Pressure Ulcers in Long-Term Care

White-Chu, E. Foy; Flock, Petra; Struck, Bryan D.; Aronson, Louise

doi:10.1016/j.cger.2011.02.001

Cited by 71 publications

(51 citation statements)

References 49 publications

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“…Medical condition and functional status measures included impairment groups; selected comorbidities known to be related to risk for pressure ulcer (dementia, diabetes, and peripheral vascular disease) 5,15 ; and CMS comorbidity tier, wheelchair use, and cognition and motor function at IRF admission. Medical condition and functional status measures included impairment groups; selected comorbidities known to be related to risk for pressure ulcer (dementia, diabetes, and peripheral vascular disease) 5,15 ; and CMS comorbidity tier, wheelchair use, and cognition and motor function at IRF admission.…”

Section: Discussionmentioning

confidence: 99%

Impact of Pressure Ulcers on Outcomes in Inpatient Rehabilitation Facilities

Wang

Niewczyk

DiVita

et al. 2014

American Journal of Physical Medicine &Amp; Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Impact of Pressure Ulcers on Outcomes in Inpatient Rehabilitation Facilities

Wang

Niewczyk

DiVita

et al. 2014

American Journal of Physical Medicine &Amp; Rehabilitation

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“…29 Active pressure sores can lead to infections and worsen the general condition of these patients. 30 The routine use of tube feeding in advanced dementia remains controversial, and there are no data to show that it improves survival. 31 Urinary catheterization is related to the development of urinary tract infection, and associated with greater mortality, especially in advanced age.…”

Section: Discussionmentioning

confidence: 99%

Mortality and health services utilisation among older people with advanced cognitive impairment living in residential care homes

Luk¹,

Chan²,

Ng³

et al. 2013

Hong Kong Med J

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Objectives To study the demography, clinical characteristics, service utilisation, mortality, and predictors of mortality in older residential care home residents with advanced cognitive impairment.Design Cohort longitudinal study. Setting ConclusionResidents of residential care homes for the elderly with advanced cognitive impairment were frail, exhibited multiple comorbidities and high mortality. They were frequent users of outpatient, emergency, and in-patient services. The development of end-of-life care services in residential care homes for the elderly is an important need for this group of elderly.

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“…DTI lesions can progress rapidly and can be difficult to manage if not recognized early, causing increased morbidity and mortality among pressure ulcer patients. The costs to individuals and to society of pressure injuries increased substantially, from $2.2 to $3.6 billion per year in 1999 to more than $11 billion in 2011 [1,2]. The difficulty with early detection of DTI lesions is that they are poorly visible until substantial soft tissue damage has occurred.…”

Section: Introductionmentioning

confidence: 99%

Heat transfer model for deep tissue injury: a step towards an early thermographic diagnostic capability

2014

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BackgroundDeep tissue injury (DTI) is a class of serious lesions which develop in the deep tissue layers as a result of sustained tissue loading or pressure-induced ischemic injury. DTI lesions often do not become visible on the skin surface until the injury reaches an advanced stage, making their early detection a challenging task.TheoryEarly diagnosis leading to early treatment mitigates the progression of the lesion and remains one of the priorities in clinical care. The aim of the study is to relate changes in tissue temperature with key physiological changes occurring at the tissue level to develop criteria for the detection of incipient DTIs.MethodSkin surface temperature distributions of the damaged tissue were analyzed using a multilayer tissue model. Thermal response of the skin surface to a cooling stress, was computed for deep tissue inflammation and deep tissue ischemia, and then compared with computed skin temperature of healthy tissue.ResultsFor a deep lesion situated in muscle and fat layers, measurable skin temperature differences were observed within the first five minutes of thermal recovery period including temperature increases between 0.25°C to 0.9°C during inflammation and temperature decreases between −0.2°C to −0.5°C during ischemia.ConclusionsThe computational thermal models can explain previously published thermographic findings related to DTIs and pressure ulcers. It is concluded that infrared thermography can be used as an objective, non-invasive and quantitative means of early DTI diagnosis.Virtual slidesThe virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1461254346108378.

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Pressure Ulcers in Long-Term Care

Cited by 71 publications

References 49 publications

Impact of Pressure Ulcers on Outcomes in Inpatient Rehabilitation Facilities

Impact of Pressure Ulcers on Outcomes in Inpatient Rehabilitation Facilities

Mortality and health services utilisation among older people with advanced cognitive impairment living in residential care homes

Heat transfer model for deep tissue injury: a step towards an early thermographic diagnostic capability

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