Reexamining the Literature on Terminal Ulcers, SCALE, Skin Failure, and Unavoidable Pressure Injuries
| Autor: | Mary R. Brennan, Karen Lou Kennedy-Evans, Jeffrey M. Levine, R. Gary Sibbald, Diane Langemo, Elizabeth A. Ayello |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Soft Tissue Injuries Nurse practitioners MEDLINE Dermatology Nurse's Role Patient Care Planning 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans In patient Physician assistants Intensive care medicine Ulcer Pressure Ulcer Advanced and Specialized Nursing Terminal Care Wound Healing business.industry Continuing education 030208 emergency & critical care medicine Long-Term Care General purpose Scale (social sciences) business |
| Zdroj: | Advances in Skin & Wound Care. 32:109-121 |
| ISSN: | 1538-8654 1527-7941 |
| DOI: | 10.1097/01.asw.0000553112.55505.5f |
| Popis: | To synthesize the literature regarding skin injuries that are found in patients at the end of life and to clarify the terms used to describe these conditions.This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.After completing this continuing education activity, you should be better able to:1. Define the terms used to describe pressure injuries and skin changes at the end of life.2. Discuss the concept of skin failure as applied to end-of-life skin injuries and implications for practice.This article synthesizes the literature regarding the concepts of "terminal" skin injuries that are found in patients at the end of life, including Kennedy terminal ulcers, Skin Changes At Life's End, Trombley-Brennan terminal tissue injuries, and skin failure. Also included is a discussion of avoidable and unavoidable pressure injuries as defined and differentiated by the Centers for MedicareMedicaid Services and the National Pressure Ulcer Advisory Panel. To help clarify the controversy among these terms, a unifying concept of "skin failure" that may occur with an acute illness, chronic illness, or as part of the dying process is proposed. This proposed concept of skin failure is etiologically different than a pressure injury, although pressure injury and skin failure can occur concomitantly. These proposed concepts require further research and validated diagnostic criteria. Consensus around appropriate terminology is essential to reduce confusion among stakeholders and ensure appropriate patient care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|