Bedsore is a global problem concerning the bedridden, infirm, debilitated and malnourished patients in hospitals and community setups. The cost of treatment is enormous involving billions of dollars to nations and individuals. Mortality increases two to six times if bedsores are present. There is little research done despite its commonness to understand how they occur or why they occur; etiology is not much understood. The two theories called 'top to bottom' and 'bottom to top' contradict each other. It is thought that 'pressure', shear-stress' and 'ischemia' may be causing it in some yet to be understood way.There is little awareness on how to prevent them or how to treat them if they do occur. Seldom applied, various scales exist and should be used to identify patients at high risk. Braden scale is the most tested and widely accepted scale. The various available dressings and pressure relief devices are mostly inadequately studied; which is superior is a question that begs an answer. This article aims to underline the importance of bedsores by reviewing our current and past knowledge with emphasis on practical implications thereof.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3452776 | PMC |
| http://dx.doi.org/10.1007/s12262-008-0046-4 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Pressure-Relieving Effect of Different Insole Top Covers in People with Diabetes at High Risk of Foot Ulceration.
Sensors (Basel)
August 2024
Department of Rehabilitation Medicine, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
Article Synopsis
- - Pressure-relieving footwear is crucial in preventing foot ulcers for individuals with diabetes, and the insole top cover design plays a significant role in this.
- - The study tested eight different insole top cover materials on 20 participants with diabetes to measure peak pressures and walking comfort, finding that 6 mm thick foams generally provided better pressure relief than 3 mm foams.
- - Although some differences in peak pressure were noted, the overall comfort ratings remained consistent across the top covers, suggesting that factors like availability and durability may be more important in choosing the best insole than just pressure relief performance.
In-shoe plantar shear stress sensor design, calibration and evaluation for the diabetic foot.
PLoS One
September 2024
Department of Mechanical, Aerospace and Civil Engineering (MACE), University of Manchester, Manchester, United Kingdom.
Plantar shear stress may have an important role in the formation of a Diabetic Foot Ulcer, but its measurement is regarded as challenging and has limited research. This paper highlights the importance of anatomical specific shear sensor calibration and presents a feasibility study of a novel shear sensing system which has measured in-shoe shear stress from gait activity on both healthy and diabetic subjects. The sensing insole was based on a strain gauge array embedded in a silicone insole backed with a commercial normal pressure sensor.
View Article and Find Full Text PDFCombined treatment of umbilical cord Wharton's jelly-derived mesenchymal stem cells and platelet-rich plasma for a surgical patient with hospital-acquired pressure ulcer: a case report and literature review.
Front Bioeng Biotechnol
July 2024
Department of Central Laboratory, Liaocheng People's Hospital, Liaocheng, China.
Hospital-acquired pressure ulcers (HAPUs) are still an important worldwide issue related to the safety and quality of patient care, which are among the top five adverse events reported. Patients who develop HAPUs have longer stays in the hospital than necessary, are at a greater risk of infections, and are more likely to die. Surgical patients are prone to developing PUs because they often remain immobile for extended periods of time, and their surgical procedures may limit the flow of blood oxygen and nutrition and lead to a decrease in muscle tone.
View Article and Find Full Text PDFTrends and prospects in nursing care for diabetic foot: A bibliometric analysis from 2003 to 2023.
J Tissue Viability
November 2024
Department of Othopaedics, Huashan Hospital, Fudan University, Shanghai, China.
Backgrounds: Diabetic foot (DF) is a globally significant concern, with complications like diabetic foot ulcers (DFUs) posing major challenges despite medical advancements. Effective nursing strategies are crucial to preventing DF progression and reducing disability risk. However, nursing research in DF care is fragmented, necessitating a comprehensive bibliometric analysis to identify key trends, influential contributors, and critical research areas.
View Article and Find Full Text PDFBibliometric analysis of systematic review and meta-analysis on diabetic foot ulcer.
Heliyon
March 2024
Department of Endocrinology, the Fourth Medical Centre, Chinese PLA General Hospital, China.
Many clinical management strategies have been proposed to deal with diabetic foot ulcers. However, the occurrence and recurrence of foot ulcers remain the major problems for diabetics. This study aims to identify, visualize, and characterize the meta-analyses on diabetic foot ulcer research.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!