Diagnostics and Interventions Aimed at Wound-Related Complaints in Patients With Pressure Ulcers: A Review of the Literature

2.50
Hdl Handle:
http://hdl.handle.net/10755/153589
Type:
Presentation
Title:
Diagnostics and Interventions Aimed at Wound-Related Complaints in Patients With Pressure Ulcers: A Review of the Literature
Abstract:
Diagnostics and Interventions Aimed at Wound-Related Complaints in Patients With Pressure Ulcers: A Review of the Literature
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:De Laat, Erik, RN, MSc
P.I. Institution Name:Radboud University Nijmegen Medical Centre
Title:coordinator nursing research
Co-Authors:Wilma Scholte op Reimer, RN, PhD; Theo Van Achterberg, RN, PhD
BACKGROUND: Patients with pressure ulcers are confronted with symptoms of chronic wounds and impaired wound healing. Assessment and treatment of these symptoms have received very little attention. AIMS AND OBJECTIVES: To describe the current scientific evidence in the field of diagnostics and treatment of pain, malodour and exudate from pressure ulcers. DESIGN: Systematic literature review. METHODS: Medline, Cinahl, and Cochrane, were searched for studies on pain, malodour and exudate in patients with pressure ulcers. In addition, a search in specific journals was made by hand. RESULTS: The McGill Pain Questionnaire, the Visual Analogue Scale and the Faces Rating Scale are useful instruments to assess pressure ulcer related pain. Some evidence was found to support a positive effect of benzydamine gel and Eutectic Mixture of Local Anaesthetic-cream. Wound malodour is subjectively assessed. In a laboratory study it is proved that activated charcoal is capable to absorb gas molecules causing malodour. At present, no studies are available on the odour-absorbing capacity of activated charcoal dressings in pressure ulcer patients. Exudate is a symptom of impaired wound healing. The Pressure Sore Status Tool is a valid and reliable instrument for assessing the wound healing process. There is a possible indication that hydrocolloid positively influences healing time because the absorption of exudates is more effective. CONCLUSION: Very little sound research has been performed on wound-related complaints in patients with pressure ulcers. Nevertheless several recommendations could be made on the present state of the art.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDiagnostics and Interventions Aimed at Wound-Related Complaints in Patients With Pressure Ulcers: A Review of the Literatureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153589-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Diagnostics and Interventions Aimed at Wound-Related Complaints in Patients With Pressure Ulcers: A Review of the Literature</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">De Laat, Erik, RN, MSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Radboud University Nijmegen Medical Centre</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">coordinator nursing research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">e.delaat@zorg.umcn.nl</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Wilma Scholte op Reimer, RN, PhD; Theo Van Achterberg, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">BACKGROUND: Patients with pressure ulcers are confronted with symptoms of chronic wounds and impaired wound healing. Assessment and treatment of these symptoms have received very little attention. AIMS AND OBJECTIVES: To describe the current scientific evidence in the field of diagnostics and treatment of pain, malodour and exudate from pressure ulcers. DESIGN: Systematic literature review. METHODS: Medline, Cinahl, and Cochrane, were searched for studies on pain, malodour and exudate in patients with pressure ulcers. In addition, a search in specific journals was made by hand. RESULTS: The McGill Pain Questionnaire, the Visual Analogue Scale and the Faces Rating Scale are useful instruments to assess pressure ulcer related pain. Some evidence was found to support a positive effect of benzydamine gel and Eutectic Mixture of Local Anaesthetic-cream. Wound malodour is subjectively assessed. In a laboratory study it is proved that activated charcoal is capable to absorb gas molecules causing malodour. At present, no studies are available on the odour-absorbing capacity of activated charcoal dressings in pressure ulcer patients. Exudate is a symptom of impaired wound healing. The Pressure Sore Status Tool is a valid and reliable instrument for assessing the wound healing process. There is a possible indication that hydrocolloid positively influences healing time because the absorption of exudates is more effective. CONCLUSION: Very little sound research has been performed on wound-related complaints in patients with pressure ulcers. Nevertheless several recommendations could be made on the present state of the art.</td></tr></table>en_GB
dc.date.available2011-10-26T12:22:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:22:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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