Science and Practice of Pressure Ulcer Management 2006th Edition by Marco Romanelli, Michael Clark, George W Cherry ISBN 9781852338398 by Marco Romanelli 9781852338398, 1852338393 instant download after payment.

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ISBN 13: 9781852338398
Author: Marco Romanelli, Michael Clark, George W Cherry

Only comprehensive reference book on pressure ulcers and their management

Only book in its field endorsed by the European Pressure Ulcer Advisory Panel, the leading European authority on pressure ulcers

Science and Practice of Pressure Ulcer Management 2006th Table of contents:

Part 1: Foundations and Pathophysiology of Pressure Injuries

• Chapter 1: Defining Pressure Injuries: Terminology, Classification, and History
  • Evolution of Terminology: From Pressure Ulcer to Pressure Injury
  • NPUAP/EPUAP/PPPIA Staging System and Deep Tissue Injury
  • Unstageable Pressure Injuries and Medical Device-Related Pressure Injuries
  • Historical Perspectives on Understanding and Managing Pressure Sores
• Chapter 2: Epidemiology and Burden of Pressure Injuries
  • Prevalence and Incidence in Various Healthcare Settings (Acute, Long-Term, Community)
  • Economic Costs of Pressure Injury Management
  • Impact on Patient Quality of Life and Outcomes
  • Global Perspectives and Disparities
• Chapter 3: Anatomy and Physiology of Skin and Soft Tissue
  • Structure and Function of the Skin Layers (Epidermis, Dermis, Hypodermis)
  • Microcirculation and Tissue Perfusion
  • Muscle, Bone, and Connective Tissue Relevance
  • Cellular Responses to Pressure and Shear
• Chapter 4: Pathophysiology of Pressure Injury Development
  • Mechanisms of Injury: Pressure, Shear, Friction, and Moisture
  • Cellular and Molecular Responses to Ischemia and Reperfusion
  • Inflammatory Cascade and Tissue Breakdown
  • Deep Tissue Injury (DTI) Explained
  • Role of Nutrition, Hydration, and Systemic Factors

Part 2: Risk Assessment and Diagnosis

• Chapter 5: Identifying Individuals at Risk for Pressure Injuries
  • Overview of Risk Assessment Scales (Braden, Norton, Waterlow, Braden Q)
  • Clinical Application and Interpretation of Scores
  • Limitations of Risk Assessment Tools
  • Integrating Clinical Judgment and Patient Assessment
• Chapter 6: Comprehensive Clinical Assessment of Pressure Injuries
  • Initial Assessment: Location, Size, Depth, Exudate, Tissue Type, Pain
  • Wound Measurement Techniques and Documentation
  • Assessment of Surrounding Skin and Edges
  • Photography and Digital Imaging in Assessment
  • Assessing Bioburden and Infection Signs
• Chapter 7: Differential Diagnosis of Skin Lesions
  • Distinguishing Pressure Injuries from Other Wound Types (Diabetic Foot Ulcers, Venous Leg Ulcers, Arterial Ulcers)
  • Skin Tears, Incontinence-Associated Dermatitis (IAD), and Other Moisture-Associated Skin Damage (MASD)
  • Malignancy and Other Dermatological Conditions
• Chapter 8: Diagnostic Tools and Adjunctive Assessments
  • Blood Tests and Nutritional Markers
  • Bacteriological Swabs and Biopsy
  • Imaging Techniques: Ultrasound, MRI, Thermography (Emerging Technologies)
  • Microcirculation Assessment

Part 3: Prevention Strategies

• Chapter 9: Patient Repositioning and Mobility
  • Turning Schedules and Techniques (30-degree lateral incline, bridging)
  • Benefits of Early Mobilization and Progressive Activity
  • Patient Involvement and Education in Repositioning
  • Safe Patient Handling and Ergonomics
• Chapter 10: Support Surfaces: Beds, Mattresses, and Overlays
  • Understanding Pressure Redistribution Principles (Immersion, Envelopment)
  • Low Air Loss, Alternating Pressure, and Fluidized Beds
  • Specialized Mattresses and Overlays
  • Cushions for Seating Surfaces (Wheelchairs, Chairs)
  • Selecting the Appropriate Support Surface
• Chapter 11: Skin Care and Moisture Management
  • Skin Cleansing, Moisturizing, and Protection
  • Managing Incontinence and Moisture-Associated Skin Damage (MASD)
  • Application of Moisture Barriers and Skin Protectants
  • Addressing Friction and Shear
• Chapter 12: Nutrition and Hydration in Pressure Injury Prevention
  • Role of Macronutrients (Protein, Carbohydrates, Fats) in Skin Health
  • Micronutrients (Vitamins, Minerals) and Wound Healing
  • Nutritional Assessment and Screening Tools
  • Strategies for Optimizing Nutritional Intake
  • Hydration Status and Fluid Management

Part 4: Comprehensive Treatment Modalities

• Chapter 13: Principles of Wound Bed Preparation
  • TIME Framework: Tissue, Infection/Inflammation, Moisture, Edge
  • Debridement Techniques: Autolytic, Enzymatic, Mechanical, Biological, Surgical
  • Wound Cleansing Agents and Methods
  • Managing Exudate and Moisture Balance
• Chapter 14: Dressings and Topical Agents
  • Categories of Dressings: Foams, Hydrocolloids, Alginates, Hydrogels, Films
  • Antimicrobial Dressings (Silver, Iodine)
  • Topical Antimicrobials and Antiseptics
  • Selecting the Appropriate Dressing for Different Wound Stages and Characteristics
• Chapter 15: Infection Management in Pressure Injuries
  • Distinguishing Contamination, Colonization, and Infection
  • Clinical Signs of Local and Spreading Infection
  • Role of Systemic Antibiotics
  • Antimicrobial Stewardship in Wound Care
  • Managing Biofilm
• Chapter 16: Pain Management
  • Assessment of Pain in Patients with Pressure Injuries
  • Pharmacological Pain Management Strategies
  • Non-Pharmacological Pain Management (Repositioning, Dressings)
  • Pain Management During Procedures (e.g., Debridement)
• Chapter 17: Advanced Wound Therapies
  • Negative Pressure Wound Therapy (NPWT): Principles, Application, and Indications
  • Electrical Stimulation and Ultrasound Therapy
  • Hyperbaric Oxygen Therapy (HBOT)
  • Biological Therapies (Growth Factors, Skin Substitutes)
• Chapter 18: Surgical Management of Pressure Injuries
  • Indications for Surgical Intervention
  • Excisional Debridement and Wound Closure Techniques
  • Skin Grafts and Flap Surgery (Myocutaneous, Fasciocutaneous)
  • Post-Operative Care and Prevention of Recurrence

Part 5: Specialized Populations and Settings

• Chapter 19: Pressure Injuries in Individuals with Spinal Cord Injury (SCI)
  • Unique Risk Factors in SCI Populations
  • Specialized Assessment and Prevention Strategies (Seating, Spasticity Management)
  • Management of Complex SCI-Related Pressure Injuries
• Chapter 20: Pressure Injuries in the Older Adult
  • Age-Related Skin Changes and Vulnerability
  • Comorbidities and Polypharmacy
  • Nutritional Considerations in the Elderly
  • End-of-Life Care and Pressure Injury Management (Palliative Care)
• Chapter 21: Pediatric Pressure Injuries
  • Unique Considerations in Neonates, Infants, and Children
  • Medical Device-Related Pressure Injuries in Pediatrics
  • Prevention and Management Strategies for Pediatric Patients
• Chapter 22: Pressure Injuries in Critical Care and Acute Care Settings
  • High-Risk Factors in ICU Patients (Immobility, Vasopressors, Edema)
  • Specialized Positioning and Support Surfaces in Critical Care
  • Rapid Progression of Pressure Injuries in Acutely Ill Patients
• Chapter 23: Pressure Injury Management in Community and Home Care
  • Challenges of Care in Non-Institutional Settings
  • Patient and Family Education and Empowerment
  • Resource Allocation and Support for Home Care Providers
  • Telehealth and Remote Monitoring

Part 6: Quality Improvement, Research, and Future Directions

• Chapter 24: Multidisciplinary Team Approach to Pressure Injury Management
  • Roles of Physicians, Nurses, Dietitians, Physical/Occupational Therapists
  • Wound Care Specialists and Certified Wound Care Nurses
  • Interprofessional Communication and Collaboration
  • Patient and Family as Integral Team Members
• Chapter 25: Documentation, Audit, and Quality Improvement
  • Accurate and Timely Documentation of Pressure Injuries
  • Quality Indicators and Performance Measures
  • Implementing Pressure Injury Prevention Programs (PIPPs)
  • Root Cause Analysis and Sentinel Event Reporting
  • Educational Programs for Healthcare Staff
• Chapter 26: Legal and Ethical Considerations
  • Standard of Care and Negligence
  • Informed Consent for Procedures
  • Patient Rights and Autonomy
  • Resource Allocation and Ethical Dilemmas
• Chapter 27: Research and Future Directions in Pressure Injury Management
  • Innovations in Risk Assessment and Early Detection
  • Advancements in Support Surface Technology
  • Novel Therapies and Regenerative Medicine
  • Genetic and Biomarker Research
  • The Future of Pressure Injury Prevention and Treatment

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