Management of Pressure Ulcers: Annotated Bibliography

Subject: Nursing
Pages: 2
Words: 758
Reading time:
3 min

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in wound care, 7(2), 57-67.

The research work is a review of recent findings and helps the reader to choose the appropriate treatment by highlighting the advantages and disadvantages of the methods. The primary conclusion of the study is that despite the availability of a variety of innovative dressings and treatments for pressure ulcers, none has been shown to offer a significant advantage over the others. The fundamental concepts of keeping the wound clean and effectively perfused remain the cornerstones of treatments. Finding ways to reduce incidence among sensitive people, especially the elderly, would be a primary target for novel medicines, including this study. The research work covers various treatment methods, including pressure relief, infection control, and debridement, with a discussion of their benefits and drawbacks.

Moreover, a variety of dressings such as gauze, alginate, foam, and hydrocolloid dressings are investigated for the effectiveness of their use against pressure ulcers. In addition, other therapies, including biophysical, phototherapy, laser and infrared, and ultraviolet C light therapies and treatments were described and evaluated. Patient optimization along with immune system control, adequate nutrition, and periodic assessment is recommended. The study will help to evaluate various treatment methods and technologies, thus elucidating proper management techniques. The information provided in the survey is very important when choosing the appropriate preventive and treatment measures.

Gunningberg, L., Sedin, I. M., Andersson, S., & Pingel, R. (2017). Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomized controlled trial. International journal of nursing studies, 72, 53-59.

The objective of the paper is to elucidate the influence of the pressure mapping system on the incidence and prevalence of pressure ulcers in a hospital context. The study was conducted in a Swedish University hospital with 26 beds in a geriatric/internal medical ward. The number of participants is 190, with 99 control patients, who were under investigation for a period of 9 months. The eligibility of the patients was the age of over 50 years old, admission to the ward on certain days, and duration of stay more than three days. The continuous system that allows to map and observe bedside pressure was used to show a real-time imagery representation of pressure distribution on the body of the laying patient. The system automatically gives information regarding the pressure points of the patient, increasing the speed of preventive interventions.

The result showed that the system could not successfully increase the prevention of pressure ulcer incidence compared to the control group. However, the study could contribute to increased awareness of hospital workers. The paper can be used as an example of technology used for creating effective solutions in managing the pressure ulcer of a hospitalized patient.

Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Prevention and management. Journal of the American Academy of Dermatology, 81(4), 893-902.

The study focuses on the prevention and management of pressure ulcers with an emphasis on the proof of currently practiced methods. The study covers prevention strategies such as repositioning, pressure redistribution, and support surfaces. Also, the research study compares and evaluates the constant low-pressure devices versus alternating pressure devices. Moreover, the study highlights the importance of nutrition, which can cause skin breakdown in case of its deficiencies. An important part of the study is the application of treatment methods in pressure ulcer management. The paper highlights the relevance of all pressure ulcer prevention techniques in the direction of the disease. Wound care fundamentals are covered with the key points, including saline or tap water usage, and sharp debridement for reducing the bacterial burden. Finally, surgical and nonsurgical therapies are investigated and evaluated for efficiency in pressure ulcer treatment. Topical agents containing growth factors are suggested in case of failure of other treatment methods. The study provides valuable insights into the relationship between treatment methods and their management. In addition, the paper gives essential advice for future studies that are required for the successful development of pressure ulcer treatment.

Reference list

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in wound care, 7(2), 57-67.

Gunningberg, L., Sedin, I. M., Andersson, S., & Pingel, R. (2017). Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomized controlled trial. International journal of nursing studies, 72, 53-59.

Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Prevention and management. Journal of the American Academy of Dermatology, 81(4), 893-902.