An edition of Pressure Ulcers (2010)

Pressure Ulcers

Long-Term Care Clinical Manual

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Last edited by ImportBot
August 4, 2022 | History
An edition of Pressure Ulcers (2010)

Pressure Ulcers

Long-Term Care Clinical Manual

  • 0 Ratings
  • 1 Want to read
  • 0 Currently reading
  • 0 Have read

This edition was released with a companion CD-Rom nestled in a pocket on the inner back cover. The CD includes an additional book's worth of material formatted as .pdf files.

Publish Date
Publisher
HCPro Inc.
Language
English
Pages
224

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Edition Availability
Cover of: Pressure Ulcers
Pressure Ulcers: Long-Term Care Clinical Manual
2010, HCPro Inc.
Spiral-bound in English
Cover of: Pressure Ulcers
Pressure Ulcers: CD-Rom
2010, HCPro
CD-Rom in English

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Book Details


Table of Contents

CD Contents Page ix
A Word from the Author Page xv
Disclaimer Page xviii
Chapter 1. Overview of Anatomy and Physiology of the Skin
Facts About the Integumentary System Page 1
The Integumentary System Page 2
Aging Changes Page 4
Pressure Ulcers Page 6
Wound Healing Page 6
Chapter 2. Pressure Ulcer Risk
Risk Factors Page 9
Effects of Pressure on the Skin Page 12
Written Risk Assessment Tools Page 14
Tissue Tolerance and Pressure Ulcers Page 15
Additional Risk Factors for Pressure Ulcers Page 18
Pressure Ulcers on the Feet Page 20
Medical Conditions That Increase the Risk of Foot and Heel Ulceration Page 21
Elements of a Prevention Program Page 23
Care Plan Approaches for Pressure Ulcer Prevention Page 24
Myths and Facts About Foot Care Page 31
What to Do With This Information Page 32
Chapter 3. Pressure Ulcer Assessment and Documentation
Pressure Ulcer Assessment Page 35
Staging Pressure Ulcers Page 43
The Kennedy Terminal Ulcer Page 47
Reverse Staging (Backstaging) Page 49
Pressure Ulcers and the MDS Page 49
The Pressure Ulcer for Healing Tool Page 51
Other Assessment Tools Page 52
Chapter 4. Immobility and Positioning Bedfast Residents
Immobility Page 53
Bedfast Residents Page 54
30° Concerns Page 54
Resident Refusals: Positioning and Repositioning Page 56
Bridging Page 60
Survey Observations of the Bedfast Resident Page 61
Soaker Pads Not for Repositioning Page 63
Slider Sheets Page 64
Bed Mobility Page 66
Foot Care Page 67
Chapter 5. Pressure Relief in Chairfast Residents
Pressure Ulcers in Chairfast Residents Page 71
Repositioning the Seated Resident Using the 90-90-90 Position Page 72
Importance of Pressure Relief in the Chair Page 76
Importance of Positioning the WHeels Page 76
Pressure-Relieving Activities in the Wheelchair or Chair Page 77
Measuring Wheelchairs to Fit Residents Page 79
Wheelchair Mobility Page 79
Chapter 6. Support Surfaces
Support Surfaces Page 83
Selecting a Support Surface Page 84
Types of Support Surfaces Page 85
Bariatric Support Surfaces Page 88
Entrapment Concerns Associated with Replacement Mattresses and Overlays Page 89
Risk of Entrapment with Low-Air-Loss Beds Page 90
Support Surfaces for Chair and Wheelchair Seating Page 92
Wheelchair Cushions Page 95
Final Word on the Subject Page 95
Chapter 7. Lower Extremity Ulcers
Lower-Extremity Ulcers Page 97
Ulcer Identification Page 97
Arterial (Ischemic) Ulcers Page 98
Venous (Stasis) Ulcers Page 100
Graduated Compression Stockings Page 104
The Unna Boot Page 106
Diabetic (Neuropathic) Ulcers Page 107
Other Types of Ulcers Page 112
Describing and Documenting the Wound Page 115
Preventive Plan of Care Page 115
Chapter 8. Nursing Strategy: The Plan of Care for a Resident with a Pressure Ulcer
Ongoing Plan of Care Page 119
Planning Care Page 119
Suggested Care Plan Approaches for Residents with Pressure Ulcers Page 121
Other Issues Page 126
Diarrhea Page 126
Wound Pain Page 127
Chapter 9. Wound Dressings
Matching the Wound to the Dressing Page 129
Selecting a Dressing Page 132
Red, Yellow or Black Page 139
Art and Science of Changing Wound Dressings Page 139
Pain During Treatment and Dressing Change Page 139
Wound Care Technique Page 141
Initial Procedure Actions Page 141
Chapter 10. Other Treatment Options
Recommended Treatment Options Page 143
Procedure for Wound Care Page 144
Observing and Cleansing the Wound Page 144
Hydrotherapy, Cleansing and Irrigating the Wound Page 146
Negative Pressure Wound Therapy Systems Page 149
Cadexomer Iodine Page 152
Debriding Agents Page 152
Silver Page 153
Other Antimicrobials Page 154
Honey in Wound Care Page 155
Older Treatments Page 158
Hypergranuation Tissue Page 159
Crusting for Skin Irritation Page 159
Poor or Abnormal Healing Page 160
Delayed or Stalled Healing Page 160
Chapter 11. Skin Tears
Skin Tears Page 163
Preventive Care Page 164
Skin Tear Assessment and Classification Page 168
Skin Tear Treatment Page 169
Chapter 12. Wound Infection
Systematic Factors That Increase the Risk of Wound Infection Page 173
Pressure Ulcer Colonization Page 173
Wound Infection Page 175
Wound Pain Related to Infection Page 177
Septic Conditions Page 178
Osteomyelitis Page 179
Wound Culture Page 181
Necrotizing Fasciitis Page 183
Risk of Tetanus in Pressure Ulcers, Skin Tears, and Chronic Wounds Page 186
Care Plan Approaches and Practices for Preventing Wound Infection Page 188
Chapter 13. Legal Issues
OBRA Page 193
Pressure Ulcers: Scope of the Problem Page 194
Regulatory Changes Page 195
Declines in Condition Related to Pressure Ulcers Page 195
Resident Noncompliance and Refusals Page 199
Legal Concerns Page 201
Maintaining a Photographic Record Page 203
Chapter 14. Regulatory Issues
State and Federal Regulations Page 207
Government Regulations Page 207
Type, Frequency, and Duration of Long-Term Care Facility Surveys Page 208
Understanding the Inspection (Survey) Process Page 209
Quality Indicator Survey Page 210
Survey Team Preparation Page 211
OSCAR Page 213
Quality Measures Page 214
Chapter 15. Documentation
What to Document Page 217
What Not to Document Page 218
Fraud and Abuse Page 221
Guidelines for Nursing Documentation Page 222

Edition Notes

Includes bibliographical references.

Published in
Marblehead, MA

Classifications

Library of Congress
RL675 .A33 2010

Contributors

Editor
Adriennne Trivers
Copy Editor
Adam Carroll
Art Director
Susan Darbyshire
Graphic Design
Mike Mirabello

The Physical Object

Format
Spiral-bound
Pagination
xvii, 224 p. :
Number of pages
224

ID Numbers

Open Library
OL25403343M
ISBN 10
1601467192
ISBN 13
9781601467195
LCCN
2011279048
OCLC/WorldCat
664808180

Work Description

Everything you ever wanted to know about pressure ulcers (aka decubitus ulcers, pressure sores, bed sores), from prevention to documentation to treatment. The 2010 HCPro Edition included a CD-Rom featuring an additional book's-worth of material in pdf format.

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History

Download catalog record: RDF / JSON / OPDS | Wikipedia citation
August 4, 2022 Edited by ImportBot import existing book
September 25, 2020 Edited by MARC Bot import existing book
March 11, 2017 Edited by Vinnie Rattollee Edited without comment.
March 11, 2017 Edited by Vinnie Rattollee Edited without comment.
August 8, 2012 Created by LC Bot Imported from Library of Congress MARC record