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J Am Geriatr Soc. 2007;55(5):780-79117493201 PubMed Google Scholar Crossref. The authors
focused on evaluating the multidisciplinary intervention that includes a protocol and the Braden
scale. Economic evaluation of collagenase-containing ointment and hydrocolloid dressing in the
treatment of pressure ulcers. J Geriatr Dermatol. 1994;2(3):87-91 Google Scholar 60. Expand 139
Save Wound cleansing for pressure ulcers. Z. Moore S. Cowman Medicine The Cochrane database of
systematic reviews 2005 TLDR There is no good trial evidence to support use of any particular
wound cleansing solution or technique for pressure ulcer healing, and three studies addressing
cleansing of pressure ulcers are identified. There is little evidence from RCTs to justify the use of 1
support surface or dressing over alternatives. Information from FDA on dressings with drugs (April
1, 2007). Support surfaces were categorized using the National Pressure Ulcer Advisory Panel
classification system 26: nonpowered (support surfaces such as foam that do not need electricity,
previously known as static) and powered (support surfaces such as rotating beds that require
electricity, previously known as dynamic). Arch Phys Med Rehabil. 1992;73(5):463-4691580775
PubMed Google Scholar 88. MATERIALS AND METHODS: It is a quasi-experimental design
design. You can use them for inspiration, an insight into a particular topic, a handy source of
reference, or even just as a template of a certain type of paper. Effect of bacteriological status on
pressure ulcer healing in patients with advanced cancer. Russell L, Reynolds TM, Towns A, Worth W,
Greenman A, Turner R. A synopsis was developed from the structured abstracts and presented in
tabular form relevant to the study aims. Levels of evidence were not assessed because the range and
type of studies would not allow for meaningful comparisons. Ann Pharmacother. 2001;35(6):675-
68111408983 PubMed Google Scholar Crossref 92. Detection depends on assessing local pressure on
tissue and prevention on scales of risk used to assess a subject prior to admission. Consistent wound
care and nutritional support in treatment. Decubitus. 1990;3(3):16-282119183 PubMed Google
Scholar 66. Conclusion The analysis of the literature on the topic of using pressure ulcer protocols in
emergency departments to prevent hospital-acquired pressure damage indicates that this intervention
is more effective than the provision of usual care. In this literature review, the accumulated
knowledge related to the identified problem will be discussed. Association of funding and
conclusions in randomized drug trials: a reflection of treatment effect or adverse events? JAMA.
2003;290(7):921-92812928469 PubMed Google Scholar Crossref 17. According to Baath et al.
(2016) and Stuque et al. (2017), the most efficient protocols are grounded in NPUAP and EPUAP
guidelines. European guidelines for pressure ulcer treatment.. Accessed October 29, 2007 2. Next, all
subject headings were exploded and all keywords truncated. Afr J Med Med Sci. 2001;30(3):195-
19714510128 PubMed Google Scholar 119. Expand 25 PDF Save Hydrogel dressings for treating
pressure ulcers. J. Dumville N. Stubbs S. Keogh R. Walker Zhenmi Liu Medicine The Cochrane
database of systematic reviews 2015 TLDR It is not clear if hydrogel dressings are more or less
effective than other treatments in healing pressure ulcers or if different hydrogels have different
effects, and most trials in this field are very small and poorly reported so that risk of bias is unclear. J
Clin Exp Gerontol. 1990;12(4):209-214 Google Scholar 122. Sixteen of the 103 trials (15.5%) met 4
or more of the CLEAR NPT criteria. Dermatol Nurs. 1992;4(5):389-3981482629 PubMed Google
Scholar 95. Alvarez OM, Fernandez-Obregon A, Rogers RS, Bergamo L, Masso J, Black M. A
randomized placebo-controlled trial of ultraviolet light in the treatment of superficial pressure sores.
Yonsei Med J. 1996;37(3):181-1858826783 PubMed Google Scholar 82. J Clin Exp Gerontol.
1990;12(4):209-214 Google Scholar 122. Studies that evaluated chronic wounds other than pressure
ulcers or assessed only adverse events or secondary outcomes (eg, pain) were excluded. Reducing
pressure ulcers through successful management is intricate and of fundamental significance to patient
safety and quality of care. This is especially true in high-risk settings such as acute care hospitals, in
which patients have reduced mobility. 12, 13 Thus, clinicians require an understanding of effective
treatment options. Effect of polarized light in the healing process of pressure ulcers. Please ensure
you properly reference the paper if you're using it to write your assignment. A study to compare a
new self-adherent soft silicone dressing with a self-adherent polymer dressing in stage II pressure
ulcers. The effect of a radiant heat dressing on pressure ulcers. Information from FDA on dressings
with drugs (April 1, 2007). Balancing the pressure ulcer cost and quality equation. Nurs Econ.
1992;10(5):353-3591465158 PubMed Google Scholar 14. You can use it for research and reference
purposes to write your own paper. Wanner MB, Schwarzl F, Strub B, Zaech GA, Pierer G. Articles
were re-examined by a second reviewer to ensure they met inclusion criteria. Iordanou P,
Baltopoulos G, Giannakopoulou M, Bellou P, Ktenas E. Dermatol Nurs. 1992;4(5):389-3981482629
PubMed Google Scholar 95. J Am Geriatr Soc. 2007;55(5):780-79117493201 PubMed Google
Scholar Crossref. J Clin Epidemiol. 1995;48(12):1453-14608543959 PubMed Google Scholar
Crossref 65. Sequential treatment with calcium alginate dressings and hydrocolloid dressings
accelerates pressure ulcer healing in older subjects: a multicenter randomized trial of sequential
versus nonsequential treatment with hydrocolloid dressings alone. Kloth LC, Berman JE, Nett M,
Papanek PE, Dumit-Minkel S. Oleske DM, Smith XP, White P, Pottage J, Donovan MI. RESULTS:
Pressure sore debridement is based on local care and on the use of alginates, hydrogels and
hydrocolloids. We will write a custom essay on your topic a custom Essay on Pressure Ulcers:
Literature Review 808 writers online Learn More Literature Review The first article is “Review of
the current management of pressure ulcers” by Boyko et al. Expand PDF 1 Excerpt Save Skin
Conditions in Older Adults with Dementia Maria Ahmed D. Jara A. Macias M. Stout A. Garcia
Medicine 2020 TLDR In an effort to address the complex geriatric patient with dementia and
chronic wounds, providers must take a holistic approach to balance treatment goals with patient and
family goals of care. Furthermore, the researcher concluded that the problem is often in the poor
recording of patients’ condition by nurses. Ascorbic acid supplementation in the treatment of
pressure sores. Lancet. 1974;2(7880):544-5464140267 PubMed Google Scholar Crossref 67.
Prospective randomized study of the efficacy of hydrogel, hydrocolloid, and saline solution-
moistened dressings on the management of pressure ulcers. Health Technol Assess. 2001;5(9):1-
22111368833 PubMed Google Scholar 142. Consistent wound care and nutritional support in
treatment. Decubitus. 1990;3(3):16-282119183 PubMed Google Scholar 66. A clinical evaluation of
the Nimbus 3 alternating pressure mattress replacement system.
Guidelines for the practical management of pressure ulcers 3 are available from the Wound Healing
Society ( ). Clin Drug Investig. 2000;19(5):357-365 Google Scholar Crossref 70. The use of a
haemodialysate in the treatment of decubital ulcer: a double-blind randomized clinical study. The
effect of Diapulse therapy on the healing of decubitus ulcer. Pressure ulcers-randomised controlled
trial comparing hydrocolloid and saline gauze dressings. The purpose of this literature review is to
determine whether in patients at high risk of developing a pressure ulcer, the implementation of a
pressure ulcer protocol initiated in the emergency department, as compared to patients who receive
usual care, reduces the incidence of hospital-acquired pressure ulcers on day 3 of hospitalization. J
Wound Ostomy Continence Nurs. 2001;28(5):244-25211557928 PubMed Google Scholar 102. Afr J
Med Med Sci. 2001;30(3):195-19714510128 PubMed Google Scholar 119. A new amorphous
hydrocolloid for the treatment of pressure sores: a randomised controlled study. If an abstract met
inclusion criteria (see Table 1) or no electronic abstract was available, the full article was retrieved.
Therefore, these patients usually require specific care and the implementation of certain interventions
to prevent the development of pressure ulcers. Lee et al 61 evaluated ulcer healing over 8 weeks in
long-term care residents randomized to either a collagen protein supplement or placebo combined
with standard care. Adv Skin Wound Care. 2001;14(2):91-9511899912 PubMed Google Scholar
Crossref 114. TGF-beta3 in the treatment of pressure ulcers: a preliminary report. Data Extraction
Methodological characteristics and outcomes were extracted by 3 investigators. Assessment and
Management of Stage I to IV Pressure Ulcers. The effect of oral zinc sulfate therapy on decubitus
ulcers. Ostomy Wound Manage. 2001;47(2):52-5611235499 PubMed Google Scholar 101. Balancing
the pressure ulcer cost and quality equation. Nurs Econ. 1992;10(5):353-3591465158 PubMed
Google Scholar 14. Overall, few RCTs demonstrated meaningful outcome differences between
specific treatment strategies. Association of funding and conclusions in randomized drug trials: a
reflection of treatment effect or adverse events? JAMA. 2003;290(7):921-92812928469 PubMed
Google Scholar Crossref 17. Ascorbic acid supplementation in the treatment of pressure sores.
Lancet. 1974;2(7880):544-5464140267 PubMed Google Scholar Crossref 67. Pressure ulcer
prevention generally begins with an examination to determine who is most vulnerable to pressure
ulcers, such as the elderly, the immobile, or individuals with a spinal cord injury. While mulling over
the best intervention for pressure ulcer reduction and prevention, it is vital to understand that the
implementation of a successful practice at the bedside is an exceedingly difficult task. Similar
conclusions were made by Chamanga and Ward (2015), who completed a review of clinical
interventions to predict pressure-related injuries in patients. Treatment with supplementary arginine,
vitamin C and zinc in patients with pressure ulcers: a randomised controlled trial. Clin Nutr.
2005;24(6):979-98716297506 PubMed Google Scholar Crossref 63. They found that the number of
patients with hospital-acquired pressure ulcers decreased after the implementation of the protocol-
based intervention (Mallah et al., 2015). Furthermore, positive effects were achieved because of
using the Braden scale for assessing patients’ skin. J Wound Care. 1999;8(7):333-33510776222
PubMed Google Scholar 30. Robson MC, Phillips LG, Thomason A, Robson LE, Pierce GF.
Cochrane Database Syst Rev. 2007;2(2):CD00394817443534 PubMed Google Scholar 11.
You can download the paper by clicking the button above. Consistent wound care and nutritional
support in treatment. Decubitus. 1990;3(3):16-282119183 PubMed Google Scholar 66. Expand 153
PDF Save Risk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From
the American College of Physicians A. Qaseem T. Mir M. Starkey Thomas D. Denberg Medicine
Annals of Internal Medicine 2015 TLDR This guideline is based on a systematic evidence review, an
update of the literature, and an evidence report sponsored by the Agency for Healthcare Research
and Quality that addressed the following key questions: Supplement. Age Ageing. 2002;31(2):126-
13011937475 PubMed Google Scholar Crossref 32. Cochrane Database Syst Rev.
2006;3:CD00110316855958 PubMed Google Scholar 10. Allman RM, Walker JM, Hart MK,
Laprade CA, Noel LB, Smith CR. Data Sources and Study Selection The databases of MEDLINE,
EMBASE, and CINAHL were searched (from inception through August 23, 2008) to identify
relevant RCTs published in the English language. An overlay is a support surface designed to be
placed on top of another support surface. Cost, efficacy, efficiency and tolerability of collagenase
ointment versus hydrocolloid occlusive dressing in the treatment of pressure ulcers. Pain with venous
leg ulcers: point prevalence study at three time periods. Two studies used a combination of validated
and a non-validated pain measures. Antiseptics are inexpensive and non-RCT evidence supports
their continued use in maintenance or nonhealable wounds to help prevent wound deterioration. 134
Because no single dressing was superior to others, clinicians should select dressings that fulfill
criteria for standard local wound care, while considering cost, ease of use, goals of care, and patient
comfort. A randomized clinical study comparing a hydrocellular dressing to a hydrocolloid dressing
in the management of pressure ulcers. National Pressure Ulcer Advisory Panel Support Standards
Initiative. The researchers found that, when interventions (based on NPUAP and EPUAP protocols
and guidelines) start early, it is possible to prevent pressure ulcers in the higher number of patients. If
you use an assignment from StudyCorgi website, it should be referenced accordingly. Please ensure
you properly reference the paper if you're using it to write your assignment. A randomized trial of
low-air-loss beds for treatment of pressure ulcers. JAMA. 1993;269(4):494-4978338511 PubMed
Google Scholar Crossref 46. A prospective, randomized, comparative study of collagenase and
papain-urea for pressure ulcer debridement. Wounds. 2002;14(8):293-301 Google Scholar 69.
METHOD: A systematic review of the literature querying the databases PASCAL Biomed, Cochrane
Library and PubMed from 2000 to 2010 along with a compendium of prevailing professional
practices. Determined inclusion criteria are the publication date during the past five years, the direct
focus on the topic of preventing pressure ulcers, the description of protocols, and their application.
Efficacy of low-level laser therapy in the management of stage III decubitus ulcers: a prospective,
observer-blinded multicentre randomised clinical trial. J Enterostomal Ther. 1986;13(3):90-
983519718 PubMed Google Scholar 90. Sebern MD. Pressure ulcer management in home health
care: efficacy and cost effectiveness of moisture vapor permeable dressing. They concluded after
reviewing the literature that those protocols that request detailed information are most efficient for
healthcare settings. Decubitus ulcers: a comparative study. Cutis. 1979;23(1):106-110215386
PubMed Google Scholar 72. Nevertheless, many articles on this topic provide only reviews of
previous research, and additional quantitative studies are required to be conducted to address this
problem. Arch Phys Med Rehabil. 1986;67(10):726-7293533007 PubMed Google Scholar Crossref
91. If an abstract met inclusion criteria (see Table 1) or no electronic abstract was available, the full
article was retrieved. A psychophysical analysis of experimental factors that selectively influence the
affective dimension of pain. Pain. 1980;8:137-149. A comparison of the efficacy and cost-
effectiveness of two methods of managing pressure ulcers. Decubitus. 1993;6(4):28-36 Google
Scholar 87.
Medicines and Healthcare Products Regulatory Agency. Local treatment of pressure sores in the
elderly: amino acid copolymer membrane vs hydrocolloid dressing. Interventions such as
mobilization, positioning, and repositioning, as well as suppor. Treatment with supplementary
arginine, vitamin C and zinc in patients with pressure ulcers: a randomised controlled trial. Clin Nutr.
2005;24(6):979-98716297506 PubMed Google Scholar Crossref 63. Oxyquinoline-containing
ointment vs standard therapy for stage I and stage II skin lesions. Monochromatic phototherapy in
elderly patients: a new way of treating chronic pressure ulcers. Petrolatum vs resurfix ointment in the
treatment of pressure ulcers. Clin Drug Investig. 2000;19(6):399-407 Google Scholar Crossref 39.
Dressings and topical agents for arterial leg ulcers. There are also other protocols used by nurses in
their practice, but not all hospitals adopted pressure ulcer protocols for implementation in their
emergency departments. Ostomy Wound Manage. 2004;50(10):22-24, 26, 28, 30, 32, 34, 36-
3815509880 PubMed Google Scholar 5. Pressure ulcer healing with a concentrated, fortified,
collagen protein hydrolysate supplement: a randomized controlled trial. Comorosan S, Vasilco R,
Arghiropol M, Paslaru L, Jieanu V, Stelea S. Bedsores present an overwhelming burden to the
healthcare system and the economy at large. They found that the number of patients with hospital-
acquired pressure ulcers decreased after the implementation of the protocol-based intervention
(Mallah et al., 2015). Furthermore, positive effects were achieved because of using the Braden scale
for assessing patients’ skin. In the six studies that addressed pain prevalence, pain was assessed to
document its presence and severity and, in some cases, its quality. Wound Repair Regen.
1999;7(3):141-14710417749 PubMed Google Scholar Crossref 34. Guthrie M. A randomized
double-blind clinical study of Dermagran dual therapeutic system in the treatment of decubitus
ulcers. Wounds. 1988;1:142-154 Google Scholar 35. Efficacy of low-level laser therapy in the
management of stage III decubitus ulcers: a prospective, observer-blinded multicentre randomised
clinical trial. A clinical evaluation of the Nimbus 3 alternating pressure mattress replacement system.
Specific aspects relevant for this review, such as the setting of care, documented incidence and
prevalence of pain, how pain was measured, and reports of associated factors, also were included.
Prevention approaches for pressure ulcers start with the recognition of high-risk people. Adequate
blinding of outcome assessors was described in 23 studies (36.5%). Co-interventions were equally
applied in 28 studies (44.4%), and intention-to-treat analyses were performed in only 10 studies
(15.9%). None of the 63 studies examining local wound care fulfilled all 6 CLEAR NPT criteria.
Results for pain were combined with results for pressure ulcers and limited to English-language
articles that dealt with human subjects. An overlay is a support surface designed to be placed on top
of another support surface. The only consistent timing of the assessments involved measurement of
pain related to dressing change, which occurred during or after dressing removal. The following
keywords were used to organize the search individually and in their combination: “pressure ulcer,”
“pressure ulcer protocol,” “intervention,” “high-risk population,” and “hospital-acquired pressure
ulcer.” As a result, 231 articles were found, and their abstracts and details were reviewed to compare
the information with inclusion and exclusion criteria. Cochrane Database Syst Rev.
2003;1(1):CD00183612535417 PubMed Google Scholar 9. Systematic review of hyperbaric oxygen
in the management of chronic wounds. Br J Surg. 2005;92(1):24-3215635604 PubMed Google
Scholar Crossref 141. After analyzing information from two databases of intensive care units, it was
found that the protocol based on the Braden scale (skin, mobility, and nutritional status evaluation) is
effective for assessing patients in emergency departments. It also appears more recent studies tend to
assess pain outcomes using recognized measures, increasing the confidence in the reported pain
estimates.