Niezgoda Jeffrey A, Mendez-Eastman Susan
Center for Comprehensive Wound Care and Oxygen Therapy, St. Luke's Medical Center, Milwaukee, WI, USA.
Adv Skin Wound Care. 2006 Jan-Feb;19 Suppl 1:3-15. doi: 10.1097/00129334-200601001-00001.
The challenges of managing pressure ulcers are often not limited to clinical decisions; they may impact other areas that encompass patient care, including financial, emotional, psychosocial, regulatory, and medical-legal aspects. The difficulty in managing these complex factors is magnified by recent gains in understanding of the pathophysiology of wounds related to pressure, which serves as the basis for the etiology, diagnosis, staging, and management of these wounds. This article summarizes the current and evolving knowledge related to pressure ulcers and discusses an algorithm recently developed to assist in clinical management decisions related to patients with pressure ulcers, with emphasis on appropriate utilization of Negative Pressure Wound Therapy delivered by V.A.C. Therapy (KCI USA, Inc.) in patients with Stage III and Stage IV pressure ulcers.
管理压疮的挑战往往不仅限于临床决策；它们可能会影响患者护理的其他领域，包括财务、情感、心理社会、监管以及医疗法律方面。对与压力相关伤口病理生理学认识的最新进展，进一步加剧了管理这些复杂因素的难度，而这些认识是这些伤口病因、诊断、分期及管理的基础。本文总结了与压疮相关的当前及不断发展的知识，并讨论了最近开发的一种算法，该算法旨在协助进行与压疮患者相关的临床管理决策，重点是对Ⅲ期和Ⅳ期压疮患者合理使用V.A.C. Therapy（美国KCI公司）提供的负压伤口治疗。
