Pressure-relieving strategies remain the foundation for the prevention and treatment of pressure sores. Although the published literature is inadequate, rational treatment decisions can be made if they are based on an understanding of the mechanisms by which pressure relief results with a particular device or strategy. This article reviews the theoretic and practical approaches to managing tissue loads so that rational choices of the most cost-effective strategies for preventing and treating pressure sores can be made when caring for patients.
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Pressure injury prevention: An educational framework to improve action planning.
Nursing
February 2025
At ECRI, Anna Thomas, Patricia Giuffrida, and Heather David are Patient Safety Advisors; Shannon Davila is the Executive Director of "Total Systems Safety;" and Loretta Morgan is a PSO intern.
ECRI and the Institute for Safe Medication Practices (ISMP) Patient Safety Organization (PSO) convened an interdisciplinary pressure-injury-prevention safety collaborative to strengthen pressure injury assessment, prevention, and treatment planning. Several teams met over 5 months in 2023 to share knowledge and performance improvement tools. This article discusses the safety collaborative, which provided a learning-system platform for participating teams to develop and share improvement plans under the protection of the PSO and to strengthen their pressure-injury-related action plans.
View Article and Find Full Text PDFNurses' Clinical Decision-Making About Pressure Injury Prevention in Hospital Settings: A Scoping Review.
J Adv Nurs
January 2025
School of Nursing & Midwifery, University of Newcastle, University Drive, Callaghan, New South Wales, Australia.
Aim: To systematically explore research on nurses' clinical decision-making and factors influencing pressure injury prevention in hospitalised patients.
Design: Scoping review.
Data Sources: Medline full text, Cumulative Index to Nursing and Allied Health Literature Plus with full text, and Scopus.
Solitary Rectal Ulcer Syndrome - A Rare Entity in the Pediatric Population.
Turk Patoloji Derg
January 2025
Department of Pathology, Post Graduate Institute of Child Health, NOIDA, INDIA.
Objective: To study and correlate the clinicopathological findings of Solitary Rectal Ulcer Syndrome (SRUS) in 10 pediatric patients.
Material And Methods: This study is a retrospective study of patients from January 2017 to June 2024. The clinical records were reviewed for details of the clinical presentation, colonoscopic findings, associated local and systemic diseases, and other investigations.
Utilizing Image Processing Techniques for Wound Management and Evaluation in Clinical Practice: Establishing the Feasibility of Implementing Artificial Intelligence in Routine Wound Care.
Adv Skin Wound Care
January 2025
Mai Dabas is Master's Degree Student, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel. Suzanne Kapp, PhD, RN, is Clinical Associate Professor, School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, Department of Nursing, The University of Melbourne, Melbourne, Australia; and National Manager Wound Prevention and Management, Regis Aged Care, Camberwell, Victoria, Australia. Amit Gefen, PhD, is Professor of Biomedical Engineering and the Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel; Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; and Department of Mathematics and Statistics and the Data Science Institute, Faculty of Sciences, Hasselt University, Hasselt, Belgium. Acknowledgments: This work was supported by a competitive grant from the Victorian Medical Research Acceleration Fund, with funding co-contribution from the Department of Nursing at the University of Melbourne, the Melbourne Academic Centre for Health, and Mölnlycke Health Care. This work was also partially supported by the Israeli Ministry of Science & Technology (Medical Devices Program grant no. 3-17421, awarded to Professor Amit Gefen in 2020). The authors thank Ms Carla Bondini for her assistance with data collection and management for this study and Mr Daniel Kapp for proofreading the manuscript. The authors have disclosed no other financial relationships related to this article. Submitted February 1, 2024; accepted in revised form April 16, 2024.
Objective: To develop a generalizable and accurate method for automatically analyzing wound images captured in clinical practice and extracting key wound characteristics such as surface area measurement.
Methods: The authors used image processing techniques to create a robust algorithm for segmenting pressure injuries from digital images captured by nurses during clinical practice. The algorithm also measured the real-world wound surface area.
Healthcare Costs of Pressure Injuries among Patients with a Spinal Cord Injury within a Dutch Rehabilitation Center.
Adv Skin Wound Care
January 2025
Boas J. Wijker, BSc, is PhD Candidate, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands. Sonja de Groot, PhD, is Associate Professor, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, the Netherlands, and Senior Researcher, Amsterdam Rehabilitation Research Center, Reade, the Netherlands. Anne-Fleur Boertje, MSc, is Student, Department of Health Sciences, Vrije Universiteit Amsterdam. Jacinthe J. E. Adriaansen, MD, PhD, is Rehabilitation Physician, Amsterdam Rehabilitation Research Center. Wendy J. Achterberg-Warmer, MD, is Rehabilitation Physician, Amsterdam Rehabilitation Research Center. Amber Wighman, NP, is Nurse Practitioner, Triade Vitree, Lelystad, the Netherlands. Maurits W. van Tulder, PhD, MSc, is Dean, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam. Thomas W. J. Janssen, PhD, is Full Professor, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, and Senior Researcher, Amsterdam Rehabilitation Research Center. Johanna M. van Dongen, PhD, MSc, is Associate Professor, Department of Health Sciences, Vrije Universiteit Amsterdam.
Objective: To assess the healthcare costs of pressure injuries (PIs) among patients with a spinal cord injury (SCI) in a Dutch rehabilitation center and determine if those costs were associated with patients' age or sex.
Methods: The direct healthcare costs of PIs were estimated using data from electronic health records of a Dutch rehabilitation center. This dataset contained demographic, clinical, and resource use information of all patients with an SCI or a PI who were treated at the rehabilitation center because of a PI between 2009 and 2022.
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