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A Journal on Physiopathology and Therapy of Chronic Cutaneous Ulcers
Official Journal of the Italian Association for Cutaneous Ulcers
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Acta Vulnologica 2011 September;9(3):147-59
language: English, Italian
Management and treatment of pressure ulcers in hospitalized neurological patients and ambulatory patients
Famà F. 1, Baradello A. 2, Murabito L. M. 1, Villari S. A. 1, Bramanti C. C. 1, Dattola R. 2, Gioffrè Florio M. A. 1
1 Unit of Emergency Medicine and Surgery, G. Martino University Hospital, Messina, Italy
2 Unit of Neurological Rehabilitation, G. Martino University Hospital, Messina, Italy
Aim. The aim of this study was to design and implement a truly personalized education program for pressure ulcer management and identification of major risk factors and, in cases where the wound was established, to assess wound status, and the patient’s general condition, with a view to institute appropriate preventive measures to limit the development of pressure ulcers.
Methods. Between 2007 and 2010, we treated 57 patients (34 males and 23 females) with multiple pressure ulcers (stages I-IV): 36 were long-term care patients hospitalized at the Neurological Rehabilitation Unit for stroke, spinal cord injury, meningioma, aneurysm, or tetraplegia; 21 were short-term care patients treated at the Medical and Surgical Department, and then on an outpatient basis. The Norton Scale and the European Pressure Ulcer Advisory Panel (EPUAP) Guidelines were used to assess pressure ulcer risk and wound severity.
Results. Although the affected areas were different and varied for each patient, personalized care with specific methods produced satisfactory results even in cases of severe pressure ulcer. This confirmed the validity of the assumptions made at initial assessment and the treatment plans designed and implemented for each patient and each type of wound.
Conclusion. To promote more speedy recovery, it is important to intervene not only on the wound itself, but, as far as possible, also on the concurrent systemic diseases that can impact on a patient’s general condition and therefore affect treatment outcome.