Acquired pressure ulcer is associated with significant human, economic and functional consequences. Its prevalence varies between 3 and 23% in a community hospital and between 7 and 54% in an elderly home residency. Pressure ulcer healing is a complex process which involves numerous cellular and molecular mechanisms. An altered nutritional status is a contributing factor in the development of pressure ulcers and the delay in pressure ulcer healing. The key to management of undernutrition is screening and early intervention. According to the gravity of undernutrition, various degrees of intervention will be required. Systematic oral supplementation with various nutrients may provide benefit in the prevention of pressure ulcers, but further studies have to be completed in human subjects prior to being recommended for the treatment of pressure ulcers.
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http://dx.doi.org/10.1024/1661-8157.97.5.261 | DOI Listing |
Nurs Crit Care
March 2025
Gulhane Faculty of Nursing, Department of Fundamentals of Nursing, University of Health Sciences, Ankara, Turkey.
Background: In intensive care units (ICUs), endotracheal tubes (ETTs) cause injury to the oral mucosa through friction and pressure. The incidence and risk factors of oral mucosal pressure injuries (PIs) have gained increasing attention in recent years.
Aim: The study aimed to identify risk factors for oral mucosal PIs associated with ETTs.
Nurs Inq
April 2025
Faculty of Nursing, Koc University, Istanbul, Turkey.
This systematic review aims to develop a conceptual framework to identify nursing-sensitive indicators for preventing and managing pressure ulcers. The first step involves defining evidence-based indicators critical to effective prevention and management. The second step examines the relationships influencing the management of these indicators, using insights derived from scientific research findings.
View Article and Find Full Text PDFWorld J Gastroenterol
February 2025
Department of Neurosurgery, University of Flordia, Gainesville, FL 32608, United States.
Neurosurgical patients, including those with severe traumatic brain injury, spinal cord injury, stroke, or raised intracranial pressure, are at heightened risk for stress ulcers and aspiration pneumonitis, leading to significant morbidity and mortality. These patients are typically managed through both pharmacological interventions [, proton pump inhibitors (PPIs), histamine 2 (H2) antagonists, sucralfate] and non-pharmacological measures (, nasogastric decompression, patient positioning) to mitigate adverse outcomes. The pathogenesis of stress ulcers in neurosurgical patients is multifactorial, but the routine use of stress ulcer prophylaxis remains controversial.
View Article and Find Full Text PDFJ Clin Nurs
March 2025
Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou City, Gansu Province, China.
Aim: To evaluate the accuracy of different pressure injury risk assessment tools in paediatrics and identify risk assessment tools with the best predictive performance.
Design: A systematic review and network meta-analysis.
Methods: Eight electronic databases, including PubMed, Embase, Web of Science, Cochrane Library, China Knowledge Resource Integrated Database, Weipu Database, Wanfang Database and Chinese Biomedical Database were comprehensively searched.
J Vasc Nurs
March 2025
University of Maryland Medical Center, Division of Vascular Surgery, USA.
Introduction: Chronic venous insufficiency (CVI) is a complex condition characterized by venous hypertension that can cause pain, swelling, edema, skin changes, or ulcerations of the leg, involving either the deep or superficial venous system. Venous ulcerations result from elevated ambulatory venous pressure or venous hypertension, leading to limb edema. The mainstay of treatment for this edema has been and continues to be compression therapy.
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