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Keywords strategies for skin care and p...

strategies for skin care and prevention of the pressure ulcers

https://read.qxmd.com/read/38506581/risk-factors-and-frequency-of-foot-ulceration-in-patients-receiving-chronic-hemodialysis-treatment
#1
JOURNAL ARTICLE
Vacide Aşik Özdemir, Nesrin Nural
OBJECTIVE: To determine the prevalence and risk factors of foot ulceration in patients receiving hemodialysis treatment. METHODS: A total of 180 patients who received hemodialysis treatment in two state hospitals and a private health center between April 2017 and September 2017 were included in the study. The researchers collected data using a patient information form and by conducting physical evaluation of the lower extremities. They used the diabetic foot risk assessment algorithm to classify risk according to the data obtained...
April 1, 2024: Advances in Skin & Wound Care
https://read.qxmd.com/read/38478422/nursing-care-in-patients-with-dependency-related-skin-injuries-in-the-community-a-scoping-review
#2
JOURNAL ARTICLE
Natalia Maella-Rius, Joan-Enric Torra-Bou, Laura Martínez-Rodríguez
PURPOSE: Dependency-related skin injuries (DRSI) occur in people who need a high level of support to carry out day-to-day activities. Owing to the ageing population, the number of people at risk of DRSI is increasing. Most wound care is performed by nurses in the community. This scoping review aimed to identify the extent of literature on nursing care for patients with or at risk of developing DRSI living in their own home. MATERIALS AND METHODS: A scoping review was conducted...
March 1, 2024: British Journal of Community Nursing
https://read.qxmd.com/read/38345088/nutritional-interventions-for-preventing-and-treating-pressure-ulcers
#3
REVIEW
Gero Langer, Ching Shan Wan, Astrid Fink, Lukas Schwingshackl, Daniela Schoberer
BACKGROUND: Pressure ulcers are localized injuries to the skin or the underlying tissue, or both, and are common in older and immobile people, people with diabetes, vascular disease, or malnutrition, as well as those who require intensive or palliative care. People with pressure ulcers often suffer from severe pain and exhibit social avoidance behaviours. The prevention and treatment of pressure ulcers involves strategies to optimize hydration, circulation, and nutrition. Adequate nutrient intake can reduce the risk factor of malnutrition and promote wound healing in existing pressure ulcers...
February 12, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38117167/the-role-of-shear-stress-and-shear-strain-in-pressure-injury-development
#4
JOURNAL ARTICLE
Caroline Portoghese, Michelle Deppisch, Sharon Sonenblum, Barbara Samson, Cassendra Munro, Virginia Capasso, Evan Call, Joyce Black, David Brienza
Although other patient safety indicators have seen a decline, pressure injury (PI) incidence has continued to rise. In this article, the authors discuss the role of shear stress and shear strain in PI development and describe how accurate assessment and management can reduce PI risk. They provide explanations of shear stress, shear strain, friction, and tissue deformation to support a better clinical understanding of how damaging these forces are for soft tissue. Clinicians must carefully assess each patient's risk factors regarding shear forces within the contexts of activity and mobility...
January 1, 2024: Advances in Skin & Wound Care
https://read.qxmd.com/read/38062132/impact-of-hydrocolloid-dressings-in-the-prevention-of-pressure-ulcers-in-high-risk-patients-a-randomized-controlled-trial-penfup
#5
JOURNAL ARTICLE
Olga L Cortés, Victor M Herrera, Luz D Salazar, Yudy A Rojas, Maribel Esparza, Alejandra Taborda, Rodolfo José Dennis
It is uncertain whether hydrocolloid dressings, a more costly intervention than offering standard care with petrolatum, is superior to prevent pressure ulcers among hospitalized high-risk adults. Randomized, parallel-group, open-label, superiority trial with an active control group, blinded for investigators, event validators, and analysts (December 1, 2015 to December 12, 2017). Eligible patients were ≥ 18 years of age with intact skin judged as high-risk for skin ulcers (Braden scale), admitted to surgical or medical wards of two tertiary-level hospitals...
December 7, 2023: Scientific Reports
https://read.qxmd.com/read/38050921/turning-and-repositioning-frequency-to-prevent-hospital-acquired-pressure-injuries-among-adult-patients-systematic-review
#6
REVIEW
Saeed Asiri
Turning and repositioning is considered one of the strategies to reduce the incidence of pressure injuries (PIs) among hospitalized patients, as it helps to redistribute and minimize direct pressure on the targeted skin and enhance blood perfusion in the affected areas. The frequency of turning and repositioning is generally uniform across clinical settings, with most clinical guidelines recommending a substantial change in a patient's position according to their health status. Notably, the optimal time interval between the position changes has not yet been established...
2023: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://read.qxmd.com/read/37983577/clinical-risk-factors-of-perioperative-pressure-injury-in-older-adult-patients-with-a-hip-fracture
#7
JOURNAL ARTICLE
Yi-Ting Tzen, Senthil Sambandam, Barbara Delmore, Jijia Wang, Andy Chu, Dane K Wukich
OBJECTIVE: To examine the clinical risk factors of perioperative pressure injury (PrI) in older adults with a hip fracture, including preoperative chronic comorbidities and postoperative complications. METHODS: In this retrospective study, the authors queried the PearlDiver Patient Records database between January 2011 and January 2020. Data from 54,194 patients without preexisting PrI were included for analyses. Patients were separated into two groups: (1) one or more perioperative PrI and (2) no PrI...
December 1, 2023: Advances in Skin & Wound Care
https://read.qxmd.com/read/37861664/the-role-of-patient-engagement-in-surgical-site-infection-reduction-a-process-improvement-project
#8
JOURNAL ARTICLE
Jill Cox, Lisa Douglas, Valerie Wemmer, Kathleen Kaminsky
BACKGROUND: Surgical site infections (SSIs) are the second most common healthcare-associated infection, with prevention being a high-priority goal for all healthcare organizations. Although routine surveillance and standardized prevention protocols have long been used, patient engagement is an additional intervention that should be considered and may be beneficial in SSI prevention. OBJECTIVE: To determine if the development of a standardized patient education discharge plan for management of a surgical site and/or surgical drain would contribute to a reduction in SSI rates in inpatients undergoing colorectal, plastic, or general surgery...
November 1, 2023: Advances in Skin & Wound Care
https://read.qxmd.com/read/37682782/development-of-prone-positioning-and-skin-damage-prevention-digital-education-the-pronetect-project
#9
REVIEW
Anika Fourie, Maarit Ahtiala, Joyce Black, Heidi Hevia Campos, Fiona Coyer, Amit Gefen, Kim LeBlanc, Steven Smet, Kathleen Vollman, Yolanda Walsh, Dimitri Beeckman
OBJECTIVE: The incidence of skin/tissue damage, such as pressure ulcers, remains high in mechanically ventilated patients in the prone position. According to guidelines, critically ill patients with acute respiratory distress syndrome (ARDS) should be prone for at least 12-16 hours to improve oxygenation and decrease mortality. Therefore, educating clinicians on how to reposition and manage the patient safely in a prone position plays a vital role in preventing adverse events. This project aimed to develop accessible online educational content to assist clinicians in safely executing the prone manoeuvre and minimise skin/tissue damage...
September 2, 2023: Journal of Wound Care
https://read.qxmd.com/read/37625380/dermatological-issues-among-individuals-receiving-palliative-care-a-review
#10
JOURNAL ARTICLE
Zhenli Kwan, Winn Hui Han, Shin Shen Yong, Nik Aimee Azizah Faheem, Rebecca Kai Jan Choong, Sheriza Izwa Zainuddin, Chee Loong Lam, Maw Pin Tan, David Paul Capelle
Skin disorders among individuals receiving palliative care may be associated with the primary condition or underlying comorbidities and patients may experience pruritus, discomfort or pain. Common conditions include xerosis, pressure ulcers, intertrigo, superficial fungal infections, telogen effluvium, pruritus, herpes zoster, eczematous disorders and edema. During end-of-life care, there is reduced skin perfusion and metabolism hence leading to susceptibility to infection, pressure and injury. Other factors affecting the skin include limited mobility, nutritional deficits and immunosuppression...
August 25, 2023: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/37596079/improving-knowledge-of-continence-care-to-prevent-skin-damage-associated-with-incontinence
#11
JOURNAL ARTICLE
Joanna Peart
Older people are at an increased risk of developing skin damage related to incontinence, including pressure ulceration and incontinence-associated dermatitis (IAD). Factors exacerbating risk in older people include: a higher rate of faecal and urinary incontinence, reduced mobility, long-term conditions and changes to skin barrier function, as a result of the ageing process. Nurses have a key role to play in the assessment of continence, IAD prevention and management. This article explores nursing knowledge in relation to continence care on six inpatient wards for older people, and describes the implementation of improvement strategies, in order to reduce voidable harm...
August 17, 2023: British Journal of Nursing: BJN
https://read.qxmd.com/read/37530572/using-a-decision-tree-approach-to-analyze-key-factors-influencing-intraoperative-acquired-pressure-injury
#12
JOURNAL ARTICLE
Guirong Shi, Liping Jiang, Ping Liu, Xin Xu, Qunfang Wu, Peipei Zhang
OBJECTIVE: To determine the key factors influencing intraoperative-acquired pressure injury (IAPI). METHODS: Researchers assessed 413 surgical patients in a Shanghai tertiary hospital using an information collection form and an IAPI occurrence record form. Analysis took place using the classification and regression tree algorithm and multiple logistic regression. RESULTS: A total of 43 surgical patients (10.4%) had IAPI, including 32 stage 1 cases (74...
July 24, 2023: Advances in Skin & Wound Care
https://read.qxmd.com/read/37471447/covid-19-and-hospital-acquired-pressure-injuries-a-systematic-review
#13
JOURNAL ARTICLE
Adrienn N Bourkas, Michele Zaman, R Gary Sibbald
OBJECTIVE: To investigate the relationship between COVID-19-related variables and hospital-acquired pressure injury (HAPI) incidence. DATA SOURCES: The authors searched four databases: Cochrane, MEDLINE, EMBASE, and CINAHL. The literature search contained key terms such as "COVID-19," "hospital-acquired pressure injuries," "pressure ulcer," "pressure injury," "decubitus ulcer," and "hospitalization." STUDY SELECTION: The systematic search of the literature identified 489 publications that matched the inclusion criteria...
August 1, 2023: Advances in Skin & Wound Care
https://read.qxmd.com/read/37245206/-health-policy-approach-to-the-treatment-and-prevention-of-pressure-ulcers
#14
JOURNAL ARTICLE
Borbála Cseh, Gyula Kincses, Zoltán Balogh, Csaba László Dózsa
INTRODUCTION: A pressure sore (decubitus) is a wound that develops on the skin and subcutaneous tissue in places exposed to pressure. Primarily occurs in elderly, non-mobile individuals, the prevention and control of which requires not only medical and nursing participation, but it also financial expenditure. OBJECTIVE: In our study, after a systematic document analysis, we present the relevant results of the decubitus survey conducted among state hospitals during Q2 of 2022, focusing on the organizational and management factors of decubitus prevention and care...
May 28, 2023: Orvosi Hetilap
https://read.qxmd.com/read/36938142/preventing-pressure-injury-in-open-heart-surgical-patients-a-systematic-review
#15
JOURNAL ARTICLE
Hamed Taghiloo, Abbas Ebadi, Yaser Saeid, Alireza Jalali Farahni, Atefeh Davoudian
BACKGROUND: Cardiac surgical patients are highly prone to developing surgery-related Pressure injuries (PIs). Prevention of PIs is an important patient safety priority in healthcare settings and patients care. So the aim of this study is to detect the effectiveness of prevention strategies to decrease PIs prevalence and incidence in patients undergoing open heart surgery. METHOD: We identified studies through Web of Science, Scopus, PubMed, Cochrane, and ProQuest databases from inception through September 2022 with restrictions on the English language...
March 2023: Health Science Reports
https://read.qxmd.com/read/36846287/evidence-based-clinical-practice-guidelines-for-caregivers-of-palliative-care-patients-on-the-prevention-of-pressure-ulcer
#16
JOURNAL ARTICLE
Lovely Antony, Anu Savio Thelly, Juby M Mathew
OBJECTIVES: Pressure ulcers are the most common condition among palliative care patients at home care facilities and impose a significant burden on patients, their relatives, and caregivers. Caregivers play a vital role in preventing pressure ulcers. When the caregivers are knowledgeable about preventing pressure ulcers, they will be able to avoid lots of discomfort for the patients. It will help the patient to achieve the best quality of life and spend the last days of life peacefully and comfortably with dignity...
2023: Indian Journal of Palliative Care
https://read.qxmd.com/read/36796303/hospital-acquired-skin-lesions-in-the-neonatal-intensive-care-unit-a-retrospective-analysis-of-temporal-trends-and-quality-improvement-strategies
#17
JOURNAL ARTICLE
Barbara Fassino, Silvia Ferrario, Gabriele Sorrentino, Ileana Adamini, Nicola Pesenti, Monica Fumagalli, Fabio Mosca, Laura Plevani
PURPOSE: Skin lesions in neonatal population are an emerging problem deserving attention from health care professionals. The purpose of this study is to retrospectively assess the incidence of hospital-acquired skin lesions during a 6-year period and to describe the characteristics of infants who developed them. DESIGN AND METHODS: This was a retrospective observational study conducted in a university-tertiary care center between 2015 and 2020. A descriptive analysis of the observed skin lesions is presented according to 2 time periods: 1) the implementation phase of a quality improvement program (2015-2019) and 2) the postimplementation phase (2020)...
February 14, 2023: Journal of Pediatric Nursing
https://read.qxmd.com/read/36705972/covid-19-and-hospital-acquired-pressure-injuries-a-systematic-review
#18
JOURNAL ARTICLE
Adrienn N Bourkas, Michele Zaman, R Gary Sibbald
OBJECTIVE: To investigate the relationship between COVID-19 related variables and hospital-acquired pressure injuries (HAPI) incidence. DATA SOURCES: The authors searched four databases: Cochrane, MEDLINE, EMBASE, and CINAHL. The literature search contained key terms such as COVID-19, hospital-acquired pressure injuries, pressure ulcer, pressure injury, decubitus ulcer, and hospitalization. STUDY SELECTION: The systematic search of the literature identified 489 publications that matched the inclusion criteria...
January 27, 2023: Advances in Skin & Wound Care
https://read.qxmd.com/read/36519485/the-need-for-integration-nursing-theories-into-pressure-ulcer-care-in-the-community
#19
JOURNAL ARTICLE
Sumarno Adi Subrata, Rutja Phuphaibul
Pressure ulcers are injuries to the skin requiring integrated care, particularly when patients are at home. Pressure ulcers have been a nursing concern for years, and several strategies have been proposed for its prevention and management. Nursing theory, which is essential for nursing practice, recommends plausible approaches to health problems. However, literature describing steps to integrate nursing theory into pressure ulcer care has not yet been explored. For this reason, this article discusses the six steps on how to apply nursing theory in community practice...
December 1, 2022: British Journal of Community Nursing
https://read.qxmd.com/read/36462883/thermal-changes-in-the-sacral-region-with-different-mattresses-used-in-the-prevention-of-pressure-injuries
#20
JOURNAL ARTICLE
Daniela Akemi Itakura, Adriane Muller Nakato, Paula Karina Hembecker, Eduardo Borba Neves, Percy Nohama
BACKGROUND: Pressure Injury (PI) is a severe health problem that affects millions of people. As a preventive strategy for high-risk ICU patients, the appropriate selection of a support surface is essential for preventing PI, along with risk assessment and repositioning. Increasing skin temperature has been associated with a higher susceptibility to PI development. OBJECTIVE: This study aimed to evaluate thermal variations related to skin pressure in the sacral area of healthy individuals lying on three different mattresses models (standard, inflatable air, and egg crate)...
December 2022: Journal of Thermal Biology
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