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Comparisons of heel pressure-reducing devices. 足跟减压装置的比较。
Decubitus Pub Date : 1991-11-01
R H Graebe
{"title":"Comparisons of heel pressure-reducing devices.","authors":"R H Graebe","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 4","pages":"4, 12"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12924096","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
Prevention of pressure ulcers in elderly nursing home residents: are special support surfaces the answer? 预防老年疗养院居民的压疮:特殊的支撑面是答案吗?
Decubitus Pub Date : 1991-11-01
D J Lazzara, M T Buschmann
{"title":"Prevention of pressure ulcers in elderly nursing home residents: are special support surfaces the answer?","authors":"D J Lazzara,&nbsp;M T Buschmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes a research study that compared the effectiveness of two pressure-reducing devices in a group of elderly nursing home residents. The results obtained revealed no significant differences between the two devices--an air-filled overlay and a gel mattress--in terms of pressure ulcer incidence, severity, and healing. Several factors contributed to these results and illustrate the problems encountered when preventing pressure ulcer development in a group of elderly, debilitated nursing home residents. These factors include ease of use of the pressure-reducing device, caregiver and facility characteristics, and critical patient variables. Until these variables are addressed, it is impossible for any device to be effective in preventing pressure ulcer development in nursing homes.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 4","pages":"42-4, 46, 48"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12924097","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
Outcomes and critical thinking. 结果和批判性思维。
Decubitus Pub Date : 1991-11-01
R Abruzzese
{"title":"Outcomes and critical thinking.","authors":"R Abruzzese","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 4","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12924098","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
Silicone injection management of diabetic foot ulcers: a possible model for prevention of pressure ulcers. 硅胶注射管理糖尿病足溃疡:一个可能的模式，预防压疮。
Decubitus Pub Date : 1991-11-01
S W Balkin, L Kaplan
{"title":"Silicone injection management of diabetic foot ulcers: a possible model for prevention of pressure ulcers.","authors":"S W Balkin,&nbsp;L Kaplan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Long-term clinical and histologic findings with injectable fluid silicone to reduce mechanical forces over plantar skin are described. The fluid induces a relatively stable soft tissue prosthesis between skin and bone, reducing the frequency of insensitive ulcer recurrence in the foot. On the basis of these favorable findings, studies are warranted to determine the fluid's efficacy in prevention of pressure ulcers.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 4","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"1991-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12924095","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
Evaluation of an alginate dressing for pressure ulcers. 海藻酸盐敷料治疗压疮的评价。
Decubitus Pub Date : 1991-08-01
E Fowler, J C Papen
{"title":"Evaluation of an alginate dressing for pressure ulcers.","authors":"E Fowler,&nbsp;J C Papen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcers that secrete moderate to large amounts of fluid often cause leakage from under dressings, odor, staining of clothing, denuding of the skin, and pain. Two highly absorbent dressings derived from seaweed have been introduced into the U.S. market for use in the management of exuding wounds. Severely debilitated patients with full-thickness pressure ulcers were treated for one week to three months with one of these alginate dressings (Kaltostat). The handling and performance characteristics of the dressing are discussed.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 3","pages":"47-8, 50, 52 passim"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13033148","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
Anemia is a factor of great significance in determining whether or not cellular hypoxia and necrosis. 贫血是决定细胞是否缺氧坏死的重要因素。
Decubitus Pub Date : 1991-08-01
T K Hunt
{"title":"Anemia is a factor of great significance in determining whether or not cellular hypoxia and necrosis.","authors":"T K Hunt","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 3","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13033149","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
The efficacy of six heel pressure reducing devices. 六种足跟减压装置的功效。
Decubitus Pub Date : 1991-08-01
P Guin, A Hudson, J Gallo
{"title":"The efficacy of six heel pressure reducing devices.","authors":"P Guin,&nbsp;A Hudson,&nbsp;J Gallo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty to 90 percent of pressure ulcers are located on the heel. The purpose of this study was to evaluate the pressure exerted on the heel when the foot in both the supine and the 30 degree elevated position was placed in various heel pressure reducing devices. Interface pressures of six heel devices were measured to determine their performance. Other factors, such as body weight, height shoe size, shoe width, as well as whether the device provided leg support were examined.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 3","pages":"15-6, 18, 20 passim"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13033145","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
Incidence and prediction of pressure ulcers in five patient care settings. 五种患者护理环境中压疮的发生率和预测。
Decubitus Pub Date : 1991-08-01
D K Langemo, B Olson, S Hunter, D Hanson, C Burd, T Cathcart-Silberberg
{"title":"Incidence and prediction of pressure ulcers in five patient care settings.","authors":"D K Langemo,&nbsp;B Olson,&nbsp;S Hunter,&nbsp;D Hanson,&nbsp;C Burd,&nbsp;T Cathcart-Silberberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcers (PU), one example of an alteration in skin integrity, remain a prominent healthcare concern in all patient care settings. Incidence refers to the number of \"new cases occurring over a given time period\" (NPUAP, 1989, p. 26). Adult patients (n = 190) in five patient care settings who were assessed to be free of PUs on admission were followed over a specified period of time to assess the incidence of pressure ulcer development for each setting. Subjects each had a skin assessment, along with a risk assessment utilizing the Braden Scale. A demographic data form was also completed on each subject. Pressure ulcers developed post-admission in 18 (9%) patients, 11 of whom were acute care patients and eight of whom were patients in skilled care. No patients developed pressure ulcers in the rehabilitation, home care, or hospice settings. Incidence for acute care was 15% and 28% in skilled care. Braden predictor scores were also recommended for each setting and factors associated with pressure ulcer development were discussed.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 3","pages":"25-6, 28, 30 passim"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13033146","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
The cost of treating pressure ulcers in a long-term care facility. 在长期护理机构治疗压疮的费用。
Decubitus Pub Date : 1991-08-01
R A Frantz, S Gardner, P Harvey, J Specht
{"title":"The cost of treating pressure ulcers in a long-term care facility.","authors":"R A Frantz,&nbsp;S Gardner,&nbsp;P Harvey,&nbsp;J Specht","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although there is rising concern with the cost of pressure ulcer treatment, actual expenditures have not been quantified in many settings. A retrospective research design was used to describe the costs incurred by an 830-bed long-term care facility to treat 240 pressure ulcers over a five-year period. The total cost was $116,416 for the study period. The mean cost of treatment was $5.35/pressure ulcer/day. These costs are substantially lower than the costs of pressure ulcer treatment in acute care. Further study to compare treatment costs with prevention costs would provide useful information on the cost benefits of prevention.</p>","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 3","pages":"37-8, 40, 42 passim"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13067328","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
Healthcare reform. 医疗改革。
Decubitus Pub Date : 1991-08-01
R Abruzzese
{"title":"Healthcare reform.","authors":"R Abruzzese","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77095,"journal":{"name":"Decubitus","volume":"4 3","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"1991-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13033147","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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