Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.

Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury.

Risk factors and acute in-hospital costs for infected pressure ulcers among gunshot-spinal cord injury victims in southeastern Michigan.

Background: Management of pressure ulcers (PrUs) in patients with gunshot-spinal cord injuries (SCIs) presents unique medical and economic challenges for practitioners.

Methods: A retrospective chart review was conducted at 3 acute care hospitals in metropolitan Detroit for patients admitted with PrUs due to gunshot-SCIs between January 2004 and December 2008. Multivariate analysis using logistic regression was conducted to choose for the independent predictors of infected PrUs.

Understanding critical limb ischemia.

Find out how to halt this progression of peripheral arterial disease before it jeopardizes life and limb.

Discharge knowledge and concerns of patients going home with a wound.

Purpose: To examine patients' wound care knowledge and concerns prior to discharge from an acute care hospital.

Design: Comparative descriptive study of patients with wounds.

Setting And Subjects: Participants (N = 76) included 17 men and 59 women who were African American (n = 33, 43.

A contemporary approach to peripheral arterial disease.

Peripheral arterial disease is often overlooked by primary care providers because early physical findings are subtle and patients may not complain of symptoms until it is in its advanced stages.

Bariatric surgery: patient incision care and discharge concerns.

Because it provides greater and more durable weight reduction than behavioral and pharmacological interventions for the morbidly obese, the number of bariatric surgeries is increasing - one such procedure is the Roux-en-Y gastric bypass. A cross-sectional study was conducted to examine incision care knowledge and discharge concerns of patients who had undergone this type of gastric bypass bariatric surgery. Participants (N = 31; 28 women, three men; mean age 45 years), recruited from a bariatric surgery center in a large, urban teaching hospital, had undergone a Roux-en-Y gastric bypass by either the open (n = 29) or laparoscopic (n = 2) method.

Step up care for diabetic foot.

Nurses are integral to helping patients preventa common diabetes complication that threatens life and limb.

Discharge information needs of patients after surgery.

Patients who have undergone surgical procedures often have self-care concerns in their preparation for discharge from the hospital. This article examines the research literature about information needs of postoperative patients prior to their discharge. The most common concerns were the incision/wound care, pain management, activity level, monitoring for complications, symptom management, elimination, and quality of life.

Computer-based testing of the Braden Scale for Predicting Pressure Sore Risk.

The Detroit Medical Center nursing documentation system requires all staff nurses to complete the Braden Scale for Predicting Pressure Sore Risk on an Acute Care Flow Record or Critical Care Flow Sheet on every patient, every day. An audit of these records raised concern as to whether staff nurses accurately used the Braden Scale to calculate pressure sore risk. Advanced Practice and ET Nurses noted that staff nurses were rating patients at lower levels of pressure sore risk than was warranted by the patient condition.

Lower extremity arterial and venous ulcers.

The prevalence of peripheral arterial disease in the general population is high, but the awareness of primary care providers of the disease process is low. The disease is not recognized by primary care providers. Early recognition and treatment of venous diseases that progress to postphlebotic syndrome, such as after a deep vein thrombosis, will prevent venous ulcers that add considerable expense to the health care system.

Venous disorders: overview of current practice.

Venous disease often is overlooked until the problems it causes become severe. When patients present with concomitant diseases or disorders, those disorders may take priority both in the patient's mind and the caregiver's. Fortunately, there has been an increasing interest in the diagnoses and treatment of venous disorders and with this is a renewed interest in early diagnosis of venous problems and identification of individuals at risk for venous problems.

Current concepts in lymphedema management.

Purpose: To provide physicians and nurses with an overview of the pathophysiology, assessment and diagnosis, and treatment of lymphedema.

Target Audience: This continuing education activity is intended for physicians and nurses with an interest in managing patients with lymphedema.

Objectives: After reading the article and taking the test, the participant will be able to: 1.

Recognizing and managing venous leg ulcers.

Purpose: To provide physicians and nurses with an overview of the pathophysiology, assessment, diagnosis, and treatment of venous insufficiency and ulceration.

Target Audience: This continuing education activity is intended for physicians and nurses with an interest in managing patients with venous insufficiency and ulceration.

Objectives: After reading the article and taking the test, the participant will be able to: describe the anatomy, physiology, and pathophysiology of the lower extremity venous system; describe the assessment and diagnosis of venous insufficiency and ulceration; identify treatment options and teaching considerations for patients with venous insufficiency and ulceration.

Arterial insufficiency and ulceration: diagnosis and treatment options.

Purpose: To provide physicians and nurses with an overview of the pathophysiology, assessment, diagnosis, and treatment of arterial insufficiency and ulceration.

Target Audience: This continuing education activity is intended for physicians and nurses with an interest in managing patients with arterial insufficiency and ulceration.

Objectives: After reading the article and taking the test, the participant will be able to: 1.