Impact of Pressure Ulcers on Therapeutic Outcomes in Inpatient Physiotherapy Services

Shinde, Sandeep; Varadharajulu, G.

doi:10.14260/jemds/2020/476

Cited by 6 publications

(5 citation statements)

References 11 publications

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“…The current study discovered that improved sensory perception may lower the likelihood of open wound PU in patients as it was discovered that group I had a value of 3.46 ±0.72 and group II had a value of 3.08±1.06, with a significant difference between the groups (p 0.001). It can be assumed that people with neurological diseases have an increased risk of developing open wound pressure ulcers due to a loss in sensory perception (17).…”

Section: Discussionmentioning

confidence: 99%

Association of Braden scale and subscale scores of patients with and without open wound pressure ulcers

Sharif¹,

Raza

Naqvi

et al. 2023

ijhs

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Background: PU is caused by physical elements such as shearing forces, friction, and dampness. Long periods of sitting or lying in the same position without moving can cause ischemia and necrosis of the skin and underlying tissues in patients with neurological problems. Schizophrenia, severe depression, and other serious mental illnesses, as well as any hygienic neglect and the older age group, between 60 and 80 years, also enhance the risk of PU development. Objective: To identify the association of braden scale with the development of open wound PU among patients who were hospitalized with neurological disorders at a private tertiary care hospital in Karachi, Pakistan. Methodology: According to calculated sample size 93 people from Pakistan's Murshid Hospital and Healthcare Centre (MHHCC) were enrolled in the study using a cross-sectional analytical study design. An organized questionnaire was used to collect the demographic data and braden scale was used associate the findings. SPSS 21 was used to analyze the data and the Chi-Square test was applied to find the association. Results: . Patients in group I had an average age of 54.27±17.49 years. It was 52.23±19.77 years in group II, with no statistically significant difference between the groups (p = 0.47).

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Section: Discussionmentioning

confidence: 99%

Association of Braden scale and subscale scores of patients with and without open wound pressure ulcers

Sharif¹,

Raza

Naqvi

et al. 2023

ijhs

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“…Deconditioning has significant implications related to the quality of life, dignity, and mortality but also in the number of occupied hospital beds and in reducing health care-associated unintended harms. [3] All members of the staff including receptionists, therapists, porters, health-care assistants, nurses, doctors, and others have an important role in patient care and therefore in preventing deconditioning. The present challenge is in the implementation and creation of new and also effective strategies to prevent deconditioning in hospitals and care homes.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Prevalence in older hospitalized patients is estimated to be up to 95% of their time in bed or chair, during their hospitalization. [3] Deconditioning can often start within the 1 st day of hospitalization and possibly while patients are still on a trolley in the emergency department and interventions such as intravenous infusion, catheterization, nasogastric tube, bed rails, nasogastric tube, and gravitational edema causing peripheral neuropathy [2] may precipitate deconditioning even sooner. Deconditioning syndrome, an effect of lack of mobility, is, therefore, a complex physiological process that results in a multisystem decline in function.…”

Section: Introductionmentioning

confidence: 99%

“…This concept can result in a significant decline in bone mass, muscle mass, and durability as well as demotivation, difficulty in swallowing, confusion, and increased dependence on others. [3] Physiological effects of bed rest are, within 24 h, there is a reduced muscle power by 2-5% and also reduced circulatory volume by up to 5%. During the first 7 days, there is reduction in 25% of circulatory volume, 8-15% of VO2 max, 5-10% of muscle strength, and 15-30% of functional residual capacity and also the skin integrity, dignity, self-confidence, independence, choice, and quality are majorly affected.…”

Section: Introductionmentioning

confidence: 99%

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Effect of reconditioning exercises program on hospital-acquired deconditioning in elderly hospitalized patients

Shinde

Bhore

2022

AUJMSR

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Objectives: The objectives of the study were as follows: 1. To determine the effect of reconditioning exercise program on hospital-acquired deconditioning in elderly hospitalized patients. 2. To compare the conventional therapy and reconditioning exercise program training on the hospital-acquired deconditioning in elderly hospitalized patients. Materials and Methods: Thirty-two elderly hospitalized patients from the inpatient hospital setup were randomly allocated into two groups. Group A received conventional therapy and Group B received reconditioning exercise program. Outcome assessment was done using the visual analog scale, manual muscle testing, spirometry, and range of motion. Later, both the protocols were implemented 5 times a week for a total period of 4 weeks, that is, a total of 20 sessions. Results: Statistically significance was found to be present in Group B in terms of pain (P < 0.0001), respiratory capacities (P = 0.033), muscle strength (P = 0.025), and joint range of motion (P = 0.027). Conclusion: Reconditioning program shows significant improvement and is also beneficial in the reduction of pain, improving muscle strength and range of motion, and also in increasing lung capacities in hospital-acquired deconditioning in hospitalized elderly patients.

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“…In addition, PU forces physiotherapists to modify the treatment program and even interrupts the physiotherapy program. 9 Physiotherapists are actively involved in PU prevention approaches and treatment, such as patient positioning, mobilisation, transfer activities, and utilisation of protective equipment in sitting and lying positions. 10 International guidelines mention that PU prevention and treatment should be multidisciplinary teamwork.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapists' knowledge on pressure ulcer prevention

Özcan

Karaali

2022

International Wound Journal

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Pressure ulcers can develop in bedridden or immobile patients which physiotherapists frequently encounter. Although physiotherapists receive training for preventing pressure ulcers, there is limited evidence of physiotherapists' knowledge level. Our study evaluated physiotherapists' pressure ulcer prevention knowledge. The level of knowledge for pressure ulcer prevention was inquired with the Turkish version of the Pressure Ulcer Prevention Knowledge Assessment Instrument (PUPKAI-T). Two hundred and sixty-five physiotherapists participated in our study. The median PUPKAI-T total score ranged from 8 to 21. Only two physiotherapists (0.8%) got good points from the questionnaire. The highest score was Nutrition (Theme 4; 59.2%), and the lowest score belonged to the contact preventive interventions that reduce pressure/shearing (Theme 5; 26.7%). The question with the lowest success rate was the positioning question of Theme 5 (Question 2; 12.5%). In our study, physiotherapists' pressure ulcer prevention knowledge was evaluated with a relatively high number of participants compared to the literature. These results brought to mind that training programs that specifically emphasise techniques to prevent pressure ulcers and positioning manoeuvres to be organised increase the knowledge level of physiotherapists.knowledge, physiotherapist, pressure ulcer prevention Key Messages• physiotherapists had poor knowledge of pressure injury prevention in Turkey • only 0.8% of physiotherapists had sufficient total knowledge score about pressure ulcer prevention • the positioning questions was the lowest success rate • a positive correlation was found between physiotherapists' educational level and total knowledge score

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Impact of Pressure Ulcers on Therapeutic Outcomes in Inpatient Physiotherapy Services

Cited by 6 publications

References 11 publications

Association of Braden scale and subscale scores of patients with and without open wound pressure ulcers

Association of Braden scale and subscale scores of patients with and without open wound pressure ulcers

Effect of reconditioning exercises program on hospital-acquired deconditioning in elderly hospitalized patients

Physiotherapists' knowledge on pressure ulcer prevention

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