Management of pressure sore areas in the JOURNAL OF GENERAL INTERNAL MEDICINE, Volume 6 (January/February)
- Kataria MS, Datta AK
- elderly. Practitioner
PREVIOUS REVIEWS 14 of pressure sores have del ineated the many risk factors that contr ibute to their development, including immobil i ty , incont inence of ur ine and /or feces, poor nutrit ion, sensory impairment , and dementia . These condit ions rank high on the geriatrics agenda for education, pat ient care, and research. Also, the prevent ion and t reatment of pressure sores are multidisciplinary, wh ich is characterist ic of the "geriatr ics approach . " Accordingly, pressure sores may be v iewed as a major ou tcome measure of geriatric care. These reviews have also emphas ized that pressure sores are costly, serious, and common, but preventable and treatable. If true, then one wou ld hypothesize a decreasing prevalence. If prevalence is not decreasing, then ei ther prevent ive and therapeut ic interventions are ineffective or there are barriers to implement ing effective interventions. Thus, reviewing the l i terature is in tended to: 1) obtain data on the t ime trends of prevalence and /o r incidence; 2) identify the sites of pat ient popula t ions at risk; 3) review and compare the current predic t ive instruments; 4) rev iew the effectiveness of prevent ive and therapeut ic interventions; and 5) f rom the information collected, identify major areas for fur ther research.