Pressure Ulcer Risk Assessment And Prevention Comparative Effectiveness

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Pressure Ulcer Risk Assessment and Prevention: Comparative Effectiveness

Author : U. S. Department of Health and Human Services
Publisher : CreateSpace
ISBN 13 : 9781490574738
Total Pages : 362 pages
Book Rating : 4.5/5 (747 download)

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Book Synopsis Pressure Ulcer Risk Assessment and Prevention: Comparative Effectiveness by : U. S. Department of Health and Human Services

Download or read book Pressure Ulcer Risk Assessment and Prevention: Comparative Effectiveness written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-06-29 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pressure ulcers are defined by the National Pressure Ulcer Advisory Panel (NPUAP) as “localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction.” A number of risk factors are associated with increased risk of pressure ulcer development, including older age, black race, lower body weight, physical or cognitive impairment, poor nutritional status, incontinence, and specific medical comorbidities that affect circulation such as diabetes or peripheral vascular disease. Pressure ulcers are often associated with pain and can contribute to decreased function or lead to complications such as infection. In some cases, pressure ulcers may be difficult to successfully treat despite surgical and other invasive treatments. In the inpatient setting, pressure ulcers are associated with increased length of hospitalization and delayed return to function. In addition, the presence of pressure ulcers is associated with poorer general prognosis and may contribute to mortality risk. Recommended prevention strategies for pressure ulcers generally involve use of risk assessment tools to identify people at higher risk for developing ulcers in conjunction with interventions for preventing ulcers. A variety of diverse interventions are available for the prevention of pressure ulcers. Categories of preventive interventions include support surfaces (including mattresses, integrated bed systems, overlays, and cushions), repositioning, skin care (including lotions, dressings, and management of incontinence), and nutritional support. Each of these broad categories encompasses a variety of interventions. The purpose of this report is to review the comparative clinical utility and diagnostic accuracy of risk-assessment instruments for evaluating risk of pressure ulcers and to evaluate the benefits and harms of preventive interventions for pressure ulcers in different settings and patient populations. The following Key Questions are the focus of this report: KQ1. For adults in various settings, is the use of any risk-assessment tool effective in reducing the incidence or severity of pressure ulcers compared with other risk-assessment tools, clinical judgment alone, and/or usual care? KQ1a. Do the effectiveness and comparative effectiveness of risk-assessment tools differ according to setting? KeQ1b. Do the effectiveness and comparative effectiveness of risk-assessment tools differ according to patient characteristics and other known risk factors for pressure ulcers, such as nutritional status or incontinence? KQ2. How do various risk-assessment tools compare with one another in their ability to predict the incidence of pressure ulcers? KQ2a. Does the predictive validity of various risk-assessment tools differ according to setting? KQ2b. Does the predictive validity of various risk-assessment tools differ according to patient characteristics? KQ3. In patients at increased risk of developing pressure ulcers, what are the effectiveness and comparative effectiveness of preventive interventions in reducing the incidence or severity of pressure ulcers? KQ3a. Do the effectiveness and comparative effectiveness of preventive interventions differ according to risk level as determined by different risk-assessment methods and/or by particular risk factors? KQ3b. Do the effectiveness and comparative effectiveness of preventive interventions differ according to setting? KQ3c. Do the effectiveness and comparative effectiveness of preventive interventions differ according to patient characteristics? KQ4. What are the harms of interventions for the prevention of pressure ulcers? KQ4a. Do the harms of preventive interventions differ according to the type of intervention? KQ4b. Do the harms of preventive interventions differ according to setting? KQ4c. Do the harms of preventive interventions differ according to patient characteristics?

Pressure Ulcer Risk Assessment and Prevention

Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (19 download)

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Book Synopsis Pressure Ulcer Risk Assessment and Prevention by :

Download or read book Pressure Ulcer Risk Assessment and Prevention written by and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pressure Ulcer Risk Assessment and Prevention

Author :
Publisher :
ISBN 13 : 9781842570838
Total Pages : 14 pages
Book Rating : 4.5/5 (78 download)

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Book Synopsis Pressure Ulcer Risk Assessment and Prevention by :

Download or read book Pressure Ulcer Risk Assessment and Prevention written by and published by . This book was released on 2001 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pressure Ulcer Treatment Strategies: Comparative Effectiveness

Author : U. S. Department of Health and Human Services
Publisher : CreateSpace
ISBN 13 : 9781490574592
Total Pages : 490 pages
Book Rating : 4.5/5 (745 download)

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Book Synopsis Pressure Ulcer Treatment Strategies: Comparative Effectiveness by : U. S. Department of Health and Human Services

Download or read book Pressure Ulcer Treatment Strategies: Comparative Effectiveness written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-06-29 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uninterrupted pressure exerted on the skin, soft tissue, muscle, and bone can lead to the development of localized ischemia, tissue inflammation, shearing, anoxia, and necrosis. Pressure ulcers affect up to three million adults in the U.S. Pressure ulcer healing rates—which depend on comorbidities, clinical interventions, and ulcer severity—vary considerably. Ulcer severity is assessed using a variety of different staging or grading systems, but the National Pressure Ulcer Advisory Panel (NPUAP) staging system is the most commonly used. Comorbidities predisposing toward pressure ulcer development and affecting ulcer healing include those affecting patient mobility (e.g., spinal cord injury), wound environments (e.g., incontinence), and wound healing (e.g., diabetes and vascular disease). Delayed healing can add to the length of hospitalization and impede return to full functioning. Prevalence of pressure ulcers is used as an indicator of quality for long-term care facilities, and progression of pressure ulcers in hospitalized patients is often considered an avoidable complication representing failure of inpatient management. Given the negative impact pressure ulcers have on health status and patient quality of life, as well as health care costs, treatments are needed that promote healing, shorten healing time, and minimize the risk of complications. Pressure ulcer treatment involves a variety of different approaches, including interventions to treat the conditions that give rise to pressure ulcers (support surfaces and nutritional support); interventions to protect and promote healing of the ulcer (wound dressings, topical applications, and various adjunctive therapies, including vacuum-assisted closure, ultrasound therapy, electrical stimulation, and hyperbaric oxygen therapy); and surgical repair of the ulcer. Most ulcers are treated using a combination of these approaches. The following Key Questions are the focus of our report. KQ1. In adults with pressure ulcers, what is the comparative effectiveness of treatment strategies for improved health outcomes, including but not limited to: complete wound healing, healing time, reduced wound surface area, pain, and prevention of serious complications of infection? KQ1a. Does the comparative effectiveness of treatment strategies differ according to features of the pressure ulcers, such as anatomic site or severity at baseline? KQ1b. Does the comparative effectiveness of treatment strategies differ according to patient characteristics, including but not limited to: age, race/ethnicity, body weight, specific medical comorbidities, and known risk factors for pressure ulcers, such as functional ability, nutritional status, or incontinence? KQ1c. Does the comparative effectiveness of treatment strategies differ according to patient care settings, such as home, nursing facility, or hospital, or according to features of patient care settings, including but not limited to nurse/patient staffing ratio, staff education and training in wound care, the use of wound care teams, and home caregiver support and training? KQ2. What are the harms of treatments for pressure ulcers? KQ2a. Do the harms of treatment strategies differ according to features of the pressure ulcers, such as anatomic site or severity at baseline? KQ2b. Do the harms of treatment strategies differ according to patient characteristics, including age, race/ethnicity, body weight, specific medical comorbidities, and known risk factors for pressure ulcers, such as functional ability, nutritional status, or incontinence? KQ2c. Do the harms of treatment strategies differ according to patient care settings, such as home, nursing facility, or hospital, or according to features of patient care settings, including but not limited to nurse/patient staffing ratio, staff education and training in wound care, the use of wound care teams, and home caregiver support and training?

Advances in Patient Safety

Author : Kerm Henriksen
Publisher :
ISBN 13 :
Total Pages : 526 pages
Book Rating : 4.7/5 (54 download)

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Book Synopsis Advances in Patient Safety by : Kerm Henriksen

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

Prevention and Treatment of Pressure Ulcers/injuries

Author :
Publisher :
ISBN 13 :
Total Pages : 43 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Prevention and Treatment of Pressure Ulcers/injuries by :

Download or read book Prevention and Treatment of Pressure Ulcers/injuries written by and published by . This book was released on 2019 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Science and Practice of Pressure Ulcer Management

Author : Marco Romanelli
Publisher : Springer Science & Business Media
ISBN 13 : 9781852338398
Total Pages : 256 pages
Book Rating : 4.3/5 (383 download)

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Book Synopsis Science and Practice of Pressure Ulcer Management by : Marco Romanelli

Download or read book Science and Practice of Pressure Ulcer Management written by Marco Romanelli and published by Springer Science & Business Media. This book was released on 2005-12-23 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Only comprehensive reference book on pressure ulcers and their management Only book in its field endorsed by the European Pressure Ulcer Advisory Panel, the leading European authority on pressure ulcers

Pressure Ulcers in Adults

Author :
Publisher :
ISBN 13 :
Total Pages : 22 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Pressure Ulcers in Adults by :

Download or read book Pressure Ulcers in Adults written by and published by . This book was released on 1992 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Prevention and Treatment of Pressure Ulcers

Author : National Pressure Ulcer Advisory Panel (U.S.)
Publisher :
ISBN 13 : 9780980739657
Total Pages : 308 pages
Book Rating : 4.7/5 (396 download)

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Book Synopsis Prevention and Treatment of Pressure Ulcers by : National Pressure Ulcer Advisory Panel (U.S.)

Download or read book Prevention and Treatment of Pressure Ulcers written by National Pressure Ulcer Advisory Panel (U.S.) and published by . This book was released on 2014-09-30 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Clinical Practice Guideline presents recommendations and summarizes the supporting evidence for pressure ulcer prevention and treatment. The first edition was developed as a four year collaboration between the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP). In this second edition of the guideline, the Pan Pacific Pressure Injury Alliance (PPPIA) has joined the NPUAP and EPUAP. This edition of the guideline has been developed over a two year period to provide an updated review of the research literature, extend the scope of the guideline and produce recommendations that reflect the most recent evidence. It provides a detailed analysis and discussion of available research, critical evaluation of the assumptions and knowledge in the field, recommendations for clinical practice, a description of the methodology used to develop the guideline and acknowledgements of the 113 experts formally involved in the development process.

Fragility Fracture Nursing

Author : Karen Hertz
Publisher : Springer
ISBN 13 : 3319766813
Total Pages : 169 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Fragility Fracture Nursing by : Karen Hertz

Download or read book Fragility Fracture Nursing written by Karen Hertz and published by Springer. This book was released on 2018-06-15 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Pressure Ulcer Prevention Toolkit

Author : Joint Commission Resources, Inc
Publisher :
ISBN 13 : 9781599406152
Total Pages : 0 pages
Book Rating : 4.4/5 (61 download)

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Book Synopsis Pressure Ulcer Prevention Toolkit by : Joint Commission Resources, Inc

Download or read book Pressure Ulcer Prevention Toolkit written by Joint Commission Resources, Inc and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite increased attention to the pressure ulcer problem and evidence that indicates many pressure ulcers can be avoided with proper care, pressure ulcers very common in various health care settings around the world. In response to this global health care issue, the Pressure Ulcer Prevention Toolkit and accompanying CD of tools provides practical and effective tips, strategies, forms, and illustrations for preventing and mitigating pressure ulcers. Read about theoretical and practical information needed to immediately incorporate improvements to your organization's pressure ulcer prevention initiatives or develop a new program based on the following: * Care Challenges and Prevention: Users will be able to make an informed decision and apply safer care based on informative evidence-based guidelines and recommendations for the prevention and treatment of pressure ulcers * National Patient Safety Goal and Accreditation Standards: Staff will learn how to become compliant with The Joint Commission's National Patient Safety Goal related to pressure ulcer care and Joint Commission International standards and requirements * Assessment and Reassessment: Staff will become knowledgeable on care protocols to improve assessment and reassessment methods for pressure ulcers * Sustaining Improvements: Users can create, benchmark, compare, and implement policies and procedures developed by organizations from around the world * Educational Tools: Use the accompanying CD to develop an educational training tool for staff to immediately and effectively incorporate improvements to your organization's pressure ulcer prevention activities

Wound Care

Author : Carrie Sussman
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781774444
Total Pages : 786 pages
Book Rating : 4.7/5 (744 download)

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Book Synopsis Wound Care by : Carrie Sussman

Download or read book Wound Care written by Carrie Sussman and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 786 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for health care professionals in multiple disciplines and clinical settings, this comprehensive, evidence-based wound care text provides basic and advanced information on wound healing and therapies and emphasizes clinical decision-making. The text integrates the latest scientific findings with principles of good wound care and provides a complete set of current, evidence-based practices. This edition features a new chapter on wound pain management and a chapter showing how to use negative pressure therapy on many types of hard-to-heal wounds. Technological advances covered include ultrasound for wound debridement, laser treatments, and a single-patient-use disposable device for delivering pulsed radio frequency.

The Doctor of Nursing Practice Essentials

Author : Zaccagnini
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284079708
Total Pages : 596 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis The Doctor of Nursing Practice Essentials by : Zaccagnini

Download or read book The Doctor of Nursing Practice Essentials written by Zaccagnini and published by Jones & Bartlett Publishers. This book was released on 2015-12-14 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: The newly revised Third Edition of The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing is the first text of its kind and is modeled after the eight DNP Essentials as outlined by the American Association of Colleges of Nursing (AACN). Important Notice: the digital edition of this book is missing some of the images or content found in the physical edition.

Wound Care Essentials

Author : Sharon Baranoski
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469889145
Total Pages : 1009 pages
Book Rating : 4.4/5 (698 download)

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Book Synopsis Wound Care Essentials by : Sharon Baranoski

Download or read book Wound Care Essentials written by Sharon Baranoski and published by Lippincott Williams & Wilkins. This book was released on 2015-07-29 with total page 1009 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by renowned wound care experts Sharon Baranoski and Elizabeth Ayello, in collaboration with an interdisciplinary team of experts, this handbook covers all aspects of wound assessment, treatment, and care.

Spinal Cord Medicine

Author : Denise I. Campagnolo
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451154275
Total Pages : 1899 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Spinal Cord Medicine by : Denise I. Campagnolo

Download or read book Spinal Cord Medicine written by Denise I. Campagnolo and published by Lippincott Williams & Wilkins. This book was released on 2011-12-07 with total page 1899 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord.

Evidence-Based Geriatric Nursing Protocols for Best Practice, Fifth Edition

Author : Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN
Publisher : Springer Publishing Company
ISBN 13 : 0826171672
Total Pages : 752 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Evidence-Based Geriatric Nursing Protocols for Best Practice, Fifth Edition by : Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN

Download or read book Evidence-Based Geriatric Nursing Protocols for Best Practice, Fifth Edition written by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN and published by Springer Publishing Company. This book was released on 2016-03-28 with total page 752 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles

Wound, Ostomy and Continence Nurses Society Core Curriculum: Continence Management

Author : JoAnn Ermer-Seltun
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975164547
Total Pages : 1359 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Wound, Ostomy and Continence Nurses Society Core Curriculum: Continence Management by : JoAnn Ermer-Seltun

Download or read book Wound, Ostomy and Continence Nurses Society Core Curriculum: Continence Management written by JoAnn Ermer-Seltun and published by Lippincott Williams & Wilkins. This book was released on 2021-03-04 with total page 1359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on the curriculum blueprint of the Wound, Ostomy, and Continence Nursing Education Programs (WOCNEP) and approved by the Wound, Ostomy, and Continence Nurses SocietyTM (WOCN®), this practical text for continence care is your perfect source for expert guidance, training and wound, ostomy and continence (WOC) certification exam preparation. Full of expert advice, fundamental principles and vital clinical skills on continence care, Core Curriculum Continence Management, 2nd Edition is one of the few nursing texts to cover this practice area in detail.