Science and Practice of Pressure Ulcer Management

250 Pages·2018·6.98 MB·English

by  Marco Romanelli

Science and Practice
of Pressure Ulcer
Management
Marco Romanelli
Michael Clark
Amit Gefen
Guido Ciprandi
Editors
Second Edition
123
Science and Practice of Pressure
Ulcer Management
Marco Romanelli • Michael Clark
Amit Gefen • Guido Ciprandi
Editors
Science and Practice of
Pressure Ulcer Management
Second Edition
Editors
Marco Romanelli Michael Clark
Department of Dermatology Welsh Wound Innovation Centre
Santa Chiara Hospital, University of Pisa Rhondda Cynon Taf
Pisa Wales
Italy United Kingdom
Amit Gefen Guido Ciprandi
Department of Biomedical Engineering Bambino Gesuʼ Childrenʼs Hospital
Faculty of Engineering Rome
Tel Aviv University Italy
Tel Aviv
Israel
ISBN 978-1-4471-7411-0 ISBN 978-1-4471-7413-4 (eBook)
https://doi.org/10.1007/978-1-4471-7413-4
Library of Congress Control Number: 2018946738
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Foreword
The mission of the European Pressure Ulcer Advisory Panel (EPUAP) is:
To provide relief for persons suffering from, or at risk of, pressure ulcers, through
research and the education of the public and by influencing pressure ulcer policy in
all European countries towards an adequate patient centred and cost effective pres-
sure ulcer care.
To this end we are indebted to Professor Marco Romanelli, his co-editors and
chapter authors in developing the second edition of Science and Practice of Pressure
Ulcer Management on behalf of and as a resource for the EPUAP.
Written by experts in the prevention and management of pressure ulcers, the
book complements the first edition with new chapters in areas including bioengi-
neering (biomarkers and cushion characteristics); special populations: paediatrics
and obstetrics and gynaecology; health-related quality of life; confounding factors
relating directly to skin protection including incontinence-associated dermatitis,
microclimate and skin care; advanced treatment therapies and innovation; and the
Stop Pressure Ulcer Day and other initiatives.
Aimed at dermatology clinicians, surgeons, nurses and allied healthcare profes-
sionals, the book is a key clinical reference text for the prevention and treatment of
pressure ulcers, an aspect of medicine and healthcare which can be clinically
challenging.
Prague, Czech Republic Jane Nixon, Ph.D., M.B.E.
v
Contents
1 The Potential of Biomarkers in the Early Detection of 
Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Dan Bader and Cees Oomens
2 The Critical Characteristics of a  Good Wheelchair Cushion . . . . . . 17
Ayelet Levy, Naama Shoham, Kara Kopplin, and Amit Gefen
3 Epidemiology of Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Nils Lahmann and Jan Kottner
4 Nutrition and Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Emanuele Cereda and Jos M. G. A. Schols
5 Risk Assessment in Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Vera Lúcia Conceição de Gouveia Santos, Letícia Faria Serpa,
Guadalupe Maria Lobo Cordero, Sandra Guerrero Gamboa,
Heidi Hevia Campos, and Otilia Cruz Castañeda
6 Health Related Quality of Life (HRQOL)
Implications for People with  Pressure Ulcers . . . . . . . . . . . . . . . . . . . 79
Trudie Young, Katia Furtado, and Paulo Alves
7 Incontinence-Associated Dermatitis (IAD) and Pressure Ulcers:
An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Dimitri Beeckman
8 Microclimate: Rediscovering an Old Concept in the 
Aetiology of Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Michael Clark
9 Skin Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Sue Bale, Janice Cameron, Sylvie Meaume, and Andrea Ingegneri
10 Pressure Ulcers in Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Guido Ciprandi, Teresa Oranges, and Anna Barbara Schluer
vii
viii Contents
11 Pressure Ulcers After Epidural Anaesthesia . . . . . . . . . . . . . . . . . . . . 151
Agata Janowska, Valentina Dini, Marilena Pradal, Giulia Davini, and
Francesco Uccelli
12 Advanced Dressings in Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . 159
Agata Janowska, Michela Macchia, and Battistino Paggi
13 Adjunctive Therapies in Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . 175
Jakub Taradaj and Elia Ricci
14 Negative Pressure Wound Therapy in the Management of 
Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Valentina Dini, Salvatore Panduri, and Marco Romanelli
15 Surgical Management of Pressure Ulcers . . . . . . . . . . . . . . . . . . . . . . . 199
Alessandro Scalise, Caterina Tartaglione, Marina Pierangeli,
Vania Recchi, Matteo Torresetti, and Luc Téot
16 The Stop Pressure Ulcer Day and Other Initiatives by EPUAP . . . . . 229
Christina Lindholm, Michael Clark, and Zita Kis Dadara
17 Innovation in Pressure Ulcer Prevention and Treatment . . . . . . . . . . 237
Keith Harding and Michael Clark
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Contributors
Paulo  Alves Centre for Interdisciplinary Research in Health (CIIS), Wound
Research Lab, Universidade Católica Portuguesa, Porto, Portugal
Dan Bader Faculty of Health Sciences, University of Southampton, Southampton,
UK
Department of Biomedical Engineering, Technical University of Eindhoven,
Eindhoven, The Netherlands
Sue Bale Llanfrechfa Grange Hospital, Cwmbran, UK
Dimitri Beeckman Department of Public Health, University Centre for Nursing
and Midwifery, Ghent University, Ghent, Belgium
Janice Cameron Department of Dermatology, Oxford Radcliffe Hospitals NHS
Trust, Churchill Hospital, Oxford, UK
Heidi Hevia Campos Nursing Department, Nursing School of Andrés Bello
University, Viña del Mar, Chile
Otilia Cruz Castañeda Ostomy and Wound Clinic, Regional General Ignacio
Zaragoza I.S.S.S.T.E. Hospital, Mexico City, Mexico
Emanuele Cereda Clinical Nutrition and Dietetics Unit, Fondazione IRCCS
Policlinico “San Matteo”, Pavia, Italy
Guido Ciprandi Bambino Gesu’ Children’s Hospital, Rome, Italy
Michael Clark Welsh Wound Innovation Centre, Rhondda Cynon Taf, Wales, UK
Guadalupe  Maria  Lobo  Cordero Department of Clinical Nursing, Wound
Ostomy and Incontinence Center—PROCURA, La Central Clinic, Aguascalientes,
Mexico
Zita Kis Dadara Barmherzige Brüder Austria, Vienna, Austria
Giulia Davini Department of Dermatology, Santa Chiara Hospital, University of
Pisa, Pisa, Italy
Valentina Dini Department of Dermatology, Santa Chiara Hospital, University of
Pisa, Pisa, Italy
ix
x Contributors
Katia Furtado Multidisciplinary Wound Care Team in Alentejo Unidade Local de
Saúde do Norte Alentejano, Hospital de Portalegre, Portalegre, Portugal
Sandra  Guerrero  Gamboa Nursing Department, National University of
Colombia, Bogotá D.C., Cundinamarca, Colombia
Amit Gefen Department of Biomedical Engineering, Faculty of Engineering, Tel
Aviv University, Tel Aviv, Israel
Vera Lúcia Conceição de Gouveia Santos Medical-Surgical Nursing Department,
School of Nursing (EE-USP), University of São Paulo, São Paulo, SP, Brazil
Keith Harding Welsh Wound Innovation Centre, Rhondda Cynon Taff, Wales, UK
Andrea Ingegneri Department of Dermatology, Santa Chiara Hospital, University
of Pisa, Pisa, Italy
Agata Janowska Department of Dermatology, Santa Chiara Hospital, University of Pisa,
Pisa, Italy
Kara  Kopplin Efficacy Research, Standards and Compliance, ROHO, Inc,
Belleville, IL, USA
Jan Kottner Department of Dermatology and Allergy, Charité-Universitätsmedizin
Berlin, Berlin, Germany
Nils  Lahmann Department of Geriatrics, Charité-Universitätsmedizin Berlin,
Berlin, Germany
Ayelet Levy Department of Biomedical Engineering, Faculty of Engineering, Tel
Aviv University, Tel Aviv, Israel
Christina Lindholm Sophiahemmet University, Stockholm, Sweden
Michela Macchia Department of Dermatology, Santa Chiara Hospital, Pisa, Italy
Sylvie Meaume Hôpital Charles Foix, Ivry sur Seine, France
Cees Oomens Department of Biomedical Engineering, Technical University of
Eindhoven, Eindhoven, The Netherlands
Teresa Oranges Department of Dermatology, Santa Chiara Hospital, University of Pisa,
Pisa, Italy
Battistino Paggi HeKa s.c.s., Biella, Italy
Salvatore Panduri Department of Dermatology, Santa Chiara Hospital, University
of Pisa, Pisa, Italy
Marina Pierangeli Department of Plastic and Reconstructive Surgery, Università
Politecnica delle Marche, Ancona, Italy
Marilena Pradal Department of Dermatology, Santa Chiara Hospital, University
of Pisa, Pisa, Italy
Contributors xi
Vania  Recchi Department of Plastic and Reconstructive Surgery, Marche
Politechnical University, Ancona, Italy
Elia Ricci Difficult Wound Healing Unit, St. Luca’s Clinic, Pecetto Torinese, Italy
Marco Romanelli Department of Dermatology, Santa Chiara Hospital, University
of Pisa, Pisa, Italy
Alessandro Scalise Department of Plastic and Reconstructive Surgery, Università
Politecnica delle Marche, Ancona, Italy
Anna Barbara Schluer University Children’s Hospital, Zurich, Switzerland
Jos M. G. A. Schols Department of Family Medicine, Maastricht University,
Maastricht, The Netherlands
Department of Health Services Research, Maastricht University, Maastricht,
The Netherlands
Letícia Faria Serpa Institute of Education and Research, Oswaldo Cruz German
Hospital, São Paulo, SP, Brazil
Naama Shoham Department of Biomedical Engineering, Faculty of Engineering,
Tel Aviv University, Tel Aviv, Israel
Jakub  Taradaj Department of Physiotherapy Basics at Academy School of
Physical Education, Katowice, Poland
College of Rehabilitation Sciences at University of Manitoba, Winnipeg, Canada
Caterina  Tartaglione Department of Plastic and Reconstructive Surgery,
Università Politecnica delle Marche, Ancona, Italy
Matteo Torresetti Department of Plastic and Reconstructive Surgery, Marche
Politechnical University, Ancona, Italy
Luc  Téot Wound Healing Unit, Pôle EMMBRUN, Department of Surgery,
Montpellier University Hospital, Montpellier, France
Francesco Uccelli Department of Dermatology, Santa Chiara Hospital, University
of Pisa, Pisa, Italy
Trudie Young Welsh Wound Innovation Centre, Wales, UK