Advances in skin & wound care
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Adv Skin Wound Care · Mar 2004
Factors associated with pressure ulcers in adults in acute care hospitals.
To identify and describe the relationship of factors associated with pressure ulcers in adults in acute care hospitals. ⋯ : This study enhances the knowledge of the relationship of factors associated with pressure ulcers in adults in acute care populations and enhances the use and relative importance of particular Braden Scale sub-scales.
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Adv Skin Wound Care · Nov 2003
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialRandomized clinical trial comparing 2 support surfaces: results of the Prevention of Pressure Ulcers Study.
To determine whether a viscoelastic polymer (energy absorbing) foam mattress was superior to a standard hospital mattress for pressure ulcer prevention and to analyze the cost-effectiveness in comparison with standard hospital mattresses. ⋯ Regardless of prevention routine, pressure ulcers occur. In this study, the experimental equipment showed statistical significance to standard equipment for prevention of blanching erythema; significance was not achieved for nonblanching erythema. Trend and survival analysis show that a larger study is required to determine whether this nonsignificant difference is genuine.
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To estimate the prevalence of pressure ulcers among newly admitted residents of long-term-care facilities and to determine whether patients admitted from hospitals had a higher prevalence than those admitted from home or other settings. ⋯ Admission to a long-term-care facility from a hospital is an important marker for higher pressure ulcer risk. The identification of pressure ulcer risk factors is essential to the implementation of prevention activities, ensuring that appropriate interventions are targeted to the residents who are most likely to benefit.
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Adv Skin Wound Care · Sep 2003
ReviewThe measurement of leg ulcer pain: identification and appraisal of pain assessment tools.
To identify and compare the psychometric, clinical sensibility, and pain-specific properties of leg ulcer pain assessment tools for use as a guide for clinicians and researchers. ⋯ The use of a pain assessment tool to measure leg ulcer pain is recommended. Clinicians must decide independently which factors are most important when selecting a tool. Although a specific pain assessment approach cannot yet be recommended, a 2-step pain assessment process is most practical. To optimize pain management, further study is needed to ensure that leg ulcer pain is accurately and reliably assessed.