An edition of Pressure Ulcers (2010)

Pressure Ulcers

Long-Term Care Clinical Manual

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Last edited by Vinnie Rattollee
March 11, 2017 | History
An edition of Pressure Ulcers (2010)

Pressure Ulcers

Long-Term Care Clinical Manual

  • 1 Want to 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

Buy this book

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

Add another edition?

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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Download catalog record: RDF / JSON
March 11, 2017 Edited by Vinnie Rattollee Added new cover
March 11, 2017 Edited by Vinnie Rattollee Edited without comment.
March 11, 2017 Edited by Vinnie Rattollee Added new cover
March 11, 2017 Edited by Vinnie Rattollee Edited without comment.
August 8, 2012 Created by LC Bot import new book