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Pressure Ulcers

  • Chapter extensively covers the pathophysiology of pressure ulcers
  • Mentions complications associated with pressure ulcers and how to prevent them
  • Classification of pressure ulcers

A pressure ulcer can be defined as... 'any lesion caused by unrelieved pressure resulting in damage of underlying tissue' (NPUAP 1989). Pressure ulcers are painful debilitating wounds. They are associated with significant morbidity and mortality in frail older people, people who are immobile, people who have neurological impairment, and those who are critically ill (Allman et al. 1986; Burd et al. 1992) This chapter discusses the pathophysiology of pressure ulcers, complications associated with pressure ulcers, their classification, treatment and more.

Contents include

  • Pathophysiology of pressure ulcers
    • Overall picture
    • Capillary-closing pressures
    • Tissue tolerance
    • Pathophysiological changes
  • Complications of pressure ulcers
    • Sepsis and osteomyelitis
    • Quality of life
    • Increased mortality
  • Preventing pressure ulcers
  • Risk factors for pressure ulcers
    • Overview of risk factors
    • Risk-assessment tools
    • Benefits of risk-assessment tools
  • Classification of pressure ulcers
  • Support surfaces
    • Functions and terminology
    • Types of support surfaces
    • Choosing support surfaces
  • Treatment of pressure ulcers
    • Conservative treatment
    • Surgical intervention
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