Pressure Ulcers: Evidence-Based Prevention and Management

Current Geriatrics Reports - Tập 4 - Trang 237-241 - 2015
Robyn Evans1, Carol Ott2, Madhuri Reddy3
1Wound Healing Clinic Women’s College Hospital, University of Toronto, Toronto, Canada
2Women’s College Hospital, Baycrest Hospital, Toronto, Canada
3Hebrew SeniorLife, Roslindale, USA

Tóm tắt

There is limited good-quality research focused on the prevention and management of pressure ulcers. Current available evidence reveals that the following approaches may help to prevent pressure ulcers: the use of support surfaces such as specialized foam and specialized sheepskin overlays, mattress overlays on operating tables, consultation with a dietician to ensure adequate general nutrition, but it is not known whether any specific supplementation is useful, and moisturizing dry sacral skin. For management of existing pressure ulcers, it is unknown whether any specific support surface or dressing is preferable to any others; whether routine nutritional supplementation is beneficial, or if adjunctive therapies improve healing compared with standard care. Current evidence shows that the presence of increasing pain may make infection of a chronic wound more likely. There may be individuals for whom pressure ulcers are unavoidable. Risk assessment tools may be useful for identifying individuals at high risk for developing pressure ulcers.

Tài liệu tham khảo

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