JAMDA
Volume 8, Issue 6 , Pages 378-387 , July 2007

Factors Influencing Pressure Ulcer Healing in Adults Over 50: An Exploratory Study

  • Katherine R. Jones, RN, PhD, FAAN

      Affiliations

    • Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH
    • Corresponding Author InformationAddress correspondence to Katherine R. Jones, RN, PhD, FAAN, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 48106-4904.
    • ,
  • Kristopher Fennie, PhD

      Affiliations

    • Yale School of Nursing, New Haven, CT.

References 

  1. Grey JE, Harding KG, Enoch S. Pressure ulcers. BMJ. 2006;332:472–475
  2. Bergstrom N, Horn SD, Smout RJ, et al. The National Pressure Ulcer Long-term Care Study: Outcomes of pressure ulcer treatments in long-term care. J Am Geriatr Soc. 2005;53:1721–1729
  3. Seeley J, Jensen JL, Hutcherson J. A randomized clinical study comparing a hydrocellular dressing to a hydrocolloid dressing in the management of pressure ulcers. Ostomy Wound Manage. 1999;45:39–47
  4. Frantz RA, Gardner S, Specht JK, McIntire G. Integration of pressure ulcer treatment protocol into practice: Clinical outcomes and care environment attributes. Outcomes Manage Nurs Pract. 2000;5:112–120
  5. Lucas C, van Gemert MJC, de Haan RJ. Efficacy of low-level laser therapy in the management of stage III decubitus ulcers: a prospective, observer-blind multicentre randomized clinical trial. Lasers Med Sci. 2003;18:72–77
  6. Thomas DR. Prevention and treatment of pressure ulcers. J Am Med Dir Assoc. 2006;7:46–59
  7. Agency for Health Care Policy and Research. Clinical Practice Guideline Number 3: Pressure ulcers in adults. Rockville, MD: Agency for Health Care Policy and Research; 1992;AHCPR publication 92-0047
  8. Amercan Medical Directors Association (AMDA). Pressure Ulcers. Columbia, MD: American Medical Directors Association; 1996;
  9. Thomas DR. The new F-tag 314: Prevention and management of pressure ulcers. J Am Med Dir Assoc. 2006;7:523–531
  10. Ferrell B, Josephson K, Norvid P, Alcorn H. Pressure ulcers among patients admitted to home care. J Am Geriatr Soc. 2000;48:1042–1047
  11. Thomas DR, Diebold MR, Eggemeyer LM. A controlled, randomized, comparative study of radiant heat bandage on the healing of stage 3–4 pressure ulcers: A pilot study. J Am Med Dir Assoc. 2005;6:46–49
  12. Bradley M, Cullum N, Nelson EA, et al. Systematic reviews of wound care management: (2) Dressings and topical agents used in the healing of chronic wounds. Health Technol Assess. 1999;3:1–35
  13. Thomas DR. Issues and dilemmas in the prevention and treatment of pressure ulcers: a review. J Gerontol A Biol Sci Med Sci. 2001;56:M328–M340
  14. Thomas DR. Prevention and treatment of pressure ulcers: What works? What Doesn’t?. Cleve Clin J Med. 2001;68:704–707710–714;717–722
  15. Rodeheaver GT. Pressure ulcer debridement and cleansing: A review of the literature. Ostomy Wound Manage. 1999;45(Suppl 10):80S–85S
  16. Bradley M, Cullum N, Sheldon T. The debridement of chronic wounds: A systematic review. Health Technol Assess. 1999;3:1–78
  17. Niezgoda JA, Mendez-Eastman S. The effective management of pressure ulcers. Adv Skin Wound Care. 2006;19(Suppl1):3–15
  18. Martin SJ, Corrado AJ, Kay EA. Enzymatic debridement for necrotic wounds. J Wound Care. 1996;5:310–311
  19. Lewis VL, Bailey MH, Pulawski G, Kind G, Bashioum RW, Hendrix RW. 1988 (The diagnosis of osteomyelitis in patients with pressure sores). Plast Reconstr Surg. 1988;8:229–232
  20. WOCN Society. Guideline for prevention and management of pressure ulcers. Glenview, IL: WOCN Society; 2003;
  21. Bates-Jensen BM, Cadogan M, Osterweil D, et al. The Minimum Data Set pressure ulcer indicator: Does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?. J Am Geriatr Soc. 2003;51:1203–1212
  22. Lyder CH, Preston J, Grady JN, et al. Quality of care for hospitalized medicare patients at risk for pressure ulcers. Arch Intern Med. 2001;161:1549–1554
  23. Kramer JD, Kearney M. Patient, wound, and treatment characteristics associated with healing in pressure ulcers. Adv Skin Wound Care. 2000;13:17–24
  24. Stratton RJ, Ek A-C, Engler M, Moore Z, Rigby P, Wolfe R, et al. Enteral nutritional support in prevention and treatment of pressure ulcers: A systematic review and meta-analysis. Ageing Res Rev. 2005;4:422–450
  25. Langer G, Schloemer G, Knerr A, Kuss O, Behrens J. Nutritional interventions for preventing and treating pressure ulcers. Cochrane Database Syst Rev. 2003;40:CD003216
  26. Thomas DR. Improving outcome of pressure ulcers with nutritional interventions: A review of the evidence. Nutrition. 2001;17:121–125
  27. Thomas DR, Kamel HK. Wound management in postacute care. Clin Geriatric Med. 2001;16:783–804

 This research was supported by an unrestricted grant from BMS/ConvaTec to Yale School of Nursing, K.R.J., principal investigator. No other conflict of interest situations apply.

PII: S1525-8610(07)00176-4

doi: 10.1016/j.jamda.2007.02.011

JAMDA
Volume 8, Issue 6 , Pages 378-387 , July 2007

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