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Negative-pressure wound therapy (NPWT), also known as a vacuum assisted closure (VAC), is a therapeutic technique using a suction pump, tubing, and a dressing to remove excess wound exudate and to promote healing in acute or chronic wounds and second- and third-degree burns.
Pressure ulcers can trigger other ailments, cause considerable suffering, and can be expensive to treat. Some complications include autonomic dysreflexia, bladder distension, bone infection, pyarthrosis, sepsis, amyloidosis, anemia, urethral fistula, gangrene and very rarely malignant transformation (Marjolin's ulcer – secondary carcinomas in chronic wounds).
Though early use focused on burns and surgical wounds, [1] wider use of wounds treated with TCOT have become more common in diabetic foot ulcers, venous stasis and decubitus ulcers (pressure sores). TCOT involves inserting a thin tube which delivers the oxygen above the wound bed of a cleaned wound.
The Braden Scale for Predicting Pressure Ulcer Risk, is a tool that was developed in 1987 by Barbara Braden and Nancy Bergstrom. [1] The purpose of the scale is to help health professionals, especially nurses, assess a patient's risk of developing a pressure ulcer .
A total Waterlow score ≥10 indicates risk for pressure ulcer. A high risk score is ≥15. A very high risk exists at scores ≥20. The reverse side of the Waterlow card lists examples of preventive aids and interventions. [2]
to measure the patient's blood pressure: Stethoscope: to hear sounds from movements within the body like heart beats, intestinal movement, breath sounds, etc. Suction device: to suck up blood or secretions Surgical scissors: used for dissecting or cutting Thermometer: to record body temperature: Tongue depressor: for use in oral examination ...
A mobility aid is a device that helps individuals with mobility impairments to walk or improve their overall mobility. [1]These aids range from walking aids, which assist those with limited walking capabilities, to wheelchairs and mobility scooters, which are used for severe disabilities or longer distances that would typically be covered on foot.
Recommendations for adaptive equipment for increased safety and independence with activities of daily living (e.g. aids for getting dressed, shower chairs for bathing, and medication organizers for self-administering medications). They also perform home safety assessments to suggest modifications for improved safety and function after discharge.