This essay presents a rapid appraisal of articles about the pressure ulcer. The writer of this essay aims to address a two-fold objective to wit: to summarize the articles; and to identify the research elements such as design, methods, population, strengths, and limitations…
The study of Kordestani et al. (2008) aimed to compare the wound healing rate and incidence of infection in wounds treated with either bioactive dressing (dressing with hydrophilic mucopolysaccharide, chitosan) or conservative treatment (gauze) (p. 323). Data were collected from 85 patients with diabetic ulcers but due to attrition, only 54 patients were analyzed. The result of the study found out that a statistically significant difference (p<0.001) between the gauze and bioactive dressing groups exist as for the number of healed pressure ulcers (p<0.05), indicating that the use of a moist bioactive wound dressing increased the healing rate and saved costs more than the traditional dressings used in the hospitals.The design of the study is quantitative,randomised controlled trial where methods such as exclusion criteria, randomisation, blinding, intervention in the treatment group and standard wound care in the control group, debridement, use of National Pressure Ulcer Advisory Panel (NPUAP) classification scale for pressure ulcers, Wagner scale for diabetic foot ulcers, and use of analysis of variance (ANOVA) and chi-square testing the data analysis were employed in the study. The study population included 1200 inpatients from five major teaching hospitals in Tehran, 85 of which were randomized to the treatment and control group. The strengths of the study include demonstration that the use of a moist bioactive wound dressing decreased the length of hospital stay and costs, avoided the need for grafting or a flap, reduced need for antibiotics and surgical debridement, and fewer amputation whereas limitations include difference in size between the two groups, the short study period, inadequate blinding and the large drop-out rate in the follow-up period.The study of Lindgren et al. (2005) aims to identify risk factors associated with pressure ulcer development among a mixed group of adult patients undergoing surgery (p. 605). Predictors of pressure ulcers in non-surgical patients such as low serum albumin level, low body mass index (BMI), and low blood pressure were also employed in patients undergoing surgery. ...
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Depending on the nature of the pressure ulcer, common treatments include relieving pressure, restoring circulation, and resolution or management of related disorders. However, prevention still remains as the most potent intervention which significantly reduces the chances of undergoing excruciating long-term therapy.
254). The “bony prominence” areas where pressure ulcers usually form are the sacrum, coccyx, hips and heels. Older people have a tendency to develop pressure ulcers because skin constitution changes as one gets older becoming thinner with less collagen and with diminished capability to protect itself from the bacteria and the environment.
National Institute for Health and Clinical Excellence (NICE) guidelines is a part of National Health Society (NHS) in England and Wales which sets the guidelines on how to prevent or treat pressure ulcers. Similarly, there are several other reference clinical guidelines in other states that help assess the risk of developing pressure ulcers, diagnosis, treatment, care and self-help or a combination of all these practices.
Braden scale evaluates the level of risk for getting pressure ulcers and those discovered to have or at risk of developing the ulcers are given preventive care. According to Braden (2009), the Braden scale consists of six subscales/areas that can be completed in one minute.
Rapid Appraisal of Articles Kordestani, S. et al. (2008). A randomised controlled trial on the effectiveness of an advanced wound dressing used in Iran. Journal of Wound Care, 17(7): 323-327. The study of Kordestani et al. (2008) aimed to compare the wound healing rate and incidence of infection in wounds treated with either bioactive dressing (dressing with hydrophilic mucopolysaccharide, chitosan) or conservative treatment (gauze) (p.
Rapid Appraisal Moore, Z.E.H. & Cowman, S. (2010). Risk assessment tools for the prevention of pressure ulcers (Review). The Cochrane Collaboration, 12: 1-25. Moore & Cowman (2010) stated that the risk assessment tool is a routine part of assessing individual risk for developing pressure ulcer (p.
So, there are various topics related to the work and placement of a nurse varying from department to department. However, there are some topics that have wider implications and serious challenges related
Moore & Cowman (2010) stated that the risk assessment tool is a routine part of assessing individual risk for developing the pressure ulcer. The study aimed to determine whether using structured, systematic pressure risk assessment tools reduces the incidence of pressure ulcers in any healthcare setting.
Pressure ulcers results from pressure with a combination of friction and shear effects on the areas discussed. When pressure is applied on the soft tissues of the body, it obstructs blood flow on the soft tissues. Shear effects then