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Pressure Sore Prevention & Management

Although most frequently associated with elderly patients, pressure sores,
also known as decubitus ulcers, bed sores, or pressure ulcers, can affect
any person confined to bed or a wheelchair for long periods of time are are estimated to affect up to 15 percent of all hospitalized patients and up to 35 percent of nursing home residents. A pressure sore is a damaged area of skin which occurs when pressure reduces or cuts off the blood supply to a particular part of the body for prolonged periods of time.  Pressure sore increase the risk of complications such as serious infection, and lead to extensive rehabilitation and hospitalization. These resources will help increase your knowledge about risk assessment, pressure ulcer prevention, skin care management, positioning, pressure sore healing and therapy.

Sites & Resources

  • Merck Manual of Geriatrics-Pressure Sores-Focuses on the incidence, etiology, classification, laboratory values, treatment and prevention of  decubitus ulcers.
  • Prediction, Prevention, and Early Treatment of Pressure Ulcers
    in Adults
    - Clinical Practice Guidelines regarding the effectiveness
    and appropriateness of procedures and practices designed to predict,
    prevent, and treat pressure ulcers.
  • Skin Management in Spinal Cord Injury-Printable guide with illustrations of how to avoid pressure sores and how to use position changes to relieve skin pressure. [Jackson Memorial Medical Center]
  • Anatomy of the Skin-UM's dermatology health guide with comprehensive information about skin information, common disorders, and anatomy.
  • An Introduction To Skin Cancer-Causes, types, treatments & an up to date UV forecast for various cities.
  • Athlete's Foot Handout- Printable handout for patients-How to Treat Athlete's Foot.
  • Botanical Dermatology Database-This is an excellent resource for plant-related dermatoses and treatments, and includes pertinent references.
  • Cliniweb Skin Diseases-A very extensive list to resources on the web by category of skin disorder.
  • Colour Guide to the Nursing Management Of Chronic Wounds-A generously illustrated, full-color guide to current wound management and nursing care procedures, this book covers the physiology of healing, infection, assessment, cleansing, dressings, pressure sores, ulcers, and patient education.
  • Common Skin Diseases- Information and medical images of common conditions ranging from acne thru wrinkles from the National Skin Center
  • Cutaneous Parasite Home Page-A Dermatological Menagerie of Creatures that Bite, Sting, Infect, and Infest Human Skin.
  • DermQuest-DermQuest allows members to search and view a comprehensive slide library of nearly 50,000 clinical dermatology images.
  • Dermatology Disease Information Sheets- Printable information sheets with color photos of conditions on disorders ranging from acne to yeast infections.
  • Dermatology Images-An online course from the UC Davis Health System the Dermatology Image Bank can be searched by Diagnosis or keyword
  • Dermatology Image Bank-Comprehensive image bank which features a self quiz as well. [Univ. of Utah's Spencer S. Eccles Health Sciences Library]
  • Dermatology Images- Large database of images including lice, chickenpox and others good for student nurses and or patients. [Univ of Iowa.]
  • Dermatology Image Atlas-Johns Hopkins University's megasite with over 4,000 images, quizes, and CME.
  • Dermatology in Cinema-A look at skin conditions portrayed in films and actors with skin conditions by what else- a dermatologist film buff.
  • Dermatology Online Atlas-An extensive online atlas of dermatologic images depicting over 4,500 different diagnoses.
  • Dermatology Nurses Association-Established as a non-profit organization in 1981, DNA serves its members through a national structure, regionally and locally in the United States and internationally.
  • Dermatology Online Journal-Read complete articles with outstanding photos too online, and this is available in English or Spanish.
  • Dermnet-A dermatological resource for both patients and physicians. It has a CME section where continuing education for physicians is provided. Lay people can find information on more than 180 skin diseases, as well as a directory to New Zealand-based doctors.
  • Dermatopathology-Extensive dermatology images.[Introduction to Clinical Medicine: Dermatology Section, Systemic Pathology: Lecture and Laboratory-IU School of Medicine, Indianapolis.]
  • Epidermolysis Bullosa Research & Information-Epidermolysis Bullosa (EB) is a group of inherited disorders in which the skin and mucous membranes are so fragile that the slightest touch may cause painful blistering. The site is a wonderful source of information.
  • Hair Loss Information Center-About hair loss in men and women & treatment.
  • Hardin MD-Dermatology & Skin Diseases-The *best* list of Internet sources in dermatology and skin disorders.
  • Herpes Zoster (Shingles) Eye Infections-Information about shingles infections of the eye, causes & treatment.
  • Hives (Urticaria)- Causes, good pictures for recognition & treatment modalities of common causes of hives.
  • Impetigo Skin Infection-Definition, causes, treatment & prevention information.
  • Infection Control Resources-Epidemiology, infectious disease, and infection control resources.
  • Internet Dermatology Society-This site hosts an online dermatology rounds, an electronic textbook, and several other dermatology resources.
  • Jaundice- Causes, disease information, pictures, treatment modalities.
  • Latex Allergy Association-Educational materials, support groups, publications and product information to assist  with understanding  natural rubber latex allergy.
  • Lupus Foundation-A comprehensive research & information site with info about causes, symptoms, testing, treatment, research & resource library & forum.
  • Nail Disorders and Treatments-Printable information about common nail problems (with pictures) by the American College of Foot and Ankle Surgeons.
  • National Psoriasis Foundation-Lots of information about psoriasis and psoriatic arthritis, articles, information about treatments & news.
  • Occupational Skin Infections-Nice reference to type of occupation, common exposure, and type of potential skin infection they are prone to contract.
  • Personal Health-Smoker's face-The distinctive characteristics of smoker's face, which makes people look far older than their years.
  • Porphyria Page-Patient guide for all people with this disorder. It contains
    relavant information and a list of safe and unsafe drugs which can be used.
  • Pressure Sores-Printable, short, and well written information sheet.
  • Psoriasis Itch Causing Marital Tension?-Tips for dealing with psoriasis.
  • Quick Integumentary Reference Card-Pocket sized laminated card set provides an explanation and pictures of the skin, disorders, burns, wound products, and glossary.
  • Rosacea- How to Recognize Rosacea. Early symptoms of Rosacea. Pamphlet information regarding diagnosis and treatment.
  • Scleroderma Foundation-Facts, literature, research, articles, grant information & links.
  • Skin Abscesses- Printable articles that explain what a boil is, how to treat them & how to prevent them.
  • Skin Cancer Foundation- Vast information useful to patients and providers including pamphlets.
  • Skin and Connective Tissue Diseases- Vast list of sites with about dermatology and skin conditions.
  • Skin and Wound Infections-Good article for nursing students to get an overview of various commonly seen problems with pictures.
  • Tinea Corporis (Ringworm)-Printable page that defines (with pictures as well), gives causes, and treatment.
  • The Mole Hill-A pictoral guide to identification of benign and malignant skin nevi by the Univ Of Florida.
  • Tumors of the Skin & Other Skin Diseases-This dermatology site covers three basic areas: basic science of skin and skin disease; an introduction to the 20 most common or important dermatoses; and the physical diagnosis of the skin. An excellent online resource.
  • Vascular Birthmarks Foundation- Excellent resources and pictures of various hemangiomas, port wine stains, and other vascular birthmarks.
  • Virtual Dermatology-Indiana University's case studies. Great presentation- case history, allergies, photo of condition- wonderful way to broaden & sharpen your nursing skills.
  • What do the symptoms of STD's look like?-Self Explanatory.
  • When are the seeds of postoperative pressure sores sown?-(Article)-Pressure sores are often thought to be slothful chronic wounds forming slowly because of poor nursing. In fact, that is far from the truth- read this insightful article.
  • Warts-Printable pamphlet for patient or students about the underlying causes, facts, and treatment of warts.
  • Wound Care Resources.
 

 

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