Pediatric Kennedy Terminal Ulcer

Reitz, Megan; Schindler, Christine A.

doi:10.1016/j.pedhc.2015.12.001

Cited by 12 publications

(37 citation statements)

References 7 publications

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“…Since then, there has been on average 1 new KTU publication per year, with an average of 5 new sources per year over a 6-year period (2010-2016). Most of the sources (n = 26 [81.3%]) originated from the United States [1][2][3][4][5]8,16,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] and were authored by nurses (n = 22 [69%]).…”

Section: Publication Characteristicsmentioning

confidence: 99%

“…Across the 10 KTU research studies, 878 participants were recruited, 1,5,8,19,26,30,[32][33][34][35] which included patients and nurses, with sample sizes ranging from 1 to 469. Apart from 1 pediatric (5-month-old) participant, 32 the remaining recruited participants were aged between 15 and 104 years. Only 1 study explored nurses' perceptions (n = 13) of caring for patients with end-of-life wounds, including KTU.…”

Section: Publication Characteristicsmentioning

confidence: 99%

“…These KTU research studies were conducted in hospices (n = 3 [27.3%]), 5,8,30 long-term care facilities (n = 2 [18.2%]), 34,35 the community (n = 1 [9.1%]), 26 an intermediate care facility (n = 1 [9.1%]), 1 acute care (n = 1 [9.1%]), 33 palliative care (n = 1 [9.1%]), 19 and a pediatric unit (n = 1 [9.1%]). 32 A 2012 study of 80 participants undertaken by Trombley et al 20 is included in this scoping review because the article contained general KTU information. A new phenomenon named Trombley-Brennan terminal tissue injuries (TB-TTIs) is described, which the authors assert is different from KTU.…”

Section: Publication Characteristicsmentioning

confidence: 99%

“…Ten sources, mostly case studies, outlined KTU prevalence data, 1,5,19,21,26,30,[32][33][34][35] with some suggesting hospice patients are most at risk. 5,7,8,21,26,28,30 Kennedy terminal ulcers are underrecognized in the pediatric population, with unknown prevalence data and only 1 published case study available.…”

Section: Prevalence Of Ktusmentioning

confidence: 99%

“…5,7,8,21,26,28,30 Kennedy terminal ulcers are underrecognized in the pediatric population, with unknown prevalence data and only 1 published case study available. 32 Between 1989 and 2016, 3 observational studies with a total of 854 participants reported adult KTU prevalence data. 1,5,19 The seminal KTU work published by Kennedy 1 in 1989 was a 5-year (1983)(1984)(1985)(1986)(1987)(1988) retrospective study of 469 adult patients, reporting that 55.7% of intermediate care participants (those needing ongoing medical and nursing care such as rehabilitation) died within 6 weeks of developing a PI.…”

Section: Prevalence Of Ktusmentioning

confidence: 99%

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Kennedy Terminal Ulcers

Latimer

Shaw

Hunt

et al. 2019

J Hosp Palliat Nurs

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Kennedy terminal ulcers, a subset of pressure injuries, are associated with the dying process. This scoping review aimed to identify and map the published literature on Kennedy terminal ulcers in terms of its definition, prevalence, assessment, treatment, management, health care costs, and quality of life for patients in all health care settings. Using the Arksey and O'Malley scoping review framework, we systematically searched the Cochrane Library, CINAHL, EMBASE, MEDLINE, and ProQuest databases and 5 guideline repositories between 1983 and 2018. The following search terms were used: Kennedy ulcers, Kennedy terminal ulcers, terminal ulcer, skin failure, and Skin Changes at Life's End. Data were extracted using a purposely developed data collection tool. Initial searches yielded 2997 sources, with 32 included in this review. Most Kennedy terminal ulcer literature was published by nurses in the United States. Kennedy terminal ulcer prevalence data are limited, with no validated assessment tools available. Kennedy terminal ulcers may be misclassified as pressure injuries, potentially resulting in financial penalties to the institution. This scoping review revealed significant knowledge and clinical practice gaps in patient assessment, management, and treatment of Kennedy terminal ulcers. Timely patient education may help them to make informed care and quality end-of-life decisions. Further research is needed to inform clinical practice to improve patient care.

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