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Which medical device and / or which local treatment for prevention in patients with risk factors of pressure sores in 2012. Towards development of French guideline for clinical practice = Quel dispositif médical et / ou quel médicament local choisir pour un patient à risque d'escarre pour assurer la prévention en 2012 Vers l'élaboration de recommandations françaises pour la pratique clinique

NICOLAS B; MOIZIARD AS; BARBIER BARROIS B; COLIN A; MICHEL JM; PASSADORI Y; RIBINIK P
ANN PHYS REHABIL MED , 2012, vol. 55, n° 7, p. 482-488
Doc n°: 159574
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2012.08.007
Descripteurs : DA451 - ESCARRES

Implementation of a prevention strategy after the identification of
risk factors is essential at the entrance in a care unit or in a medical-social
unit. OBJECTIVES: Determine which medical devices and which treatments may be
used in order to prevent pressure sore in 2012. METHOD: Systematic review of the
literature using databases: Pascal, Biomed, PubMed, and Cochrane library between
2000 and 2010. RESULTS: Nursing care including use of soft product,
non-irritating for the cleaning, hydration of the skin with emollients,
protection of fragile skin in case of incontinence by applying a skin protector
and application of dressings in front of bony prominences to reduce shear forces,
remain valid (level C). DISCUSSION: Nursing cares and use of dressing in patients
with high risks of pressure sores are the responsibility of the nurses. The
engagement of health care teams involves screening of risk factors and the
knowledge of treatments and local devices. CONCLUSION: Local preventive treatment
in a patient with risk factors of pressure sore is of great interest at entrance
in a care unit or in a medical-social unit.
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS

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