Pressure ulcer prevention and treatment: use of prophylactic dressings

Review, Article English OPEN
Reid,Kathleen ; Ayello,Elizabeth ; Alavi,Afsaneh (2016)
  • Publisher: Dove Press
  • Journal: Chronic Wound Care Management and Research (issn: 2324-481X)
  • Related identifiers: doi: 10.2147/CWCMR.S78422
  • Subject: dressings | wound care | Chronic Wound Care Management and Research | Medical emergencies. Critical care. Intensive care. First aid | prophylaxis | RC86-88.9 | prevention | pressure ulcer

Kathleen Reid,1 Elizabeth A Ayello,2 Afsaneh Alavi,3 1Department of Nursing Practice and Education, Bridgepoint Active Healthcare, Toronto, Canada; 2School of Nursing, Excelsior College, Albany, NY, USA; 3Department of Medicine, University of Toronto, Toronto, Canada Abstract: The management of pressure ulcers is challenging for health care providers across disciplines. Pressure ulcers have significant impact on emotional and physical wellbeing, quality of life, and health care costs. The use of wound dressings could be an important and cost-effective strategy in preventing pressure ulcers. The main types of dressings that are examined for this purpose in the literature are foam, hydrocolloid, and films. Some small studies have shown a preventative role for sacral dressings with low-shear backings, though they raise concerns about over-hydration of the skin. Further research demonstrates the application of barrier films over bony prominences to have a prophylactic effect; however, adhesive dressings can also contribute to shearing forces on the skin. There is a vast body of research that examines the use of dressings to prevent pressure ulcers; however, there is limited high-level evidence, such as randomized control trials. A 2013 Cochrane review indicated that there is a paucity of high-level evidence to support the prophylactic use of dressings to prevent pressure ulcers; this paper will examine the emerging literature and consider its relevance to pressure ulcer prevention protocols. Keywords: quality of life, hydrocolloid dressing, topical agent
  • References (26)
    26 references, page 1 of 3

    1. Graves N, Birrell FA, Whitby M. Modeling the economic losses from pressure ulcers among hospitalized patients in Australia. Wound Repair Regen. 2005;13:462-467.

    2. Centers for Medicare & Medicaid Services Medicare Program. Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2009 Rates. Proposed Additions to Hospital Acquired Conditions for Fiscal Year 2009. Available from: apps/media/press/factsheet.asp?Counter=3042&intNumPerPage=10 &checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt =0&srchData=&keywordType=All&chkNewsType=6&intPage=&sho wAll=&pYear=&year=&desc=false&cboOrder=date#_ftn1. Accessed September 14, 2014.

    3. Spilsbury K, Nelson A, Cullum N, Iglesias C, Nixon J, Mason S. Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives. J Adv Nurs. 2007;57:494-504.

    4. Moore ZE, Webster J. Dressings and topical agents for preventing pressure ulcers. Cochrane Database Syst Rev. 2013;8: CD009362.

    5. Stansby G, Avital L, Jones K, Marsden G, Guideline Development Group. Prevention and management of pressure ulcers in primary and secondary care: summary of NICE guidance. BMJ. 2014;348:g2592.

    6. Emily Haesler, editor. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Perth: Cambridge Media; 2014.

    7. Kallman U, Lindgren M. Predictive validity of 4 risk assessment scales for prediction of pressure ulcer development in a hospital setting. Adv Skin Wound Care. 2014;27:70-76.

    8. Beldon P. Problems encountered managing pressure ulceration of the sacrum. Br J Community Nurs. 2008;13:S6, S8, 10 passim.

    9. Denby A, Rowlands A. Stop them at the door: should a pressure ulcer prevention protocol be implemented in the emergency department? J Wound Ostomy Continence Nurs. 2010;37:35-38.

    10. Smith A, McNichol LL, Amos MA, et al. A retrospective, nonrandomized, beforeand- after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence. Ostomy Wound Manage. 2013;59:28-30, 32-34.

  • Metrics
    No metrics available
Share - Bookmark