Journal of Nursing Theory and Practice

[Evidence in the presentation of factors influencing the development of pressure ulcers]

CSERNUS Mariann

FEBRUARY 28, 2013

Journal of Nursing Theory and Practice - 2013;26(01)

[The development and healing of pressure ulcers depends on a combination of several factors. The factors related to the patient (physical impacts, biological and psychosocial factors), as well as the influencing factors arising in relation to the lingering wound (e.g. the content, situation, size and blood supply of the sore, the condition of the wound bed, the presence of infection, the response to treatment) are all closely related to the patient’s general condition and the underlying disease. An important role is also played by the factors associated with the healthcare personnel (ability, professional qualifications, attitude), and the healthcare system (level of technical and economic advancement, preventive and wound care equipment, quality assurance, training). The author has set out to give a detailed description of these factors, supported by professional evidence. ]

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[Aspects of the treatment plan for chronic foot wounds on the basis of practical experience ]

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[When treating chronic wounds the nurse works responsibly as a member of the team, and this cannot be limited to simply following the doctor’s instructions and appropriately dressing the wound. During the treatment of the patient the nurse has to make assessments and observations, carry out tests, evaluate the results, and warn the doctor in good time of any symptoms that depart from the typical healing process that is to be expected in the treated wound. The author presents the principles and methods applied in the practice of wound treatment, highlighting the nurse’s tasks and scope of authority in this regard. ]

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[Diabetic foot syndrome is an array of symptoms with a complex pathomechanism, the complications of which (if treated late) can make it necessary to amputate the limb. Approximately 15% of diabetes patients can expect foot sores to develop in the course of their illness. The author presents the vascular complications of diabetic that underpin the development of diabetic foot syndrome, the tests serving to diagnose them, and the typical clinical manifestations and complications of diabetic foot ulcers. The most important factors in the successful treatment of diabetic foot sores are summarised: normalisation of the general medical condition; alleviation of chronic pressure points; ensuring arterial circulation; infection control; regular and appropriate mechanical debridement; wound treatment in keeping with the given phase of healing; patient education; prevention of relapse. The author places particular emphasis on the screening tests, treatment methods and patient education tasks that can be performed by specialist nurses. ]

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[Preventive strategies applied in decubitus prevention in Hungary and Slovakia]

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[The incidence of decubitus ulcers affects nurses working not only in Slovakian hospitals, but those in Hungary too. The proportion of patients with bedsores in a given institution partly depends on the nurses, since improper nursing has a major role in the development of this syndrome. By the same token, a low incidence of pressure ulcers is the best proof of high-quality nursing. The main motivation for the research was to gain an insight into the methods of decubitus prevention applied in the two countries. The purpose of the study was to show the current state of the prevention carried out in the two institutions, how a preventive attitude is instilled, what kind of assessment scale is used, what the protocols contain, what kind of aids are available for us, and how documentation is maintained.]

Journal of Nursing Theory and Practice

[Letter from the editor]

HIRDI Henriett Éva, CSERNUS Mariann

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