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Advances in Skin & Wound Care:
doi: 10.1097/01.ASW.0000434207.28117.5d
Departments: Practice Points

Pressure Ulcer Evidence-Based Treatment Pathway Integrated with Evidence-Based Decisions: Part 3

Hess, Cathy Thomas BSN, RN, CWOCN

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Author Information

Cathy Thomas Hess, BSN, RN, CWOCN, is Vice President and Chief Clinical Officer, Net Health Systems, Inc. Please address correspondence to: Cathy Thomas Hess, BSN, RN, CWOCN, via e-mail: cthess@nhsinc.com.

Pressure ulcers (PrUs) remain the biggest challenge wound care practitioners face today, and they occur in patients in all healthcare settings. On admission, clinicians should initiate proper procedures and the use of support surfaces to prevent and treat existing PrUs. It is also important to keep in mind that not all products meet the particular criteria for each individual patient. Effective interventions demand a multidisciplinary team approach that coordinates the needs of the patient.

The sample pathway (Figure 1) in this column, as previous columns, provides the clinician and physicians with evidence-based recommendations for the care of pressure-related wounds. Key decision points are provided based on research that combines healing rates with expected outcomes. If the patient does not meet a given healing rate, closure objective research suggests that he/she will experience delayed healing in the weeks to come. The provider may, at this point, act on further evidence-based adjunctive therapy recommendations altering the patient’s expected negative outcome. Think defensively!

Figure 1.
Figure 1.
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References

1. Whitney J, Phillips L, Aslam R, et al. Guidelines for the treatment of pressure ulcers. Wound Repair Regen. 2006; 14: 663–79.

2. Van Rijswijk L. Full-thickness pressure ulcers: patient and wound healing characteristics. Decubitus. 1993; 6:(1): 16–21.

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