A prospective pilot study of atypical pressure ulcer presentation in a skilled geriatric nursing unit

Ostomy Wound Management

Volumn 57, Issue 2, 2011, Pages 49-54

  Jaul, Efraim ^a,b  

^a HERZOG HOSPITAL   (Israel)

^b HEBREW UNIVERSITY   (Israel)

Author keywords

atypical locations; atypical pressure ulcers (APU); bone deformity; descriptive pilot study; iatrogenesis (medical device); multidisciplinary assessment; spasticity; unusual risk factors

Indexed keywords

ARTICLE; DECUBITUS; FEMALE; GERIATRIC NURSING; HUMAN; ISRAEL; MALE; NURSING; NURSING HOME; PATHOLOGY; PILOT STUDY; PROSPECTIVE STUDY;

FEMALE; GERIATRIC NURSING; HUMANS; ISRAEL; MALE; PILOT PROJECTS; PRESSURE ULCER; PROSPECTIVE STUDIES; SKILLED NURSING FACILITIES;

EID: 79952134881     PISSN: 08895899     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (31)

1. Allman RM, Goode PS, Patrick MM, Burst N, Bartolucci AA. Pressure ulcer risk factors among hospitalized patients with activity limitation. JAMA. 1995;273(11):865-870.
2. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55(5):780-791. (Pubitemid 46668974)
3. Grey JE, Harding KG, Enoch S. Pressure ulcers. ABCs of wound healing. Non-surgical and drug treatments. BMJ. 2006;332(7539):72-75.
4. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med. 1997;13(3):421-436. (Pubitemid 27373848)
5. Smith DM. Pressure ulcers in the nursing home. Ann Intern Med. 1995;123(6):433-442.
6. Thomas DR. The role of nutrition in prevention and healing of pressure ulcers. Clin Geriatr Med. 1997;13(3):497-511. (Pubitemid 27373852)
7. Lindgren M, Unosson M, Fredrikson M, Ek AC. Immobility - a major risk factor for development of pressure ulcers among adult hospitalized patients: a prospective study. Scand J Caring Sci. 2004;18(1):57-64. (Pubitemid 41710713)
8. Jaul E. Assessment and management of pressure ulcers in the elderly: current strategies. Drugs & Aging. 2010;27(4):311-325.
9. Margolis DJ, Bilker W, Knauss J, Baumgarten M, Strom BL. The incidence and prevalence of pressure ulcers among elderly patients in general medical practice. Ann Epidemiol. 2002;12(5):321-325. (Pubitemid 34621491)
10. Stadelmann WK, Digenis AG, Tobin GR. Impediments to wound healing. Am J Surg. 1998;176:36-47.
11. Levine JM, Gross J. Atypical location of pressure sores: presentation of two cases. Decubitus. 1989;2(4):44-46.
12. Cherng CH, Wong CS. Pressure sore induced by epidural catheter in a patient receiving postoperative pain control. Reg Anesth Pain Med. 2003;28(6):580.
13. Vaidyanathan S, Soni BM, Bingley J, Brown E, Markey S. Prevention of pressure sore caused by indwelling urinary catheters. Spinal Cord. 2002;40(9):489.
14. Sivaraman Nair KP, Taly AB, Roopa N, Murali T. Pressure ulcers: an unusual complication of indwelling urethral catheter. Spinal Cord. 2001;39(4):234-236. (Pubitemid 32574774)
15. Hughes D. Skin necrosis in prolonged application of an elasticated wrist splint in a psychiatric patient. J Accid Emerg Med. 1996;13(3):230.
16. Nyquist RH. A protective "shin-guard" splint. Paraplegia. 1965;3(1):56-57.
17. Kelley LS, Mobily PR. Iatrogenesis in the elderly. Impaired skin integrity. J Gerontol Nurs. 1991;17(9):24-29.
18. Palmer MP. Iatrogenic illness in hospital. In: Hazzard WR, Blass JP, Ettinger WH Jr (eds). Principles of Geriatric Medicine and Gerontology, 4th ed. New York, NY: McGraw-Hill;1999:484-485.
19. Weinberg AD. Risk Management in Long Term Care: Pressure Ulcers. New York, NY: Ed Springer Publishing Company, Inc;1998:8-13.
20. Haher JN, Haher TR, Devlin VJ, Schwartz J. The release of flexion contractures as a prerequisite for the treatment of pressure sore in multiple sclerosis: a report of ten cases. Ann Plast Surg. 1983;11:246-249.
21. Atiyeh BS, Hayek SN. Pressure sores with associated spasticity: a clinical challenge. Int Wound J. 2005;2(1):77-80.
22. Ferido T, Habel M. Spasticity in head trauma and CVA patients: etiology and management. J Neurosci Nurs. 1988;20:17-22.
23. Mintzer J, Burns A. Anti-colinergic side effect of drugs in elderly people. J R Soc Med. 2000;93:457-462.
24. Knight DB, Scott H. Contracture and pressure necrosis. Ostomy Wound Manage. 1990;26:60-62.
25. Pohl M, Rückriem S, Strick H, et al. Treatment of pressure ulcers by serial casting in patients with severe spasticity of cerebral origin. Arch Phys Med Rehabil. 2007:83:35-39. (Pubitemid 34052138)
26. Rubayi S, Kiyono Y. Flap surgery to cover olecranon pressure ulcers in spinal cord injury patients. Plast Reconstr Surg. 2001;107:1473-1481. (Pubitemid 32374055)
27. Hesse S, Brandi-Hesse B, Bardeleben A, Werner C, Funk M. Botulinum toxin: a treatment of adult upper and lower limb spasticity. Drugs and Aging. 2001;18:255-262. (Pubitemid 32391813)
28. Mess SA, Kim S, Davison S, Heckler F. Implantable baclofen pump as an adjuvant in treatment of pressure sores. Ann Plast Surg. 2003;51:465-467. (Pubitemid 37420644)
29. Kado DM, Prenovost K, Crandall C. Narrative review: hyperkyphosis in older persons. Ann Intern Med. 2007;147(5):330-338. (Pubitemid 351664560)
30. Neal B, Gray H, MacMahon S, Dunn L. Incidence of heterotopic bone formation after major hip surgery. ANZ J Surg. 2002;72:808-821. (Pubitemid 35370622)
31. Jaul E. Non-healing wounds: the geriatric approach. Arch Gerontol Geriatr. 2009;49(2):224-226.