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. 1991 May;154(5):539–544.

Pressure sores--a multifaceted approach to prevention and treatment.

W E Staas Jr 1, H M Cioschi 1
PMCID: PMC1002824  PMID: 1830985

Abstract

The incidence and effect of pressure sores on the disabled and elderly population have created a challenge to physicians and health care professionals, from emergency departments to rehabilitation units, and in the community. If not prevented, the morbidity and mortality of patients and the direct and indirect costs to both patients and the health care system are radically increased. In this article we define the impact on our health care system of pressure sores, provide an overview of a multifaceted approach to their prevention and management, and introduce successful behavioral and educational approaches for patients with chronic, recurrent sores. A coordinated approach with patients as informed participants and their care givers enhances the chances for success.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allman R. M., Laprade C. A., Noel L. B., Walker J. M., Moorer C. A., Dear M. R., Smith C. R. Pressure sores among hospitalized patients. Ann Intern Med. 1986 Sep;105(3):337–342. doi: 10.7326/0003-4819-105-3-337. [DOI] [PubMed] [Google Scholar]
  2. Anderson T. P., Andberg M. M. Psychosocial factors associated with pressure sores. Arch Phys Med Rehabil. 1979 Aug;60(8):341–346. [PubMed] [Google Scholar]
  3. Braden B., Bergstrom N. A conceptual schema for the study of the etiology of pressure sores. Rehabil Nurs. 1987 Jan-Feb;12(1):8–12. doi: 10.1002/j.2048-7940.1987.tb00541.x. [DOI] [PubMed] [Google Scholar]
  4. Chapuis A., Dollfus P. The use of a calcium alginate dressing in the management of decubitus ulcers in patients with spinal cord lesions. Paraplegia. 1990 May;28(4):269–271. doi: 10.1038/sc.1990.35. [DOI] [PubMed] [Google Scholar]
  5. DeLateur B. J., Berni R., Hangladarom T., Giaconi R. Wheelchair cushions designed to prevent pressure sores: an evaluation. Arch Phys Med Rehabil. 1976 Mar;57(3):129–135. [PubMed] [Google Scholar]
  6. Fordyce W. E., Simons B. C. Automated training system for wheelchair pushups. Public Health Rep. 1968 Jun;83(6):527–528. [PubMed] [Google Scholar]
  7. Garber S. L., Campion L. J., Krouskop T. A. Trochanteric pressure in spinal cord injury. Arch Phys Med Rehabil. 1982 Nov;63(11):549–552. [PubMed] [Google Scholar]
  8. Garber S. L., Krouskop T. A., Carter R. E. A system for clinically evaluating wheelchair pressure-relief cushions. Am J Occup Ther. 1978 Oct;32(9):565–570. [PubMed] [Google Scholar]
  9. Gosnell D. J. An assessment tool to identify pressure sores. Nurs Res. 1973 Jan-Feb;22(1):55–59. [PubMed] [Google Scholar]
  10. KOSIAK M. Etiology of decubitus ulcers. Arch Phys Med Rehabil. 1961 Jan;42:19–29. [PubMed] [Google Scholar]
  11. Krouskop T. A. A synthesis of the factors that contribute to pressure sore formation. Med Hypotheses. 1983 Jun;11(2):255–267. doi: 10.1016/0306-9877(83)90067-1. [DOI] [PubMed] [Google Scholar]
  12. LINDAN O. Etiology of decubitus ulcers: an experimental study. Arch Phys Med Rehabil. 1961 Nov;42:774–783. [PubMed] [Google Scholar]
  13. LaMantia J. G., Hirschwald J. F., Goodman C. L., Wooden V. M., Delisser O., Staas W. E., Jr A program design to reduce chronic readmissions for pressure sores. Rehabil Nurs. 1987 Jan-Feb;12(1):22-5, 16. doi: 10.1002/j.2048-7940.1987.tb00544.x. [DOI] [PubMed] [Google Scholar]
  14. Maklebust J. A., Mondoux L., Sieggreen M. Pressure relief characteristics of various support surfaces used in prevention and treatment of pressure ulcers. J Enterostomal Ther. 1986 May-Jun;13(3):85–89. doi: 10.1097/00152192-198605000-00029. [DOI] [PubMed] [Google Scholar]
  15. Reuler J. B., Cooney T. G. The pressure sore: pathophysiology and principles of management. Ann Intern Med. 1981 May;94(5):661–666. doi: 10.7326/0003-4819-94-5-661. [DOI] [PubMed] [Google Scholar]
  16. Shea J. D. Pressure sores: classification and management. Clin Orthop Relat Res. 1975 Oct;(112):89–100. [PubMed] [Google Scholar]
  17. Weinstein J. D., Davidson B. A. A fluid-support mattress and seat for the prevention and treatment of decubitus ulcers. Lancet. 1965 Sep 25;2(7413):625–626. doi: 10.1016/s0140-6736(65)90526-x. [DOI] [PubMed] [Google Scholar]

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