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Pressure is the problem. 压力是问题所在。
Decubitus Pub Date : 1992-03-01
S L Lerman
{"title":"Pressure is the problem.","authors":"S L Lerman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"8, 10"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726718","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
Historical notes on pressure ulcers: the cure of Ambrose Paré. 关于压疮的历史记录:安布罗斯parpars的治疗。
Decubitus Pub Date : 1992-03-01
J M Levine
{"title":"Historical notes on pressure ulcers: the cure of Ambrose Paré.","authors":"J M Levine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ambrose Paré practiced surgery in 16th century France, and is considered a founding father of modern medical surgical practice. History books remember him mainly for innovations in treating war wounds, but few are aware of his treatment for skin ulcers. His textbooks contain instructions sounding quite similar to ours, including nutrition, pain relief, and debridement. Paré's autobiography relates the case of a wounded French aristocrat who developed a pressure ulcer and was successfully cured.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"23-4, 26"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726712","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
Tissue interface pressure and estimated subcutaneous pressures of 11 different pressure-reducing support surfaces. 组织界面压力和11种不同减压支持面估计的皮下压力。
Decubitus Pub Date : 1992-03-01
J Y Thompson-Bishop, C M Mottola
{"title":"Tissue interface pressure and estimated subcutaneous pressures of 11 different pressure-reducing support surfaces.","authors":"J Y Thompson-Bishop,&nbsp;C M Mottola","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This pilot study examined the pressure-reducing properties of 11 different pressure-reducing devices as compared to a standard hospital mattress. Mean trochanteric and heel pressure readings were obtained on each surface from 13 healthy adult volunteers by using an electropneumatic pressure transducer (Gaymar, catalog # PSM1). Mean trochanteric pressures ranged from 37.2 mm Hg to 55.1 mm Hg on the pressure-reducing support surfaces as compared to 83.6 mm Hg on a standard hospital mattress. Mean heel pressure readings ranged from 28.1 mm Hg to 62.1 mm Hg on the pressure-reducing support surfaces as compared to 93.9 mm Hg on the standard hospital mattress. While pressure-reducing support surfaces were found to yield significantly lower mean pressure readings than the standard hospital mattress, none of them is capable of preventing tissue ischemia if the subcutaneous pressure is three to five times higher than the interface pressure.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 2","pages":"42-6, 48"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12726714","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
Ethical and psychosocial considerations of wound management. 伤口处理的伦理和社会心理考虑。
Decubitus Pub Date : 1992-01-01
J A Petro
{"title":"Ethical and psychosocial considerations of wound management.","authors":"J A Petro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ethical and psychosocial considerations in caring for patients with pressure ulcers are explored in relation to the consequential and the nonconsequential schools of ethical thought. The principles of ethical decision making are related to wound management in terms of beneficence, nonmaleficence, justice, veracity and confidentiality, autonomy and liberty. Allocation of scarce resources and the conduct of research influence ethical decision making in wound management.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 1","pages":"22-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12895866","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 retrospective study of the use of specialty beds in the medical and surgical intensive care units of a tertiary care facility. 回顾性研究在三级医疗设施的内科和外科重症监护病房专科病床的使用。
Decubitus Pub Date : 1992-01-01
S A Aronovitch
{"title":"A retrospective study of the use of specialty beds in the medical and surgical intensive care units of a tertiary care facility.","authors":"S A Aronovitch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective chart audit of 55 patients placed on specialty beds in the medical and surgical intensive care units of a tertiary care hospital during 1989 was performed to establish criteria for placement on specialty beds. A modified Knoll Assessment of Pressure Ulcer Potential tool was used to determine which risk factors were common among the patients. Mean total risk scores was 21.15 with a standard deviation of 4.74. Significant correlations were found between seven of the eight risk factors and the total risk score. A high total score on the modified Knoll tool indicates a need for placement on specialty beds.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 1","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12895868","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
Nurse validation of pressure ulcer risk factors for a nursing diagnosis. 护士确认压疮危险因素的护理诊断。
Decubitus Pub Date : 1992-01-01
S M Sparks
{"title":"Nurse validation of pressure ulcer risk factors for a nursing diagnosis.","authors":"S M Sparks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The nursing diagnosis \"Potential Impaired Skin Integrity: Pressure Ulcer\" provides a model for determining pressure ulcer risk. This article describes assessment parameters and risk factors that may be useful in the assessment of pressure ulcer risk. Results of a diagnostic content validity study of this diagnosis conducted by the author (Sparks, 1990) are presented.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 1","pages":"26-8, 32-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12895867","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
What causes pressure ulcers to heal? 什么导致压疮愈合?
Decubitus Pub Date : 1992-01-01
R Abruzzese
{"title":"What causes pressure ulcers to heal?","authors":"R Abruzzese","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12895869","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
Adoption of research-based practice for treatment of pressure ulcers in long-term care. 采用以研究为基础的做法治疗压疮的长期护理。
Decubitus Pub Date : 1992-01-01
R A Frantz, S Gardner, P Harvey, J Specht
{"title":"Adoption of research-based practice for treatment of pressure ulcers in long-term care.","authors":"R A Frantz,&nbsp;S Gardner,&nbsp;P Harvey,&nbsp;J Specht","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Implementation of a clinical trial to evaluate the effectiveness of electrotherapy on pressure ulcer healing provided the stimulus for adoption of research-based innovations for pressure ulcer treatment in one long-term care facility. A five-year retrospective study conducted prior to introduction of the clinical trial revealed that 72 different treatments were applied to pressure ulcers. Forty-two percent of the pressure ulcers were left open to the air or covered with a dry gauze dressing and 64% were treated with some type of antiseptic solution. Since implementation of the clinical trial and the accompanying access to wound healing research knowledge it provided in this setting, the prevailing treatment for pressure ulcers has become moist physiologic dressings.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"5 1","pages":"44-5, 48-54"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12895870","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
Standards of care for hospice patients with pressure ulcers. 压疮临终关怀病人的护理标准。
Decubitus Pub Date : 1991-11-01
R Hoffman, J L Lile, K Mace, M Pase
{"title":"Standards of care for hospice patients with pressure ulcers.","authors":"R Hoffman,&nbsp;J L Lile,&nbsp;K Mace,&nbsp;M Pase","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcers are a major concern of hospice nurses. A recent survey of hospice agencies in an area of the southwest indicated a lack of specific standards of care for patients with pressure ulcers and no systematic method to identify patients at risk. Standards of care were subsequently developed to identify patients at risk and to manage pressure ulcers of hospice patients.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 4","pages":"19-20, 22, 24"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12924093","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
Assessment of epithelial thickness by ultrasonic imaging. 超声成像评估上皮厚度。
Decubitus Pub Date : 1991-11-01
S R Schwartz, R A Murray
{"title":"Assessment of epithelial thickness by ultrasonic imaging.","authors":"S R Schwartz,&nbsp;R A Murray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Moisturizing creams and lotions are an important aspect of preventing pressure ulcers. This study reports the increased thickening of the epithelium on 11 subjects who used a moisturizing cream (treatment) for 20 days. The thickening of the epithelium was measured before use of the moisturizing cream, on day 1, day 8, and day 20 of the treatment, and 12 days after the treatment. The ultrasound measurements were similar before the treatment and 12 days post treatment; the measurements increased for the days of treatment. Current research would lead us to believe that short-term increase in epithelial thickness as produced by a moisturizer is a result of increased water content. Ultrasound imaging may be the new standard for comparing the effects of moisturing products.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 4","pages":"29-30, 32, 34 passim"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12924094","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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