Pressure ulcers: Prevention and management

被引:149
作者
Mervis, Joshua S. [1 ]
Phillips, Tania J. [1 ]
机构
[1] Boston Univ, Sch Med, Dept Dermatol, 609 Albany St, Boston, MA 02118 USA
关键词
chronic wounds; debridement; dressings; management; nutrition; pressure injury; pressure sore; pressure ulcer; prevention; repositioning; support surface; surgery; therapy; treatment; wound care; wound healing; wounds; AUSTRALIAN MEDICAL SHEEPSKIN; MULTILAYERED FOAM DRESSINGS; RANDOMIZED-CONTROLLED-TRIAL; CRITICALLY-ILL PATIENTS; COST-EFFECTIVENESS; SUPPORT SURFACES; CLINICAL-TRIAL; AIR-MATTRESSES; INTENSIVE-CARE; ADVISORY PANEL;
D O I
10.1016/j.jaad.2018.12.068
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Prevention has been a primary goal of pressure ulcer research. Despite such efforts, pressure ulcers remain common in hospitals and in the community. Moreover, pressure ulcers often become chronic wounds that are difficult to treat and that tend to recur after healing. Especially given these challenges, dermatologists should have the knowledge and skills to implement pressure ulcer prevention strategies and to effectively treat pressure ulcers in their patients. This continuing medical education article focuses on pressure ulcer prevention and management, with an emphasis on the evidence for commonly accepted practices.
引用
收藏
页码:893 / 902
页数:10
相关论文
共 92 条
[1]  
ANDERSEN KE, 1983, ACTA DERM-VENEREOL, V63, P227
[2]  
[Anonymous], COCHRANE DATABASE SY
[3]   Malnutrition and pressure ulcer risk in adults in Australian health care facilities [J].
Banks, Merrilyn ;
Bauer, Judith ;
Graves, Nicholas ;
Ash, Susan .
NUTRITION, 2010, 26 (09) :896-901
[4]  
Beers Paula J, 2016, JAAD Case Rep, V2, P122, DOI 10.1016/j.jdcr.2016.01.001
[5]   Malnutrition: laboratory markers vs nutritional assessment [J].
Bharadwaj, Shishira ;
Ginoya, Shaiva ;
Tandon, Parul ;
Gohel, Tushar D. ;
Guirguis, John ;
Vallabh, Hiren ;
Jevenn, Andrea ;
Hanouneh, Ibrahim .
GASTROENTEROLOGY REPORT, 2016, 4 (04) :272-280
[6]   Healing of diabetic foot ulcers and pressure ulcers with human skin equivalent -: A new paradigm in wound healing [J].
Brem, H ;
Balledux, J ;
Bloom, T ;
Kerstein, MD ;
Hollier, L .
ARCHIVES OF SURGERY, 2000, 135 (06) :627-634
[7]   A Randomized Clinical Trial on Preventing Pressure Ulcers with Wheelchair Seat Cushions [J].
Brienza, David ;
Kelsey, Sheryl ;
Karg, Patricia ;
Allegretti, Ana ;
Olson, Marian ;
Schmeler, Mark ;
Zanca, Jeanne ;
Geyer, Mary Jo ;
Kusturiss, Marybeth ;
Holm, Margo .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2010, 58 (12) :2308-2314
[8]   Comparison of gluteal perforator flaps and gluteal fasciocutaneous rotation flaps for reconstruction of sacral pressure sores [J].
Chen, Yen-Chou ;
Huang, Eng-Yen ;
Lin, Pao-Yuan .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2014, 67 (03) :377-382
[9]   Pressure Ulcer Risk Assessment and Prevention A Systematic Comparative Effectiveness Review [J].
Chou, Roger ;
Dana, Tracy ;
Bougatsos, Christina ;
Blazina, Ian ;
Starmer, Amy J. ;
Reitel, Katie ;
Buckley, David I. .
ANNALS OF INTERNAL MEDICINE, 2013, 159 (01) :28-+
[10]   A new pressure ulcer conceptual framework [J].
Coleman, Susanne ;
Nixon, Jane ;
Keen, Justin ;
Wilson, Lyn ;
McGinnis, Elizabeth ;
Dealey, Carol ;
Stubbs, Nikki ;
Farrin, Amanda ;
Dowding, Dawn ;
Schols, Jos M. G. A. ;
Cuddigan, Janet ;
Berlowitz, Dan ;
Jude, Edward ;
Vowden, Peter ;
Schoonhoven, Lisette ;
Bader, Dan L. ;
Gefen, Amit ;
Oomens, Cees W. J. ;
Nelson, E. Andrea .
JOURNAL OF ADVANCED NURSING, 2014, 70 (10) :2222-2234