Objective To formulate an evidence-based adjuvant therapeutic plan for a patient with large area pressure ulcers.
Methods Based on an adequate assessment of the patient’s condition and using the principle of PICO, we searched The Cochrane Library (Issue 1, 2008), DARE (Issue 3, 2008), CCRT (Issue 1, 2008), MEDLINE (1980~ March 2008) and Chinese Journal Full-text Database CNKI (1979~2008) for the best available clinical evidence on adjuvant therapy of large area pressure ulcers with infrared rays, nutrition support and some special overlays.
Results Two systematic reviews and three randomized controlled trials were included. According to the current evidence, as well as the patient’s clinical condition and preference, a comprehensive therapeutic plan was given to the patient. And in the next three months with the therapeutic plan, the patient’s large area pressure ulcers had already recovered.
Conclusion Evidence based approaches can help us develop the best comprehensive therapeutic plan for the patient and will help improve the therapeutic results for patients with large area pressure ulcers.
Citation：
ZHANG Weiqing,JIANG Xiaolian. Evident-based Nursing of a Patient with Grade II Decubitus and Above. Chinese Journal of Evidence-Based Medicine, 2008, 08(9): 791-792. doi: 10.7507/1672-2531.20080177
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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Schubert V. Effects of monochromatic pulsed light on pressure ulcers in elderly patients. 16th Conference of the European Wound Management Association, 2006, 166.
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Lee SK, Posthauer ME, Dorner B. Pressure ulcer heal ing with a concentrated, fortified, collagen protein hydrolysate supplement. Advances in Skin & Wound Care, 2006, 19(2): 92-96.
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- 1. Berlowitz DR, Wilking SV. The short-term outcome of pressuresores. Journal of the American Geriatrics Society, 1990, 38(7): 748-752.
- 2. Bo M, Massaia M, Raspo S. Predictive factors of in-patient mortality in older patients admitted to a medical intensive care unit. Journal of the American Geriatrics Society, 2003, 51(4): 529-533.
- 3. Alarcon T, Barcena A, Gonzalez-Montalvo KL. Factors predictive of outcome on admission to an acute geriatric ward. Age and Ageing, 1999, 28: 429-432.
- 4. Stratton RJ, Ek AC, Engfer M. Enteral nutritional support in prevention and treatment of pressure ulcers. Ageing Research Reviews, 2005, 4(3): 422-450.
- 5. Cullum N, McInnes E, Bell-Syer SEM. Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. Issue 1 2008.
- 6. Schubert V. Effects of phototherapy on pressure ulcer heal ing in elderly patients after a fall ing trauma: A prospective, randomized, controlled study. Photodermatology, Photoimmunology & Photomedicine, 2001, 17(1): 32-38.
- 7. Schubert V. Effects of monochromatic pulsed light on pressure ulcers in elderly patients. 16th Conference of the European Wound Management Association, 2006, 166.
- 8. Lee SK, Posthauer ME, Dorner B. Pressure ulcer heal ing with a concentrated, fortified, collagen protein hydrolysate supplement. Advances in Skin & Wound Care, 2006, 19(2): 92-96.
