The Decubitus Ulcer in Clinical Practice
Lawrence Charles Parish, Joseph A. Witkowski, John Thorne Crissey
Springer, Jan 1, 1997 - Medical - 241 pages
The decubitus ulcer, whether termed a pressure ulcer or a bed sore, is a monumental problem for contemporary medicine. With patients surviving trauma, neurologic diseases, and the geriatric state for longer periods, dermatologists are now being asked to manage these often devastating cutaneous defects. Unrealistic goals about prevention and wound healing have compounded the problem. Patient awareness, government intervention, and legal entanglements make an undestanding of the diagnosis and management of this dermatologic entity mandatory.
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Bedsores over the Centuries
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aerobic anaerobic antimicrobial therapy assessment associated bacteria bandage bedsores blanchable blood supply bone bony prominences capillary cause cells chronic Clin clinical closure cutaneous damage debridement decubiti decubitus ulcer development decubitus ulcers dermatitis Dermatol dermis development of decubitus dietary dogs effects elderly epidermis erythema evaluation exudate fascia fecal incontinence fluid foam friction Geriatr gluteus maximus gluteus maximus muscle granulation tissue hospital hydrocolloid impaired interventions ischemia ischial lesions low air loss management of decubitus mmHg moisture moisture-retentive dressing necrosis necrotic nonblanchable erythema nursing home nutritional occlusion Occlusive dressings occur osteomyelitis overlays padding paraplegia paraplegic Parish LC patient perineal dermatitis Plast Plast Reconstr Surg position pressure relief pressure sores pressure ulcers protein result risk factors sacral sepsis shearing forces skin flaps skin graft Skin-Muscle Flap subcutaneous support surfaces surgery surgical trauma urinary incontinence urine vascular vessels Vitamin wheelchair Witkowski wound healing