Decubitus Ulcers: Prevention and Managment
|
|
|
- Alexandrina Gibson
- 6 years ago
- Views:
Transcription
1 Decubitus Ulcers: Prevention and Managment Joseph H. Shin MD Professor of Clinical Surgery Chief of Plastic Surgery Montefiore Medical Center Albert Einstein College of Medicine
2 Disclosure Clinical Trial Investigator: Smith and Nephew
3 Plastic Surgery: Dr Dr Extreme Makeover Miami Slice Nip/ Tuck Reality TV? Fiction?
4 Plastic Surgery Craniofacial Surgery Hand Surgery Cleft Lip and Palate Burn Surgery Trunk/Lower Extremity Surgery Trauma Reconstruction Tumours/ Reconstruction Aesthetic Surgery
5 Aesthetic Surgery Breast Augmentation:
6 Cleft Lip and Palate
7 Bilateral Cleft Lip
8 Case 1: 18 mo boy Total nasal amputation Dogbite
9 Preop:
10 Microsurgery HBO2 > Flap Failure (18mos)
11
12
13
14 Postop 9 mos (3yo)
15 Wound Healing
16 Pressure / Decubitus Ulcer a localized injury to the skin /and or underlying tissue usually as a result of pressure or pressure in combination with shear (NPUAP/ EPUAP Joint Statement 2007)
17 Pressure Ulcer: Sacrum
18 Pressure Ulcer 2.5 million pressure ulcers treated in US annually Cost of care: $11 Billion Dollars annually (CMMS) 1993: 281,3000 admissions for pressure ulcers 2006: 503,300 admission for pressure ulcers 79% increase (HCUP)
19 Predisposing and risk factors Age: elderly =60% of all patients with pressure ulcers Neurologic/sensory disorders Immobility Malnutrition Mental Illness/Dementia Dehydration Diabetes Incontinence
20 Pressure Ulcers
21
22
23
24 Prominence /Proximity to Bone
25 Sacrum/ Ischium
26 Prevention/ Diagnosis Pressure Mapping Wheelchair Testing
27 PRESSURE MAPPING
28 Identification of specific points of pressure
29 Prevention: Identification of Risk BRADEN SCALE WATERLOW SCALE NORTON SCALE VARIABLES: MOBILITY/MENTAL STATUS. BMI. NUTRITION. CONTINENCE
30 Prevention: Repositioning
31 Prevention: Surface
32 Prevention: Support
33 Prevention Support Surface: Cushion Mattress Bed system Low pressure Alternating Pressure
34 BED SURFACES AIR FLUIDIZED A feature of a support surface that provides pressure redistribution via a fluid-like medium created by forcing air through beads as characterized by immersion and envelopment. ALTERNATING PRESSURE A feature of a support surface that provides pressure redistribution via cyclic changes in loading and unloading as characterized by frequency, duration, amplitude, and rate of change parameters. LATERAL ROTATION A feature of a support surface that provides rotation about a longitudinal axis as characterized by degree of patient turn, duration, and frequency. Low Air Loss A feature of a support surface that provides a flow of air to assist in managing the heat and humidity (microclimate) of the skin.
35 Management
36 Management Risk Reduction Nutrition Additional Off-Loading Cleansing Padding
37 Management: Debridement Tissue Necrosis Bacterial Overload (Infection) Moisture Imbalance Impairment of Healing Edge (Undermining) (TIME)
38 Management: Debridement Sharp Surgical Debridement
39 Management: Debridement Hydrosurgery Biologic: Enzymatic Mechanical Dressing Negative Pressure Autolytic
40 Compromised Wound Healing TMP s Edema Pathogen
41 Reconstructive Surgery Negative Pressure Therapy: Vacuum
42 Mechanisms of Action
43 Bacterial Clearance Mean of Log Organisms/Gram Tissue (n=5) Day 0 Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
44 Blood Flow Data
45 Reconstructive Surgery Reconstructive Ladder
46 Management : Surgery
47 Sacral Ulcer
48
49
50 Debridement/ Wound Vac
51
52
53 Sacral Ulcer
54
55 Gluteus Muscle Flap
56
57
58 Negative Pressure Dressing
59 Reconstructive Surgery 50 yr old Fireman Grafts? Flaps : Local And Regional? Free Tissue Transfer? Amputation??
60 Reconstructive Surgery
61 Reconstructive Surgery
62 Pressure Ulcer Heel Ambulating Heel Breakdown
63 Sural Island Flap Jeng SF. Wei FC. Distally based sural island flap for foot and ankle reconstruction. Plastic & Reconstructive Surgery. 99(3):744-50, 1997 Mar
64 Reconstructive Surgery
65 Reconstructive Surgery
66 Reconstructive Surgery
67 Reconstructive Surgery: 3 yr F/U: ambulating
68 Late Sequelae: Marjolin s Ulcer: SCC
69
70 Fasciocutaneous Flap
71 Control of Spasms Diversion of Urine/ Bowel Diversion Meticulous Postoperative Control of Pressure Nursing Care Recurrence = 3-80% approximately (depending upon location)
72 New Technology Negative Pressure Wound Therapy/ Closed Incisions Pressure Sensors Sensory Nerve Transfers
73 Pressure Sensors
74 Summary Pressure Ulcers: Incidence increasing Preventable Cost : Increasing Dramatically Litigation: Failure to prevent (CMMS/Plaintiff Bar) 87% loss rate Increasing role of surgeons in management
75 Thank you!
Bear of a Problem: Who should be sleeping in which bed?
Bear of a Problem: Who should be sleeping in which bed? Dianne Mackey MSN, RN, CWOCN Wound/Skin Coordinator Kaiser Permanente San Diego California Evan Call MS, CSN (NRM) Adjunct Faculty Weber State University
Consider the possibility of pressure ulcer development
Douglas Fronzaglia II, DO, MS LECOM Institute for Successful Aging LECOM Institute for Advanced Wound Care and Hyperbaric Medicine Consider the possibility of pressure ulcer development 1 Identify ulcer
Pedicled Fillet of Leg Flap for Extensive Pressure Sore Coverage
Pedicled Fillet of Leg Flap for Extensive Pressure Sore Coverage Shareef Jandali, MD, and David W. Low, MD Division of Plastic Surgery, University of Pennsylvania Health System, Philadelphia Correspondence:
Palliative Care. EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for. Treatment. Improving Quality of Care Based on CMS Guidelines 39
Treatment EPUAP/NPUAP Publish New Pressure Ulcer Guidelines for Palliative Care Dealing with the end of a loved one s life is difficult enough, but when wound and skin care issues are involved, the decisions
Decubitus Ulcers. Management and Surgical Intervention. Ahmed Hozain, PGY 3 Downstate Medical Center Department of Surgery Grand Rounds May 5 th, 2017
Decubitus Ulcers Management and Surgical Intervention Ahmed Hozain, PGY 3 Downstate Medical Center Department of Surgery Grand Rounds May 5 th, 2017 Case Presentation 67 YOF who initially presented with
Pressure Ulcers in the Developmentally Disabled Arizona Department of Economic Security Division of Developmental Disabilities
Pressure Ulcers in the Developmentally Disabled Arizona Department of Economic Security Division of Developmental Disabilities Compiled by Nancy Braden MD, Medical Director, Mercy Care Plan 1 PRESSURE
SUPPORT SURFACES AND POSITIONING
SUPPORT SURFACES AND POSITIONING American Medical Technologies Irvine, CA 1 Disclaimer The information presented herein is provided for educational and informational purposes only and to promote the safeand-effective
Determining Wound Diagnosis and Documentation Tips Job Aid
Determining Wound Diagnosis and Job Aid 1 Coding Is this a traumatic injury from an accident? 800 Codes - Injury Section of the Coding Manual Code by specific site of injury. Only use for accidents or
Protect Your Skin. It s one of the most important things you can do!
Protect Your Skin It s one of the most important things you can do! What is the skin? It s the largest organ in the body It protects you from the outside world It houses your sensory nerve endings It senses
Spinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre.
Spinal Cord Injury Info Sheet An information series produced by the Spinal Cord Program at GF Strong Rehab Centre. What does skin do? 1. It protects you. 2. It provides sensory information. 3. It helps
PRESSURE SORE IN GENERAL HOSPITAL
PRESSURE SORE IN GENERAL HOSPITAL Dr. Zamil Shia Mohammed M.B.Ch.B Diploma in Rheumatology Directorate of health in Missan SUMMARY : To evaluate pressure sore in Al-sadder General Hospital, (46) patients
Versatility of Reverse Sural Artery Flap for Heel Reconstruction
ORIGINAL ARTICLE Introduction: The heel has two parts, weight bearing and non-weight bearing part. Soft tissue heel reconstruction has been a challenge due to its complex nature of anatomy, weight bearing
Skin Integrity and Wound Care
Skin Integrity and Wound Care By Dr. Amer Hasanien & Dr. Ali Saleh Skin Integrity and Wound Care Skin integrity: the presence of normal Skin & Uninterrupted skin layers by wounds. Factors affecting appearance
Pressure Injury Assessment Guide South West Regional Wound Care Program Last Updated October 31,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
7/2/2015 A.Shahrokhi 1
7/2/2015 A.Shahrokhi 1 PRESSURE ULCER MANAGEMENT A.Shahrokhi,MSc Qazvin University of Medical Sciences 7/2/2015 A.Shahrokhi 3 Noticeable Facts Significant Prevalence 10% to 18% in acute care Cause of Death
Genadyne A4 and foam to treat a postoperative debridment flank abscess
Genadyne A4 and foam to treat a postoperative debridment flank abscess Michael S. DO, The Wound Healing Center Indianapolis, IN Cynthia Peebles RN D.O.N., Becky Beck RN Heartland at Prestwick NH Avon,
SCOPE OF PRACTICE PGY-6 PGY-7 PGY-8
PGY-6 Round on all plastic surgery inpatients every day. Assess progress of patients and identify real or potential problems. Review patients progress with attending physicians daily and participate in
Management of Complex Avulsion Injuries of the Dorsum of the Foot and Ankle in Pediatric Patients by Using Local Delayed Flaps and Skin Grafts
Management of Complex Avulsion Injuries of the Dorsum of the Foot and Ankle in Pediatric Patients by Using Local Delayed Flaps and Skin Grafts Ahmed Elshahat, MD Plastic Surgery Department, Ain Shams University,
Pressure ulcer recognition and prevention. Mark Collier Tissue Viability Nurse Consultant United Lincoln Hospitals NHS Trust
Pressure ulcer recognition and prevention Mark Collier Tissue Viability Nurse Consultant United Lincoln Hospitals NHS Trust PRESSURE ULCER RECOGNITION AND PREVENTION.. United Lincolnshire Hospitals NHS
PRESSURE ULCERS SIMPLIFIED
10 PRESSURE ULCERS SIMPLIFIED This leaflet is intended to give you information and answers to some question you may have around pressure ulcers PRESSURE ULCERS SIMPLIFIED Pressure ulcer development has
International Pressure Ulcer Guidelines Update Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI
International Pressure Ulcer Guidelines Update 2015 Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI Disclosure Aamir Siddiqui has listed no financial interest/arrangement
TOTAL Head and Neck Congenital Defects 50
Operative Minimums Effective July 1, 2014 Review Committee for Plastic Surgery NOTE: The index procedure number for Laser is tracked by Total Laser and not by the subcategories of Aesthetic Laser and Reconstructive
Formation of reconstruction protocol for sacral pressure sore defects
International Journal of Medical and Health Research ISSN: 2454-9142 Impact Factor: RJIF 5.54 www.medicalsciencejournal.com Volume 4; Issue 8; August 2018; Page No. 18-24 Formation of reconstruction protocol
The Risk. Background / Bias. Integrating Wound Care into a Limb Preservation Initiative 4/24/2009
Stimulating Wound Granulation: Advances in NPWT and other Measures (Wound Bed Preparation) Charles Andersen MD, FACS, FAPWCA Clinical Prof of Surgery UW, USUHS Chief Vascular/Endovascular/ Limb Preservation
Update on Pressure Ulcers: Utilizing an Interdisciplinary Approach to Pressure Ulcer Prevention. Charlene A. Demers GNP-BC, CWOCN
Update on Pressure Ulcers: Utilizing an Interdisciplinary Approach to Pressure Ulcer Prevention Charlene A. Demers GNP-BC, CWOCN Scope of the Issue Cost $9 billion to $11 billion $20,000-$150,000 per ulcer
THE pedicled flap, commonly used by the plastic surgeon in the reconstruction
THE PEDICLE!) SKIN FLAP ROBIN ANDERSON, M.D. Department of Plastic Surgery THE pedicled flap, commonly used by the plastic surgeon in the reconstruction of skin and soft tissue defects, differs from the
Pressure Ulcer Prevention and Management. Glenn Smith Clinical Nurse Specialist Nutrition and Tissue Viability
Pressure Ulcer Prevention and Management Glenn Smith Clinical Nurse Specialist Nutrition and Tissue Viability Objectives An understanding of how pressure ulcers develop and what can be done to prevent
Diabetic Foot Ulcers. Alex Khan APRN ACNS-BC MSN CWCN CFCN WCN-C. Advanced Practice Nurse / Adult Clinical Nurse Specialist
Diabetic Foot Ulcers Alex Khan APRN ACNS-BC MSN CWCN CFCN WCN-C Advanced Practice Nurse / Adult Clinical Nurse Specialist Organization of Wound Care Nurses www.woundcarenurses.org Objectives Identify Diabetic/Neuropathic
11/15/2015. npuap.org. What s New in the 2014 Pressure Ulcer Prevention? It s All About Guidelines
What s New in the 2014 Pressure Ulcer Prevention? It s All About Guidelines Joyce Black, PhD, RN CWCN, FAAN University of Nebraska npuap.org A = direct evidence from well designed controlled trials N =
CHAPTER 16 LOWER EXTREMITY. Amanda K Silva, MD and Warren Ellsworth, MD, FACS
CHAPTER 16 LOWER EXTREMITY Amanda K Silva, MD and Warren Ellsworth, MD, FACS The plastic and reconstructive surgeon is often called upon to treat many wound problems of the lower extremity. These include
Prepared and Presented by: Ms. Sohad Noorsaeed, RN. MSN
Prepared and Presented by: Ms. Sohad Noorsaeed, RN. MSN Learning Outcomes Upon the completion of Skin integrity lecture, the learners will be able to: 1. Describe factors affecting skin integrity. 2. Identify
Working together, pressure ulcer prevention IS possible!
How can we prevent Edna s skin from breaking down? Consider following these steps to help prevent skin damage from pressure ulcers: Understand why Edna is at risk. Develop a care plan to prevent pressure
CARE OF THE NEONATE: ITS ALL ABOUT THE SKIN. Katherine Kunkel, MSN, RNC-NIC, WCC
CARE OF THE NEONATE: ITS ALL ABOUT THE SKIN Katherine Kunkel, MSN, RNC-NIC, WCC Learning Objectives Recognize what are risk factors for the neonate within the intensive care unit. Understand the physiology
Pressure Ulcers ecourse
Pressure Ulcers ecourse Knowledge Checkup All Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Knowledge Checkup All Page
Surgical Management of wounds, flaps, grafts, and scars
Disclosures Surgical Management of wounds, flaps, grafts, and scars I have no financial disclosures Cherrie Heinrich, MD, FACS Department of Plastic Surgery Regions Hospital Assistant Professor University
SLEEP SURFACES: INDICATIONS FOR USE (updated )
SLEEP SURFACES: INDICATIONS FOR USE (updated 11.30.2016) TREATMENT LEVEL LOW NAME PHO IMAGE FEATURES WEIGHT LIMIT Low risk ambulatory patient. Multi-density foam for Group I 300 lbs pressure redistribution
Managemen. Pressure Ulcer Prevention and Treatment. Guidance. Posture. Posture. Posture. Posture. Posture
men menm Pressure Ulcer Prevention and Treatment Guidance Post ture Manag The reduction of the numbers of s is a high priority for Southern Health NHS Foundation Trust Purpose of this guidance is to help:
Teaming Together to Understand Pressure Injuries / (Ulcers): NPUAP Terminology and Staging Clarification
Teaming Together to Understand Pressure Injuries / (Ulcers): NPUAP Terminology and Staging Clarification We encourage you to share this information with your staff and colleagues by facilitating clinician
A Retrospective Comparison of Perforator and Rotation Flaps for the Closure of Extensive Stage IV Sacral Pressure Ulcers
A Retrospective Comparison of Perforator and Rotation Flaps for the Closure of Extensive Stage IV Sacral Pressure Ulcers Masaki Fujioka, MD, PhD; Kenji Hayashida, MD; Sin Morooka, MD; and Hiroto Saijo,
Fluorescence Angiography in Limb Salvage
Fluorescence Angiography in Limb Salvage Ryan H. Fitzgerald, DPM, FACFAS Associate Professor of Surgery-University Of South Carolina School of Medicine, Greenville Etiology of Lower extremity wounds Neuropathy
CASE 1: TYPE-II DIABETIC FOOT ULCER
CASE 1: TYPE-II DIABETIC FOOT ULCER DIABETIC FOOT ULCER 48 YEAR-OLD MALE Mr. C., was a 48-year old man with a history of Type-II diabetes over the past 6 years. The current foot ulcer with corresponding
Skin and Temperature Management following Spinal Cord Injury. North West Regional Spinal Injuries Centre Southport & Ormskirk NHS Trust
Skin and Temperature Management following Spinal Cord Injury Functions of the skin The skin is the largest organ of the integumentary system The skin is the interface with the environment and plays an
Hyperbaric oxygen therapy and surgical delay improve flap survival of reverse pedicle flaps for lower third leg and foot reconstruction
Original Article Plastic and Aesthetic Research Hyperbaric oxygen therapy and surgical delay improve flap survival of reverse pedicle flaps for lower third leg and foot reconstruction Pradeoth Mukundan
Pressure Ulcer Prevention Guidelines
EUROPEAN PRESSURE ULCER ADVISORY PANEL Pressure Ulcer Prevention Guidelines INTRODUCTION Pressure damage is common in many healthcare settings across Europe, affecting all age groups, and is costly both
Clinical teaching/experi ence. Lectures/semina rs/conferences Self-directed. learning. Clinical teaching/experi ence
Regional Medical Center (The MED) Plastic Surgery PGY-3 By the end of the Plastic Surgery at the MED, the PGY-3 residents are expected to expand and cultivate knowledge and skills developed during previous
Jennifer Gardner, PT DPT MHA CWS
Jennifer Gardner, PT DPT MHA CWS Medical Device Related (MDR) Pressure Injuries Defined a localized injury to the skin or underlying tissue as a result of sustained pressure from a medical device. The
Guidelines for the Treatment of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009)
Guidelines for the Treatment of Pressure Ulcers (Adapted from EPUAP & NPUAP 2009) This guidance should be read in conjunction with your local dressing formulary and anti-biotic prescribing guidelines.
Appropriate Dressing Selection For Treating Wounds
Appropriate Dressing Selection For Treating Wounds Criteria to Consider for an IDEAL DRESSING Exudate Management Be able to provide for moist wound healing by absorbing exudate or adding moisture Secure
Objectives are included in the participant handout and include the detail for the last objective: Describe a pressure ulcer prevention program for a
1 Objectives are included in the participant handout and include the detail for the last objective: Describe a pressure ulcer prevention program for a nursing home, including: Education of residents, staff
Pressure Ulcers ecourse
Pressure Ulcers ecourse Knowledge Checkup Module 2 Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Knowledge Checkup Module
PATIENT CARE MANUAL POLICY
PATIENT CARE MANUAL POLICY NUMBER #VII-F-20 PAGE 1 OF 2 APPROVED BY: CATEGORY: Senior Vice President, Medicine and Chief of Staff; Vice President and Senior Operating Officer, Covenant Health, Rural Health
The Overarching of Pressure Injuries: The 3 legged stool - Wound Care
The Overarching of Pressure Injuries: The 3 legged stool - Wound Care Barbara Delmore PhD RN CWCN MAPWCA IIWCC-NYU NPUAP 2017 Biennial Conference, New Orleans March 10, 2017 2017 National Pressure Ulcer
Pressure Ulcers Learning Session 2
Pressure Ulcers Learning Session 2 Gillian O Brien Advanced Nurse Practitioner Tissue Viability Naas General Hospital Pat Mc Cluskey Advanced Nurse Practitioner Wound Care Cork University Hospital Group
Support Surfaces: Characteristics and Considerations
Support Surfaces: Characteristics and Considerations Specialty Beds Air-fluidized bed (also known as a bead bed or sand bed ) Product Characteristics: This is a bed frame containing silicone-coated beads
Understanding Support Surface Testing and Performance
Understanding Support Testing and Evan Call, MS, CSM (NRM) Adjunct Faculty Member, Department of Microbiology, Weber State University Board of Directors, NPUAP / Research Scientist Co-Chair of S3I Committee
ד"ר בוריס פונצ' קי PRESSURE ULCERS
ד"ר בוריס פונצ' קי 25.12.2013 PRESSURE ULCERS International EPUAP-NPUAP Pressure Ulcer Definition: (European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel, 2010).. is localized
Wound Care Program for Nursing Assistants-
Wound Care Program for Nursing Assistants- Wound Cleansing,Types & Presentation Elizabeth DeFeo, RN, WCC, OMS, CWOCN Wound, Ostomy, & Continence Specialist ldefeo@cornerstonevna.org Outline/Agenda At completion
Saving Face Strategies to reduce skin breakdown during noninvasive ventilation (NIV) for patient care
1 Saving Face Strategies to reduce skin breakdown during noninvasive ventilation (NIV) for patient care Objectives Define the key factors that can lead to mask-related NIV complications Define ways to
CURRENT CONCEPTS IN PRESSURE INJURY PREVENTION AND CARE
CURRENT CONCEPTS IN PRESSURE INJURY PREVENTION AND CARE JOIE WHITNEY, PHD, RN, CWCN, FAAN PROFESSOR BIOBEHAVIORAL NURSING AND HEALTH SYSTEMS UNIVERSITY OF WASHINGTON HARBORVIEW ENDOWED PROFESSOR IN CRITICAL
CRRN Review Course 2017 Skin and Wound Management. Presented by: Jenifer Stevenson BSN, CRRN, CNML
CRRN Review Course 2017 Skin and Wound Management Presented by: Jenifer Stevenson BSN, CRRN, CNML Disclosure The presenter for this presentation has disclosed no conflict of interest related to this topic.
CLPNA Pressure Ulcers ecourse: Module 4 Quiz II page 1
CLPNA Pressure Ulcers ecourse: Module 4 Quiz II 1. When are good times to do a skin inspection of a patient or resident? a. Bathing b. Meal times c. Dressing d. Assisting e. Sleeping 2. For patients who
A GUIDE TO THE TREATMENT OF PRESSURE ULCERS FROM GRADE 1 GRADE 4
A GUIDE TO THE TREATMENT OF PRESSURE ULCERS FROM GRADE 1 GRADE 4 Gill Wicks, Nurse Consultant, Tissue Viability for Wiltshire Primary Care Trust and Lecturer at University of West England Pressure ulcers
Skin Tears: Prevention, Assessment and Treatment. Objectives. Skin Tear Overview. University of Washington School of Nursing - uwcne.
Skin Tears: Prevention, Assessment and Treatment Renee Anderson MSN RN CWON Objectives Upon completion of this presentation the learner will: Describe the intrinsic and extrinsic factors associated with
Chapter 36 & 37. Types of wounds. Skin Tear
Chapter 36 & 37 Wound Care and Pressure Ulcers Types of wounds A wound is a break in the skin d/t trauma, surgical incision, pressure sore, circulatory ulcers Abrasion, Contusion, Incision, Laceration,
Surveillance proposal consultation document
Surveillance proposal consultation document 2018 surveillance of Pressure ulcers: prevention and management (NICE guideline CG179) Proposed surveillance decision We propose to not update the NICE guideline
Pressure Ulcers ecourse
Pressure Ulcers ecourse Module 4.1: Prevention of Pressure Ulcers Handout College of Licensed Practical Nurses of Alberta (Canada) CLPNA.com and StudywithCLPNA.com CLPNA Pressure Ulcers ecourse Module
97% of pressure dissipated
The science behind KerraPro A pressure ulcer can occur at the point where the skin is in constant contact with a surface (such as a patient s bed or chair), or with another part of the body (for example
Pearls for Keeping it Simple in Cutaneous Reconstruction
Pearls for Keeping it Simple in Cutaneous Reconstruction Jerry D. Brewer, MD, MS, FAAD brewer.jerry@mayo.edu Professor of Dermatology Division of Dermatologic Surgery Department of Dermatology Mayo Clinic
ALLEVYN Life Advanced Foam Wound Dressings
ALLEVYN Life Advanced Foam Wound Dressings ALLEVYN Life Dressings have a multi-layered design incorporating hydrocellular foam, a hyper-absorber lock away core and a masking layer that has been designed
The Seating Interface For The Individual With SCI: Minimizing Risk and Maximizing Function
The Seating Interface For The Individual With SCI: Minimizing Risk and Maximizing Function Disclosure of PI- RRTC Grant James S. Krause, PhD, Holly Wise, PhD; PT, and Emily Johnson, MHA have disclosed
Chapter 17 Pressure ulcers
1 Chapter 17 Pressure ulcers Introduction Peter Nthumba Pressure ulcers develop as a result of tissue loss primarily from pressure. Decubitus ulcers occur in areas with underlying bony prominences when
Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect
ISPUB.COM The Internet Journal of Plastic Surgery Volume 5 Number 2 Sliding Perforator Island Flap For Covering A Big Lumbosacral Defect R Hussein, S Anis Citation R Hussein, S Anis.. The Internet Journal
Icd 10 stage 4 pressure ulcer ischium
Icd 10 stage 4 pressure ulcer ischium 02/17/2018 Unblocked games 66 at school learn to fly 3 02/18/2018 Can you take xanax after concussion 02/20/2018 -Cheap iphone 3 -Icd 10 code for post op respiratory
Incidence and Prevalence of Pressure Ulcers. Annual Report April 2010 to March 2011
THE WALTON CENTRE FOR NEUROLOGY AND NEUROSURGRY NHS FOUNDATION TRUST Incidence and Prevalence of Pressure Ulcers Annual Report April 2010 to March 2011 Date April 2011 Authors: Phillipa Kane Matron Infection
Will it heal? How to assess the probability of wound healing
Will it heal? How to assess the probability of wound healing Richard F. Neville, M.D. Professor of Surgery Chief, Division of Vascular Surgery George Washington University Limb center case 69 yr old male
Inferior Gluteus Maximus Island Flap for Reconstruction of Ischial Pressure Sores
Original Article Inferior Gluteus Maximus Island Flap for Reconstruction of Ischial Pressure Sores Yawar Sajjad, 1 Beenish Rahat, 2 Salman Hameed 3 Abstract Surgical management of ischial pressure sores
Management of Complex Wounds with Vacuum Assisted Closure
Management of Complex Wounds with Vacuum Assisted Closure Wendy McInnes Vascular / Wound Nurse Practitioner The Queen Elizabeth Hospital, Adelaide, South Australia Treasurer ANZSVN wendy.mcinnes@health.sa.gov.au
Pressure Ulcer Staging. Staging of Wounds are based on the deepest level of tissue damage
Pressure Ulcer Staging Staging of Wounds are based on the deepest level of tissue damage Pressure Ulcer Staging New Pressure Ulcer Staging Stage I Stage II Stage III Stage IV Unstageable Suspected Deep
Microclimate and Pressure Ulcer Development. What is the role of skin microclimate in promoting or exacerbating pressure injuries?
Microclimate and Pressure Ulcer Development Professor Michael Clark, Welsh Wound Innovation Centre, UK Lecture as part of a series by Parafricta What is the role of skin microclimate in promoting or exacerbating
Stop The Pressure: Patient Safety and Tissue Viability
Portsmouth Hospitals NHS Trust Stop The Pressure: Patient Safety and Tissue Viability Alison Cole Claire Brett Karen Oakley Presentation Focus Etiology and cause of a pressure ulcer The impact of pressure
Heel Defect Reconstruction using Local Vascularized Flaps: Results and Clinical Outcomes in 16 Patients
JFS (P) Kuldeep Singh et al ORIGINL RTICLE 10.5005/jp-journals-10040-1083 Heel Defect Reconstruction using Local Vascularized Flaps: Results and Clinical Outcomes in 16 Patients 1 Kuldeep Singh, 2 Zile
If both a standardized, validated screening tool and an evaluation of clinical factors are utilized, select Response 2.
(M1300) Pressure Ulcer Assessment: Was this patient assessed for Risk of Developing Pressure Ulcers? 0 - No assessment conducted [Go to M1306 ] 1 - Yes, based on an evaluation of clinical factors (for
The Seated Patient 15 th Biennial Conference New Orleans
The Seated Patient 15 th Biennial Conference New Orleans Track 1 March 11, 2017 Christine Berke MSN APRN-NP CWOCN-AP Nebraska Medicine cberke@nebraskamed.com 2017 National Pressure Ulcer Advisory Panel
Presented By: Jennifer Birt, OT Reg(MB) Specialized Seating & Mobility Clinical Specialist
Presented By: Jennifer Birt, OT Reg(MB) Specialized Seating & Mobility Clinical Specialist 2013 1. Define and understand the concept of practical pressure management and categorizing individuals at different
Tanta University. Faculty of Medicine. Plastic and Reconstructive Surgery Department. Doctorate Degree in Plastic Surgery
Componenets : Tanta University Faculty of Medicine Plastic and Reconstructive Surgery Department Doctorate Degree in Plastic Surgery Students should fulfill the designated number of credit hours, including
2 Pressure Ulcer or Pressure Injury? (Do you have skin in the game?)
Pressure Ulcer or Pressure Injury? (Do you have skin in the game?) Ann Rambusch, MSN, HCS D, HCS O, RN June 28, 2016 1 Pressure Ulcer or Pressure Injury? (Do you have skin in the game?) Understanding NPUAP
Calcaneal Fractures: Lateral Extensile Incision
Calcaneal Fractures: Lateral Extensile Incision AS Flemister JR, MD University of Rochester Disclosures I have no financial disclosures 1/27/2016 2 Mechanism Axial Loading Fall From Height MVA BAD SOFT
High Risk Podiatry in a Vascular Setting; A new paradigm in Diabetic Foot Disease? Ereena Torpey Senior Podiatrist - FMC
High Risk Podiatry in a Vascular Setting; A new paradigm in Diabetic Foot Disease? Ereena Torpey Senior Podiatrist - FMC A new paradigm? Foot ulceration 101 Assessing Perfusion a new challenge Pressure
Objectives. Major Changes to Section M. MDS 3.0 Section M Pressure Ulcers. Risk assessment Introduction of NPUAP guidelines
MDS 3.0 Section M Pressure Ulcers Moderator: Barbara Baylis Sr. VP of Clinical and Residential Services, Kindred Healthcare Presenter: Glenda Mack, Sr. Director of Clinical Operations, Peoplefirst Rehabilitation
Correspondence should be addressed to Shkelzen B. Duci;
Plastic Surgery International Volume 2013, Article ID 129692, 6 pages http://dx.doi.org/10.1155/2013/129692 Research Article Surgical Treatment of 55 Patients with Pressure Ulcers at the Department of
New Strategies to Improve Assessment, Documentation and Prevention of Pressure Injuries
New Strategies to Improve Assessment, Documentation and Prevention of Pressure Injuries Janet Cuddigan, PhD, RN, CWCN, FAAN Professor, UNMC College of Nursing Omaha, NE Focus of this Presentation New developments
Pressure Redistribution Clinical Training. August 2014
Pressure Redistribution Clinical Training August 2014 Goal: To help clinicians better understand and execute proper patient pressure redistribution and positioning Contents (Click the link to move to that
Heel Pressure Ulcers: A to Z. Event ID:
Heel Pressure Ulcers: A to Z Event ID: 192526 Q & A Dr. Diane Langemo: Thank you for tuning into the webinar and we will now address the questions that were submitted. We have many excellent questions.
Recognizing Pressure Injury
Recognizing Pressure Injury Karen Zulkowski, DNS, RN Hawaii Recorded on March 8, 2017 1 A Little About Myself Executive editor of the Journal of the World Council of Enterostomal Therapists (JWCET) and
Mr Zachary Moaveni Plastic Surgeon, Middlemore Hospital. Mr Adam Bialostocki Plastic Surgeon, Tauranga
Mr Zachary Moaveni Plastic Surgeon, Middlemore Hospital Mr Adam Bialostocki Plastic Surgeon, Tauranga Mr. Adam Bialostocki Plastic Surgeon Minor Burns First Aid Remove the burning agent / wet clothes
WOUND CARE. By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare
WOUND CARE By Laural Aiesi, RN, BSN Alina Kisiel RN, BSN Summit ElderCare PRESSURE ULCER DIABETIC FOOT ULCER VENOUS ULCER ARTERIAL WOUND NEW OR WORSENING INCONTINENCE CHANGE IN MENTAL STATUS DECLINE IN
The Role of Nutrition in Pressure Ulcer Treatment: A Case Study Katherine Tomaino June 11, 2012
The Role of Nutrition in Pressure Ulcer Treatment: A Case Study Katherine Tomaino June 11, 2012 Pressure Ulcers Also known as decubitus ulcers Localized injury to skin or underlying tissue, usually occur
ACOFP 55th Annual Convention & Scientific Seminars. New Physicians and Residents: Introduction to Wound Care. Katherine Lincoln, DO, FAAFP
8 ACOFP 55th Annual Convention & Scientific Seminars New Physicians and Residents: Introduction to Wound Care Katherine Lincoln, DO, FAAFP Introduction to Wound Care KATHERINE LINCOLN, DO, FAAFP ACOFP
23 rd Annual LLRS Meeting
23 rd Annual LLRS Meeting Daniel Schlatterer, DO Vice Chair, Dept. of Ortho Surgery Director, Ortho Trauma Atlanta Medical Center Atlanta, Georgia Use of Integra and Split Thickness Skin Graft for Coverage
Departmental Segregated Total Form for Plastic and Reconstructive Surgery
Departmental Segregated Total Form for Plastic and Reconstructive Surgery American Osteopathic Association and the American College of Osteopathic Surgeons Revised, COPT 11/2001 Revised, BOT 2/2006, Effective,