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Open Access
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Vaibhav Shukla, Ravi Kumar Chittoria, Amrutha J.S., Jacob Antony Chakiath,
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Abstract
nPressure sores are a serious complication of multi morbidity and lack of mobility. Pressure injuries are commonly encountered in geriatric patients. Certain well-recognized risk factors, such as immobility and incontinence, may predispose to the development of pressure injury (PI); consequently, risk factor modification is an important aspect of prevention and treatment. One of the fundamental documentation details when describing a wound is the use of the appropriate staging system. Each staging system is unique to a wound’s type, should align with your description of the wound, and be integrated into your documentation details. For research purpose more improvements in staging with inclusion of infection, progression of ulcer and major risk factors on existing stages of only depth has been suggested by Kumar. This will have bearing on the prognosis of the disease and management protocol and hence better outcome of research work. The most extensive published experiences with pressure sore treatment are those of Conway and Griffith (1000 cases) and Dansereau and Conway’s update of the Bronx Veterans Administration Hospital data (2000 cases). But with new technologies of wound care more research is required to standardized the prevention and management of pressure injury. There is need to reduce cost of the care for long term compliance. For research purpose more improvements in staging with inclusion of infection, progression of pressure injury and major risk factors in existing staging (four stages) of depth only has been suggested by Kumar. This will have bearing on prognosis of the disease and management protocol and hence, better outcome of research work. The classification has been updated by inclusion of suspected deep tissue injury. This study highlights the role new classification applied on a case of pressure injury.
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Keywords: New, classification, pressure, injury, management
n[if 424 equals=”Regular Issue”][This article belongs to Research & Reviews: A Journal of Bioinformatics(rrjobi)]
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References
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- Evans JM, Andrews KL, Chutka DS, Fleming KC, Garness SL. Pressure ulcers: prevention and management. Mayo Clin Proc. 1995 Aug;70(8):789-99.
- Hess, Cathy Thomas BSN, RN, CWCN. Classification of Pressure Injuries. Advances in Skin & Wound Care 33(10):p 558-559, October 2020.
- Kumar P, Chittoria RK, Bajaj SP, Singh AK, Tiwari VK, Gupta DK, Bhattacharya S, Shrivastava RK. Kadam D, Mahajan R. SWCR Guidelines For Pressure Ulcers. JSWCR 2017; 10(1):2-22.
- Conway H, Griffith BH. Plastic surgery for closure of decubitus ulcers in patients with paraplegia; based on experience with 1000 cases. Am J Surg. 1956; 91:946–975.
- Kumar P. An improvised classification of pressure ulcer (Letter). JSWCR 2015; 8: 37-38. Errata JSWCR 2017; 10: 33.
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| Volume | 11 | |
| [if 424 equals=”Regular Issue”]Issue[/if 424][if 424 equals=”Special Issue”]Special Issue[/if 424] [if 424 equals=”Conference”][/if 424] | 02 | |
| Received | March 15, 2024 | |
| Accepted | July 20, 2024 | |
| Published | April 15, 2024 |
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