Eduardo Tavares Gomes, Aline Borges Penna, Gisia Teodoro Braga, Ana Cristina Carioca, Carolina Rodrigues Renna, Ana Carolina Carvalho Rios
{"title":"肯尼迪末期溃疡的超声评估：个案研究。","authors":"Eduardo Tavares Gomes, Aline Borges Penna, Gisia Teodoro Braga, Ana Cristina Carioca, Carolina Rodrigues Renna, Ana Carolina Carvalho Rios","doi":"10.12968/bjcn.2024.0124","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Kennedy terminal ulcers (KTUs) are skin lesions that occur during the final stages of a person's life. Their incidence is mainly recorded in patients receiving oncological palliative care, with no reported incidence in cardiology patients. There are no records in the scientific literature of ultrasound evaluations of KTUs.</p><p><strong>Aims: </strong>To present a case report of an ultrasound evaluation of a KTU in a patient from a cardiology intensive care unit.</p><p><strong>Method: </strong>The case study was conducted in March 2024 at a cardiology intensive care unit in Southeast Brazil.</p><p><strong>Results: </strong>The ultrasound revealed mild oedema in the subcutaneous tissue of the perilesional skin and a cobblestone-like appearance with less lobulation because of slight oedema in the lesion bed. Both areas exhibited absence of flow on Doppler ultrasound.</p><p><strong>Conclusions: </strong>To the authors' knowledge, this the first record of an ultrasound evaluation of a KTU. A larger case series of reports similar to this study may contribute to the understanding of KTUs and aid differential assessments regarding pressure injuries.</p><p><strong>Implications for practice: </strong>Studies like this can contribute to the understanding of the development process of KTUs and how they correlate with the dying process.</p>","PeriodicalId":35731,"journal":{"name":"British Journal of Community Nursing","volume":"30 Sup3","pages":"S22-S26"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Ultrasound evaluation of Kennedy terminal ulcer: case study.\",\"authors\":\"Eduardo Tavares Gomes, Aline Borges Penna, Gisia Teodoro Braga, Ana Cristina Carioca, Carolina Rodrigues Renna, Ana Carolina Carvalho Rios\",\"doi\":\"10.12968/bjcn.2024.0124\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Kennedy terminal ulcers (KTUs) are skin lesions that occur during the final stages of a person's life. Their incidence is mainly recorded in patients receiving oncological palliative care, with no reported incidence in cardiology patients. There are no records in the scientific literature of ultrasound evaluations of KTUs.</p><p><strong>Aims: </strong>To present a case report of an ultrasound evaluation of a KTU in a patient from a cardiology intensive care unit.</p><p><strong>Method: </strong>The case study was conducted in March 2024 at a cardiology intensive care unit in Southeast Brazil.</p><p><strong>Results: </strong>The ultrasound revealed mild oedema in the subcutaneous tissue of the perilesional skin and a cobblestone-like appearance with less lobulation because of slight oedema in the lesion bed. Both areas exhibited absence of flow on Doppler ultrasound.</p><p><strong>Conclusions: </strong>To the authors' knowledge, this the first record of an ultrasound evaluation of a KTU. A larger case series of reports similar to this study may contribute to the understanding of KTUs and aid differential assessments regarding pressure injuries.</p><p><strong>Implications for practice: </strong>Studies like this can contribute to the understanding of the development process of KTUs and how they correlate with the dying process.</p>\",\"PeriodicalId\":35731,\"journal\":{\"name\":\"British Journal of Community Nursing\",\"volume\":\"30 Sup3\",\"pages\":\"S22-S26\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Community Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12968/bjcn.2024.0124\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Community Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/bjcn.2024.0124","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
Ultrasound evaluation of Kennedy terminal ulcer: case study.
Background: Kennedy terminal ulcers (KTUs) are skin lesions that occur during the final stages of a person's life. Their incidence is mainly recorded in patients receiving oncological palliative care, with no reported incidence in cardiology patients. There are no records in the scientific literature of ultrasound evaluations of KTUs.
Aims: To present a case report of an ultrasound evaluation of a KTU in a patient from a cardiology intensive care unit.
Method: The case study was conducted in March 2024 at a cardiology intensive care unit in Southeast Brazil.
Results: The ultrasound revealed mild oedema in the subcutaneous tissue of the perilesional skin and a cobblestone-like appearance with less lobulation because of slight oedema in the lesion bed. Both areas exhibited absence of flow on Doppler ultrasound.
Conclusions: To the authors' knowledge, this the first record of an ultrasound evaluation of a KTU. A larger case series of reports similar to this study may contribute to the understanding of KTUs and aid differential assessments regarding pressure injuries.
Implications for practice: Studies like this can contribute to the understanding of the development process of KTUs and how they correlate with the dying process.
期刊介绍：
British Journal of Community Nursing (BJCN) is the UK"s leading peer-reviewed journal for district nurses, containing the most up-to-date clinical coverage and research on primary care nursing. The journal promotes excellence in clinical practice with an emphasis on the sharing of expertise and innovation in district nursing. Articles are written by nurses from across the community nursing spectrum, and peer-reviewed by leading authorities in primary care to make sure that the journal addresses all aspects of the profession in a way that is relevant, intelligent and accessible, and so useful in daily practice.
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