Factors Affecting Wound Healing in Individuals With Pressure Ulcers: A Retrospective Study

Karahan, Azıze; AAbbasoğlu, Aysel; Işık, Sevcan Avcı; Çevik, Banu; Saltan, Çiğdem; Elbaş, Nalân Özhan; Yalılı, Ayşe

doi:10.25270/owm.2018.2.3239

Cited by 55 publications

(59 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The onset of PI is the result of prolonged pressure on an area of the patient's body, decreasing blood flow, minimizing the distribution of blood, nutrients and oxygen in this area and triggering tissue destruction and death as the soft tissue is compressed between a prominence bone and a hard surface over an extended period of time (2)(3)(4) .…”

Section: Terms Of Specialized Nursing Language For People With Pressumentioning

confidence: 99%

“…Despite the advances in hard technologies that minimize or tend to prevent or mitigate PI, a high incidence of these injuries was detected. The study highlights incidence of 23.1 to 59.5%, especially in patients admitted to Intensive Care Units (ICU), given that in this setting, the appearance of PI is associated as one of the main skin related iatrogenies (2) .…”

Section: Terms Of Specialized Nursing Language For People With Pressumentioning

confidence: 99%

“…This can cause additional complications, such as the patient's self-image impairment and self-esteem, as well as causing pain, suffering and constituting a gateway to infection, making it difficult to recover and increasing the length of hospital stay and, consequently, costs for health services (2) .…”

Section: Introductionmentioning

confidence: 99%

“…The former are related to advanced age, immobility, nutritional status, anemia, infection, incontinence and skin sensitivity. While the latter refer to shear, moisture, poor hygiene, lack of change of decubitus, use of orthopedic tools, improperly fixed probes, incorrect use of physical and chemical agents, types of mattresses and inadequate seating (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Terms of specialized nursing language for people with pressure injury

et al. 2019

View full text Add to dashboard Cite

Objective: to validate the terms of the specialized nursing language used in care for hospitalized patients with Pressure Injury, identified in nurses’ records, mapping them with the terms of the International Classification for Nursing Practice (ICNP® 2017). Methods: methodological study, carried out at a School Hospital in 2018. It was performed: extraction of terms of medical records; normalization; cross-mapping between extracted terms and those in ICNP®; distribution in the seven axes; theoretical definition and validation of terms. Results: 27,756 terms were extracted. The normalization resulted in 370 relevant terms, being: 225 listed and 145 not listed in the ICNP®, being 60 similar, 13 more comprehensive, 38 more restricted and 34 without agreement, all of which are validated. Conclusion: this study identified and validated terms used by nurses to assist people with Pressure Injury. These may contribute to the unification of professional nursing language in care for these clients.

show abstract

Section: Terms Of Specialized Nursing Language For People With Pressumentioning

confidence: 99%

Section: Terms Of Specialized Nursing Language For People With Pressumentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Terms of specialized nursing language for people with pressure injury

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The BWAT has also been used by investigators to specifically profile wounds. For example, Paul used the BWAT to assess characteristics of wounds that itch and others have used the BWAT to examine characteristics of recurrent PrI …”

mentioning

confidence: 99%

Reliability of the Bates‐Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study

Bates‐Jensen

McCreath

Harputlu

et al. 2019

Wound Repair Regeneration

View full text Add to dashboard Cite

The Bates‐Jensen Wound Assessment Tool (BWAT) is used to assess wound healing in clinical practice. The purpose of this study was to evaluate BWAT use among nursing home residents with pressure injury. Findings and reliability estimates from the BWAT related to pressure injury characteristics (stage, anatomic location) and natural history (resolved, persisted) among 142 ethnically and racially diverse residents are reported. In this prospective 16‐week study, 305 pressure injuries among 142 participants (34% prevalence) are described by stage, anatomic location, and BWAT scores. Visual and subepidermal moisture assessments were obtained from sacrum, buttock, ischial, and heel ulcers weekly. Participants were 14% Asian, 28% Black, 18% Hispanic, 40% White with a mean age of 78 ± 14 years, and were 62% female; 80% functionally dependent (bed mobility extensive/total assistance) and at risk (Braden Scale score 14 ± 2.7). The reliability coefficient for BWAT score (all participants, all anatomic locations) was high (r = 0.90; p < 0.0001; n = 1,161 observations). Weighted Kappas for characteristics ranging from 0.46 (skin color surrounding wound) to 0.79 (undermining) were consistent for all participants. BWAT scores showed strongest agreement coefficients for stage 4 pressure injury (r = 0.69), pressure injuries among Asian and White ethnicity/racial groups (r = 0.89, and r = 0.91, respectively), and sacrum anatomic location (r = 0.92) indicating scores are better correlated to fair skin tones. Lower agreement coefficients were demonstrated for stage 2 pressure injury (r = 0.38) and pressure injuries among African American and Hispanic ethnicity/racial groups (r = 0.88 and 0.87, respectively). BWAT scores were significantly different by pressure injury stage (F = 496.7, df = 6, p < 0.001) and anatomic location (F = 33.76, df = 8, p < 0.001). BWAT score correlated with pressure injury natural history (ulcer resolved 18.4 ± 7.4, ulcer persisted 24.9 ± 10.0; F = 70.11, df = 2, p < 0.001), but not with comorbidities. The BWAT provides reliable, objective data for assessing pressure injury healing progress.

show abstract

Preventive care for individuals with deep pressure ulcers in Sweden living at home: A cross‐sectional study

Bååth,

Carlsson,

Larsson

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

Background and AimsSeveral factors exist regarding the risk for, healing and prevention of pressure ulcers (PUs). A mobile PU team with an individualized holistic approach adapted to the home or outpatient clinic setting could be beneficial for the prevention, and management of PUs.AimsTo describe the mobile PU team's interventions among individuals who had deep PUs and were living at home. Another aim was to describe the patients' perceptions of the quality of the care and having a deep PU.MethodsA quantitative study with a cross‐sectional design. At an outpatient clinic, a mobile PU team was established to perform and follow up PU prevention interventions and advanced wound care treatment at home and at the outpatient clinic. All adult patients with existing deep category four PUs remitted to the outpatient clinic were asked to participate, and 16 out of 24 individuals consented. Instruments used for data collection were “Quality from the Patient's Perspective,” “Wound‐Quality of Life,” “Modified Norton Scale,” and a study developed protocol for the mobile team's PU interventions.ResultsThe patients chose home visits 20 times and outpatient clinic visits 89 times. In total, 8–13 interventions per participant were performed by the mobile team. The results show that having PUs affected the participants' perceptions of care and general well‐being. The PUs did not heal completely but they did improve, six patients underwent flap surgery.ConclusionWhen organizing care regarding patient safety for patients with deep PUs, it is important to consider the patient's perspective and well‐being and to involve patients in their care plans. Home care is perhaps not the only way of caring; other aspects, in addition to telemedicine, could be an option.

show abstract

Factors Affecting Wound Healing in Individuals With Pressure Ulcers: A Retrospective Study

Cited by 55 publications

References 0 publications

Terms of specialized nursing language for people with pressure injury

Terms of specialized nursing language for people with pressure injury

Reliability of the Bates‐Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study

Preventive care for individuals with deep pressure ulcers in Sweden living at home: A cross‐sectional study

Contact Info

Product

Resources

About