 1993-09-01
C Gokoo, K Burhop
{"title":"A comparative study of wound dressings on full-thickness wounds in micropigs.","authors":"C Gokoo,&nbsp;K Burhop","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eight full-thickness (to the depth of adipose tissue) skin wounds were surgically inscribed on the backs of four Yucatan micropigs (32 wound sites in total). Wound sites were created to allow for controlled comparative evaluation between wound sites, wound dressings, and specified postoperative healing time. The wounds were dressed with either ClearSite hydrogel dressing (New Dimensions in Medicine, Dayton, Ohio) or Duoderm hydrocolloid wound dressing (ConvaTec Inc., Princeton, New Jersey). Tracings and photographs of each wound site were made and computerized planimetry was done to compare the rate of epithelialization for like wounds and like wound dressings. Histomorphometric measurements were also made to compare the effects of the dressing on the wounds at the cellular level. The results of this study indicate that the wounds covered with the hydrogel dressing exhibited a more rapid rate of closure and reepithelialization as compared with the hydrocolloid wound dressing.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 5","pages":"42-3, 46, 48 passim"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19273913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement strategies: the visual analogue scale. 测量策略:视觉模拟量表。
Decubitus Pub Date : 1993-09-01
C A Mottola
{"title":"Measurement strategies: the visual analogue scale.","authors":"C A Mottola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Measuring psychosocial responses to health problems poses a unique challenge for the clinician searching for empirical indicators of these abstract constructs. Subjective phenomena such as pain, craving, or well-being vary in levels of intensity and are often difficult for the individual to describe in concrete terms. Visual analogue scales provide a valid and reliable solution to this challenging measurement problem.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 5","pages":"56-8"},"PeriodicalIF":0.0,"publicationDate":"1993-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19273914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do pressure-reducing surfaces change capillary resistance to pressure? 减压表面会改变毛细对压力的阻力吗?
Decubitus Pub Date : 1993-07-01
C Mikols
{"title":"Do pressure-reducing surfaces change capillary resistance to pressure?","authors":"C Mikols","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 4","pages":"6, 8"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case study: eliminating odors from wounds. 案例研究:消除伤口异味。
Decubitus Pub Date : 1993-07-01
V Poteete
{"title":"Case study: eliminating odors from wounds.","authors":"V Poteete","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Odor is a major problem with some pressure ulcers and other wounds. This article presents a comprehensive list of references and a case study of 13 patients who were treated with one topical product (metronidazole gel) to eliminate odor. All wounds had large amounts of malodorous drainage when initially assessed and had not previously responded to a variety of odor-reducing interventions. A wound care protocol was established using 0.75% topical metronidazole gel applied to the wound surface. Odor was assessed daily for nine days by a scale adapted from Baker and Haig. Malodor associated with each of 13 wounds was decreased following the initial treatment with topical metronidazole.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 4","pages":"43-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare patients' care in jeopardy. 医疗保险病人的护理处于危险之中。
Decubitus Pub Date : 1993-07-01
{"title":"Medicare patients' care in jeopardy.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 4","pages":"10, 11"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using computers as instructional technology in the pressure ulcer field. 应用计算机作为压疮领域的教学技术。
Decubitus Pub Date : 1993-07-01
C Bolwell
{"title":"Using computers as instructional technology in the pressure ulcer field.","authors":"C Bolwell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of computers by healthcare educators is expanding rapidly because computer-assisted instruction reduces learning time, can be accessed at any time, and is cost-effective. How to evaluate their cost-effectiveness and suggestions for use are presented in detail. The advantages and disadvantages of computer-assisted instruction (CAI) and interactive videodisc (IVD) technologies are reviewed. Several CAI and IVD programs of interest to wound care clinicians are described.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 4","pages":"20-5"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A comparison of the efficacy and cost-effectiveness of two methods of managing pressure ulcers. 两种压疮治疗方法的疗效和成本效益比较。
Decubitus Pub Date : 1993-07-01
J C Colwell, M D Foreman, J P Trotter
{"title":"A comparison of the efficacy and cost-effectiveness of two methods of managing pressure ulcers.","authors":"J C Colwell,&nbsp;M D Foreman,&nbsp;J P Trotter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To compare the efficacy and the cost-effectiveness of moist gauze dressings and a hydrocolloid wafer dressing (DuoDERM CGF), 70 patients with 97 pressure ulcers that were stage II and/or stage III were randomly assigned to one of two treatment methods: moist gauze dressings or hydrocolloid dressings. Efficacy was defined as the number of ulcers that completely healed. In this debilitated, poorly nourished group of patients, one ulcer completely healed in the moist gauze dressing group, and 11 healed in the hydrocolloid group. The per diem cost of the moist gauze dressing was $12.26; the per diem cost of the hydrocolloid dressing was $3.55.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 4","pages":"28-36"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Portrait of practice: a successful approach to preventing heel pressure ulcers after surgery. 实践的肖像:一个成功的方法，以防止术后足跟压疮。
Decubitus Pub Date : 1993-07-01
A M Cheney
{"title":"Portrait of practice: a successful approach to preventing heel pressure ulcers after surgery.","authors":"A M Cheney","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Orthopedic surgical procedures requiring a long period of time in the operating room and in recuperation can often result in pressure ulcers of the heels. These are among the ulcers most difficult to heal; therefore, prevention is important. Instituting pre- and postoperative patient education, elevating the heels off the mattress, and using heel protectors resulted in 30 patients with total hip replacement having no pressure ulcers of the heels.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"6 4","pages":"39-40"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19284653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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