The occurrence of pressure ulcers during operative procedures has only recently been identified as a significant problem (Steward and Magnano. 1988; Vennillion. 1990; Neidig, Kleiber, and Oppliger, 1989; Kemp, Keithley, Smith and Morreale. 1990). In our institution. the ICU nurses identified a continuing problem of cardiovascular patients returning from the OR with “cautery pad burns”. Upon investigation the areas appeared to have tissue destruction caused by a one-time pressure insult.
In the world of wound management, caring for patients with chronic pain and terminal illness is inevitably a situation the clinician must address. Not every wound will heal.
Mr. A.M. is a 63-year old obese make patient who suffered from a CVA early in 1997. He is cared for in his home by his wife who is a small woman and sometimes finds it difficult to handle him.
There are 6,009 Medicare-certified home health agencies in the U.S. Each of these agencies provide care to patients who are at risk for developing or have pressure ulcers.
With 60,000 people per year dying as a result of pressure ulcers, treating and preventing these ulcers from worse is a primary goal of the wound care clinician.
Approximately 25% of long term care clients suffer from ischemic (pressure) ulcers. Given the acuity and risk that many of these geriatric clients face, a cost-effective would care prevention and treatment protocol should be in place.
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The prevalence and incidence of ischemic ulcers (pressure ulcers) of the heel continues to be a challenge across the health care spectrum.
The challenge of healing a calcaneous ischemic (pressure) ulcer is often compounded by a lack of funding for an appropriate support surface.