1.

Record Nr.

UNINA9910300097903321

Titolo

Pressure ulcers in the aging population : a guide for clinicians / / David R. Thomas, Gregory A. Compton, editors

Pubbl/distr/stampa

New York : , : Humana Press, , 2014

ISBN

1-62703-700-4

Edizione

[1st ed. 2014.]

Descrizione fisica

1 online resource (xi, 233 pages) : illustrations (some color)

Collana

Aging Medicine ; ; 1

Disciplina

616.545

Soggetti

Bedsores - Prevention

Bedsores - Treatment

Geriatrics

Older people - Health and hygiene

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Dedication; Preface; Contents; Contributors; Chapter 1: The Biology of Wound Healing; Basic Skin Anatomy; The Epidermis; The Dermis; Functions of Skin; Phases of Acute Wound Healing; Box 1.1 Pathologic Processes in Chronic Wounds; The Coagulation Phase; The Inflammatory Phase; The Proliferative Phase; Box 1.2 Cytokines Are Glycoprotein Mediators That Have the Following Properties; Box 1.3 Actions of Growth Factors and Cytokines; The Remodeling Phase; Structural Changes in Aging Skin; Changes in Wound Healing with Age; Tensile Strength; Measurement of Wound Healing; Rate of Wound Closure

Inflammatory ResponseSummary; Box 1.4 Medications That Impair Wound Healing; References; Useful General References for More Detail on the Anatomy, Function and Biology of the Skin; Useful General References for More Detail on the Cytokines and Growth Factors; Chapter 2: Incidence and Prevalence of Pressure Ulcers; Defining What You Measure; Measures of Pressure Ulcer Rates; Data Sources for Calculating Pressure Ulcer Rates; Understanding Differences in Pressure Ulcer Rates; Pressure Ulcer Rates in Specific Settings; Critical Care; General Acute Care; Nursing Homes; Conclusions; References

Chapter 3: Prevention of Pressure UlcersIntroduction; Skin Assessment; Pressure Ulcer Risk Assessment Scales; Braden Scale; Gosnell Scale;



Norton Scale; Waterlow Scale; Ramstadius Tool; Special Populations; SCI Patients; Acute Care; Surgical: Acute Care; Long-Term Care; Home Care; Patient Specific Risk Factors; Advanced Age; Nutrition; Immobility; Friction and Shear; Exposure to Excess Moisture; Prevention of Heel Ulcerations; Overall Recommendations; References; Other Useful Pressure Ulcer Prevention Resources; Chapter 4: Assessment and Documentation of Pressure Ulcers

Assessment and Documentation of Pressure UlcersIs it a Pressure Ulcer?; What Category of Pressure Ulcer Is It?; Category I Pressure Ulcer; Category II Pressure Ulcers; Category III Pressure Ulcers; Category IV Pressure Ulcers; Suspected Deep Tissue Injury; Unstageable Pressure Ulcers; Current Problems of Pressure Ulcer Classification; Pressure Ulcer Wound Assessment; Pressure Ulcer Size; Types and Qualities of Exposed Tissues; Undermining; Exudate; Odor; Wound Edge; Does This Pressure Ulcer Heal?; References; Chapter 5: General Principles of Pressure Ulcer Management

General Principles of Pressure Ulcer ManagementManaging Patient Comorbidities; Reduce Pressure, Friction, and Shear; Address Nutritional Status; Assessing the Ulcer; Managing Infection; Measuring Progress Toward Healing; Summary; References; Chapter 6: Local Wound Treatment in Pressure Ulcer Management; Hydrocolloid Dressings; Dextranomer Polysaccharide; Topical Collagen Dressings; Radiant Heat Dressings; Topical Phenytoin; Biological Agents; Dermal Replacement or Grafts; Vacuum-Assisted Closure; Adjuvant Therapies; Electrical Stimulation; Therapeutic Ultrasound; Other Modalities; Summary

Pressure Ulcer Debridement

Sommario/riassunto

Pressure Ulcers in the Aging Population: A Guide for Clinicians is a resource primarily aimed at physicians interested in the fundamentals of wound care. This book is written for geriatricians, internists, general practitioners, residents and fellows who treat older patients. Unlike other wound texts on the market, the book addresses the specific issues of wound prevention and management in older individuals. The text emphasizes proper documentation and elements of the team care process. There is up to date information on skin changes a the end of life and the concept of unavoidability. Chapters are written by experts in their fields and  include such evolving topics as deep tissue injury and the newer support surface technologies.