Science and Practice of Pressure Ulcer Management

1. Front Matter

   Pages i-xi

   PDF

2. The Potential of Biomarkers in the Early Detection of Pressure Ulcers

   • Dan Bader, Cees Oomens

   Pages 1-15

3. The Critical Characteristics of a Good Wheelchair Cushion

   • Ayelet Levy, Naama Shoham, Kara Kopplin, Amit Gefen

   Pages 17-31

4. Epidemiology of Pressure Ulcers

   • Nils Lahmann, Jan Kottner

   Pages 33-39

5. Nutrition and Pressure Ulcers

   • Emanuele Cereda, Jos M. G. A. Schols

   Pages 41-56

6. Risk Assessment in Pressure Ulcers

   • Vera Lúcia Conceição de Gouveia Santos, Letícia Faria Serpa, Guadalupe Maria Lobo Cordero, Sandra Guerrero Gamboa, Heidi Hevia Campos, Otilia Cruz Castañeda

   Pages 57-77

7. Health Related Quality of Life (HRQOL) Implications for People with Pressure Ulcers

   • Trudie Young, Katia Furtado, Paulo Alves

   Pages 79-87

8. Incontinence-Associated Dermatitis (IAD) and Pressure Ulcers: An Overview

   • Dimitri Beeckman

   Pages 89-101

9. Microclimate: Rediscovering an Old Concept in the Aetiology of Pressure Ulcers

   • Michael Clark

   Pages 103-110

10. Skin Care

    • Sue Bale, Janice Cameron, Sylvie Meaume, Andrea Ingegneri

    Pages 111-124

11. Pressure Ulcers in Pediatric Patients

    • Guido Ciprandi, Teresa Oranges, Anna Barbara Schluer

    Pages 125-150

12. Pressure Ulcers After Epidural Anaesthesia

    • Agata Janowska, Valentina Dini, Marilena Pradal, Giulia Davini, Francesco Uccelli

    Pages 151-157

13. Advanced Dressings in Pressure Ulcers

    • Agata Janowska, Michela Macchia, Battistino Paggi

    Pages 159-173

14. Adjunctive Therapies in Pressure Ulcers

    • Jakub Taradaj, Elia Ricci

    Pages 175-187

15. Negative Pressure Wound Therapy in the Management of Pressure Ulcers

    • Valentina Dini, Salvatore Panduri, Marco Romanelli

    Pages 189-198

16. Surgical Management of Pressure Ulcers

    • Alessandro Scalise, Caterina Tartaglione, Marina Pierangeli, Vania Recchi, Matteo Torresetti, Luc Téot

    Pages 199-228

17. The Stop Pressure Ulcer Day and Other Initiatives by EPUAP

    • Christina Lindholm, Michael Clark, Zita Kis Dadara

    Pages 229-236

18. Innovation in Pressure Ulcer Prevention and Treatment

    • Keith Harding, Michael Clark

    Pages 237-242

19. Back Matter

    Pages 243-249

    PDF

This updated volume provides the current knowledge on the diagnosis, treatment, management, and prevention of pressure ulcers. Chapters on the early detection of pressure ulcers, negative pressure therapy, pressure ulcers in pediatric patients, adjunctive therapies, surgical management of pressure ulcers, and innovation in pressure ulcer research and practice are included.

This second edition aims to be the primary reference for pressure ulcers from diagnosis and prevention to management and treatment options.

The book is relevant to dermatology clinicians, vascular surgeons, and dermatology nurses.

• Innovation in pressure ulcers research
• Incontinence
• Adjunctive therapies in pressure ulcers
• Pressure ulcers in obstetrics and gynecology
• Pressure ulcers in pediatric patients
• diabetes

• Department of Dermatology, Santa Chiara Hospital, University of Pisa, Pisa, Italy

  Marco Romanelli

• Welsh Wound Innovation Centre, Rhondda Cynon Taf Wales, United Kingdom

  Michael Clark

• Department of Biomedical Engineering, Faculty of Engineering Tel Aviv University, Tel Aviv, Israel

  Amit Gefen

• Bambino Gesuʼ Childrenʼs Hospital, Rome, Italy

  Guido Ciprandi

Prof. Marco Romanelli, MD, Ph.D is a Founding Member and Past-President of the European Pressure Ulcer Advisory Panel (EPUAP). Dr. Romanelli served as the President and Council Member of the European Wound Management Association (EWMA), Executive Board member of the World Union Wound Healing Society (WUWHS). He was the President of the Italian Association for Cutaneous Ulcer (AIUC). He has a special interest in wound assessment using physical measurements, inflammatory ulcers, biochemical markers in wound healing and has published widely in this field, in which he continues to undertake research. Dr. Romanelli is on the editorial board of the journals WOUNDS, Wound Repair and Regeneration, The International Journal of Lower Extremity Wounds, Journal of Wound Care, International Wound Journal, Acta Vulnologica & Journal of Tissue Viability Nurses Society. He is a director of the Wound Healing Research Unit within the University of Pisa in Italy and leads a research group actively involved in clinical, laboratory and educational activities. He serves as a Member of Medical Advisory Board at Systagenix Wound Management, Limited. Dr. Romanelli is a Board certified, Consultant Dermatologist at the Department of Dermatology, University of Pisa and received a PhD in Experimental Dermatology from the University of Naples.

Michael Clark is Director of the Welsh Wound Network. A zoologist by training, Professor Clark has worked in tissue viability and wound healing since 1980. He is Professor in Tissue Viability, Birmingham City University, UK supporting their Tissue Viability Practice Development Unit one day a week. Between 2003 and 2009 he was a member of the Wound Healing Research Unit, Cardiff University and had responsibility for physical measurement research within the WHRU. From 2009-2013 Professor Clark managed the Welsh Wound Network while also acting as an independent consultant. Professor Clark was until recently Chief Executive of the Lindsay Leg Club Foundation and has been President of the European Pressure Ulcer Advisory Panel. He was Editor in Chief of the Journal of Tissue Viability from 2000 to 2010 and now serves as Emeritus Editor of that publication.

Prof. Amit Gefen received the B.Sc. in Mechanical Engineering and M.Sc. and Ph.D. in Biomedical Engineering from Tel Aviv University in 1994, 1997, and 2001, respectively. During 2002-2003 he was a post-doctoral fellow at the University of Pennsylvania, USA. He is currently a Full Professor with the Department of Biomedical Engineering at the Faculty of Engineering of Tel Aviv University and the Herbert J. Berman Chair in Vascular Bioengineering. The research interests of Prof. Gefen are in studying normal and pathological effects of biomechanical factors on the structure and function of cells, tissues and organs, with emphasis on applications in chronic wound research. In 2007-2008 he was a visiting scientist at Eindhoven University of Technology in the Netherlands, where he developed tissue-engineered model systems to study pressure ulcers. To date, Prof. Gefen published more than 200 articles in peer-reviewed international journals, many of which on mechanobiology, cell and tissue biomechanics, with applications that are mostly in chronic wound prevention.

Guido Ciprandi graduated from University of  Rome La Sapienza (UR1)  in 1982, 1987 and University of Rome Tor Vergata (UR2) in 1992. His training in general and thoracic surgery was done at the Clinics for General Surgery and Thoracic Surgery of UR1 and UR2, and in Pediatric Surgery at the Bambino Gesu’ Children’s Hospital, in Rome. He spent the next years between the Microvascular Clinics of Saint Joseph Hospital in Paris, Children’s Hospital in Boston and La Timone Hospital “des Enfants Malades” in Marseille. In 2001, he became responsible for the Experimental Laboratory Research Center in Palidoro, at Bambino Gesu’ Children’s Hospital. In 2012 he was appointed Managing Director for Pressure Ulcer and Complex Lesions Project in the Unit of Plastic and Maxillofacial Surgery, Department of Surgery, Bambino Gesu' Children's Hospital, IRCCS, Rome, Italy. Dr. Ciprandi is a member of numerous national and international organizations, including the European Pediatric Surgical Association, Italian Association for Pediatric Surgery, European Wound Management Association. He is also Trustee in European Pressure Ulcer Advisory Panel and President of the International Society of Pediatric Wound Care.

Policies and ethics