Background:Pressure ulcers are one of the most common and dangerous sequelae of spinal cord injuries.Pressure ulcers treatment represents one of the most challenging clinical problems faced by clinicians.Method:This r...Background:Pressure ulcers are one of the most common and dangerous sequelae of spinal cord injuries.Pressure ulcers treatment represents one of the most challenging clinical problems faced by clinicians.Method:This report examines a case of complicated stage-4 pressure ulcers in a young adult who had gunshot injury in his spine above T-11 level treated following a multidisciplinary approach.A multidisciplinary team formulated a multifaceted program that includes meticulous pressure relief program,wound care and flap reconstructive surgery,osteomyelitis treatment,nutrition optimization,post-operative physiotherapy,patient education,and psychological support,that recruited for this patient over the course of his stay at our unit.Results:During the third day postoperatively showed good blood circulation without necrosis or hematoma and site of ulcer completely has healed.Conclusion:Implementation of a multidisciplinary approach was key to optimizing surgical outcomes in spinal cord injury patients who have pressure sores,achieving a low recurrence rate and reducing readmissions.展开更多
目的:检索、评价、整合国内外新生儿压力性损伤预防与管理的最佳证据,为临床规范管理新生儿压力性损伤提供循证依据。方法:系统检索BMJ Best Practice、UpToDate、国际指南协作网(GIN)、苏格兰校际指南网、加拿大安大略注册护士协会、th...目的:检索、评价、整合国内外新生儿压力性损伤预防与管理的最佳证据,为临床规范管理新生儿压力性损伤提供循证依据。方法:系统检索BMJ Best Practice、UpToDate、国际指南协作网(GIN)、苏格兰校际指南网、加拿大安大略注册护士协会、the Cochrane Library、澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心、PubMed、EMbase、医脉通、CINAHL、中国生物医学文献数据库(CBM)及中国知网等的指南、专家共识、证据总结、系统评价、临床决策、原始研究。检索时限为建库至2023年3月6日。由2名研究者对文献进行质量评价及证据提取。结果:共纳入15篇文献,包括指南6篇,专家共识1篇,系统评价2篇,原始研究5篇,证据总结1篇。汇总了包括评估、体位管理、医疗器械应用、预防、处置、人员管理6个方面,共20条证据。结论:本研究总结的新生儿压力性损伤预防与管理的最佳证据便于临床护理人员对患儿采取更有针对性的措施。展开更多
文摘Background:Pressure ulcers are one of the most common and dangerous sequelae of spinal cord injuries.Pressure ulcers treatment represents one of the most challenging clinical problems faced by clinicians.Method:This report examines a case of complicated stage-4 pressure ulcers in a young adult who had gunshot injury in his spine above T-11 level treated following a multidisciplinary approach.A multidisciplinary team formulated a multifaceted program that includes meticulous pressure relief program,wound care and flap reconstructive surgery,osteomyelitis treatment,nutrition optimization,post-operative physiotherapy,patient education,and psychological support,that recruited for this patient over the course of his stay at our unit.Results:During the third day postoperatively showed good blood circulation without necrosis or hematoma and site of ulcer completely has healed.Conclusion:Implementation of a multidisciplinary approach was key to optimizing surgical outcomes in spinal cord injury patients who have pressure sores,achieving a low recurrence rate and reducing readmissions.
