Interventions, stakeholders, and organisation related to pressure ulcer prevention for individuals with spinal cord injuries in transition from hospital to home - A scoping review.

J Tissue Viability

Research Unit for Plastic Surgery, Odense University Hospital, JB Winsløws Vej 4, DK-5000, Odense, Denmark; University of Southern Denmark, JB Winsløwsvej 19, DK-5000, Odense, Denmark. Electronic address:

Published: May 2023

Study Design: Scoping review.

Aim Of The Study: To obtain an overview of initiatives, organisational components, and stakeholders' perspectives on PU prevention in transitional care.

Methods: Scoping review searching the databases: MEDLINE, EMBASE), CINAHL, Cochrane Library, Web of Science, and SCOPUS in May 2022. Inclusion of English-written research on pressure ulcer prevention in adult people with spinal cord injury in transition from hospital or rehabilitation centre to the home care environment.

Results: Fifteen studies of different types are included in this study: six qualitative studies, four randomized controlled trials, three cohort studies, one cross-sectional study and an interventional study. The included studies are relatively low-level evidence but of acceptable quality.

Conclusion: Continuous tailored education and information about PU prevention and follow-up services are essential components in preventing PUs and rehabilitating people with SCI. The complexity of SCI requires adaptations, equipment and access to specialist care and treatment after discharge. However, there is a discrepancy between the international recommendations, the perceived needs, and the delivered healthcare services. The consequences are a lower quality of life and a higher risk of PUs for people with SCI.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jtv.2023.02.005DOI Listing

Publication Analysis

Top Keywords

pressure ulcer
8
ulcer prevention
8
spinal cord
8
transition hospital
8
scoping review
8
people sci
8
study
5
interventions stakeholders
4
stakeholders organisation
4
organisation pressure
4

Similar Publications

Introduction: When administering HBO , pressures can range from 1.4 atmospheres absolute (ATA) to 3 ATA. While different treatment profiles have been proposed, there is a paucity of literature comparing the effectiveness and risk profile associated with different pressures treating the same condition.

View Article and Find Full Text PDF

The finite-element method (FEM) is a well-established procedure for computing approximate solutions to deterministic engineering problems described by partial differential equations. FEM produces discrete approximations of the solution with a discretisation error that can be quantified with a posteriori error estimates. The practical relevance of error estimates for biomechanics problems, especially for soft tissue where the response is governed by large strains, is rarely addressed.

View Article and Find Full Text PDF

Introduction: Foot ulcers are one of the most serious complications of diabetes, leading to significant risks on amputation and mortality. Peripheral arterial disease (PAD) is an important factor for the development and the outcome of diabetic foot ulcers (DFU). Although prompt and accurate detection of PAD is critical to reduce complications, its diagnosis can be challenging with currently used bedside tests (such as ankle-brachial index and toe pressure) due to medial arterial calcification.

View Article and Find Full Text PDF

Background: Pressure injuries (PIs) place a substantial burden on healthcare systems worldwide. Risk stratification of those who are at risk of developing PIs allows preventive interventions to be focused on patients who are at the highest risk. The considerable number of risk assessment scales and prediction models available underscores the need for a thorough evaluation of their development, validation, and clinical utility.

View Article and Find Full Text PDF

Introduction: Pressure injuries (PIs) continue to remain one of the most common and debilitating complications seen adding to the financial burden of the patients and caregivers. The available VAC (vacuum assisted closure) systems are expensive. In our case series we have applied low-cost negative pressure dressing (NPD) for sacral pressure injuries in five patients along with individualised rehabilitation protocol which resulted in accelerated healing of their PIs and improved functional outcome.

View Article and Find Full Text PDF

Want 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!