Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
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J Wound Ostomy Continence Nurs · May 2012
Comparative StudyAll at-risk patients are not created equal: analysis of Braden pressure ulcer risk scores to identify specific risks.
To improve identification of risk factors for pressure ulcer development and enhance targeted interventions and prevention strategies. ⋯ The total Braden Scale score is predictive of pressure ulcer development but does not assist the clinician to develop an individualized targeted prevention plan. In contrast, the use of subscale scores can enhance prevention programs and resource utilization by focusing care on the risk factors specific to the individual patient.
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J Wound Ostomy Continence Nurs · May 2012
Randomized Controlled Trial Comparative StudyDo patient and nurse outcome differences exist between 2 negative pressure wound therapy systems?
We prospectively compared the effectiveness of foam- and gauze-based negative pressure wound therapy (NPWT) systems on wound healing, pain, cost, and hospital length of stay. We also compare ease of use and time in performing dressing changes reported by nurses. ⋯ In a pilot study comparing the effectiveness of foam- and gauze-based NPWT systems, no statistically significant differences were found in patient wound healing, pain, length of stay, or cost of wound care. Nursing time and perceptions about the ease of preparing and completing dressing changes did not differ between systems. Additional research is needed to more definitively determine any differences in wound healing or nurse satisfaction using gauze- versus foam-based NPWT systems.
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J Wound Ostomy Continence Nurs · May 2012
Comparative StudyPressure ulcer incidence and progression in critically ill subjects: influence of low air loss mattress versus a powered air pressure redistribution mattress.
The primary objective of this study was to compare facility-acquired pressure ulcer incidence and progression of pressure ulcers present on admission in critically ill patients, using 2 different support surfaces. ⋯ Critically ill subjects placed on low air loss beds with microclimate management in surgical ICUs had a lower pressure ulcer incidence than those placed on integrated powered air pressure redistribution beds. The clinical performance of the IP-AR surfaces may have been influenced by their age.
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J Wound Ostomy Continence Nurs · May 2012
Comparative StudyNever say never: a descriptive study of hospital-acquired pressure ulcers in a hospital setting.
The purposes of this study were to describe the characteristics of patients who experienced hospital-acquired pressure ulcers (HAPUs); explore risk factors with these patients, including comorbid conditions; and describe risk-reduction measures in patients who developed HAPUs. ⋯ Current risk assessment methods do not assess organ failures and the effect of multiple comorbid associated with HAPU occurrence. Current risk prevention methods may not be sufficient to prevent HAPUs in all patients.