Skip to main content

Abstract

Because of our aging population and advances in medical and surgical therapy permitting survival from catastrophic illness and injury, the incidence of decubitus ulcers is likely to increase unless greater attention is paid to prophylaxis. At present, there is more interest in treating and curing than in avoiding injury and illness. We must become more prevention oriented; with cost restraints limiting resources, not everyone can be offered perfect decubitus ulcer prevention. The patient at greatest risk must be identified before the problem begins. Our limited equipment and personnel have to be concentrated on those patients at highest risk.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Krainski MM (1992) Pressure ulcers and the elderly: a review of the literature 1980–1990. Ostomy/Wound Management 38:22–37

    PubMed  CAS  Google Scholar 

  2. Towey AP, Erland SM (1988) Validity and reliability of an assessment tool for pressure ulcer risk. Decubitus 1:40–48

    PubMed  CAS  Google Scholar 

  3. Pieper B, Mott M (1995) Nurses knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care 8:34–48

    PubMed  CAS  Google Scholar 

  4. Pieper B, Mikals C, Mance B, Adams W (1990) Nurses documentation about pressure ulcers. Decubitus 3:32–34

    PubMed  CAS  Google Scholar 

  5. Maklebust J, Sieggren M (1991) Pressure ulcers: guidelines for prevention and nursing management. S-N Publ, West Dundee, p 59

    Google Scholar 

  6. Norton D, McLaren R, Exton-Smith AN (1962) An investigation of geriatric nursing problems in hospital. National Corporation for Care of Old People, London

    Google Scholar 

  7. Braden BJ, Bergstrom N (1989) Clinical utility of the Braden scale for predicting pressure ulcer risk. Decubitus 2:44–51

    PubMed  CAS  Google Scholar 

  8. Norton D (1989) Calculating the risk: reflections on the Norton scale. Decubitus 2:24–31

    PubMed  CAS  Google Scholar 

  9. Smith DM (1995) Pressure ulcers in the nursing home. Ann Intern Med 123:433–442

    PubMed  CAS  Google Scholar 

  10. National Pressure Ulcer Advisory Panel (1996) Etiology, assessment, and early intervention. Dermatol Nurs 8:41–47

    Google Scholar 

  11. Ayella E (1992) Teaching the assessment of patients with pressure ulcers. Decubitus 5:53–54

    Google Scholar 

  12. Parish LC, Witkowski JA, Crissey JT (1983) The decubitus ulcer. Masson, New York, p 120

    Google Scholar 

  13. National Pressure Ulcer Advisory Panel (1989) Pressure ulcers: incidence, economics, risk assessment. Consensus development conference statement. Decubitus 2:24–28

    Google Scholar 

  14. Bates-Jensen B (1990) A new pressure ulcer status tool. Decubitus 3:14–15

    PubMed  CAS  Google Scholar 

  15. Bates-Jensen B, McNees P (1995) Toward an intelligent wound assessment system. Ostomy/Wound Management 41:80S–87S

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Parish, L.C., Witkowski, J.A., Crissey, J.T. (1997). Assessment and Grading. In: Parish, L.C., Witkowski, J.A., Crissey, J.T. (eds) The Decubitus Ulcer in Clinical Practice. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60509-3_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60509-3_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64436-8

  • Online ISBN: 978-3-642-60509-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics