Abstract

Background: A pressure ulcer is a difficult problem for reconstruction. Many medical problems must be dealt with first. A holistic approach can be used for these problematic conditions. We introduce our experience with the holistic approach for treatment of pressure ulcers. Methods: From July 2014 to October 2016, 42 patients with pressure ulcers underwent treatment with a holistic approach, including teamwork provided by medical and other specialists. We recorded the patient characteristics, methods of surgery and anesthesia, and complications. We also collected data on previous pressure ulcer patients for comparison of treatment effectiveness. Results: Dementia was the only comorbidity that was statistically significant (P = 0.04). However, high odds ratios (ORs) were noted with some comorbidities, such as end-stage renal disease (OR, 16.2), and parkinsonism (OR, 3.10). General anesthesia showed a high OR (12.39) in the holistic group. Regarding the method of surgery, a high OR (13.64) was noted for skin grafting in the control group. All procedures performed in the holistic group consisted of flap surgery. The holistic group had a much greater number of systemic complications, with a high OR (10.48). Conclusions: With the holistic approach, complicated problems may be treated more easily. Management of pressure ulcers is more difficult if there is no good management of underlying medical conditions. We concluded that the holistic approach should be helpful in patients with pressure ulcers.
Original languageEnglish
Pages (from-to)176-183
Number of pages8
Journal中華民國整形外科醫學會雜誌
Volume26
Issue number2
Publication statusPublished - 2017

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Pressure Ulcer
Odds Ratio
Comorbidity
Skin Transplantation
Parkinsonian Disorders
General Anesthesia
Chronic Kidney Failure
Dementia
Anesthesia
Control Groups
Therapeutics

Keywords

  • holistic approach
  • pressure ulcer
  • teamwork

Cite this

@article{a25ae20b82604d2c8c089442d3dda300,
title = "A Holistic Approach to Manage Pressure Ulcers",
abstract = "Background: A pressure ulcer is a difficult problem for reconstruction. Many medical problems must be dealt with first. A holistic approach can be used for these problematic conditions. We introduce our experience with the holistic approach for treatment of pressure ulcers. Methods: From July 2014 to October 2016, 42 patients with pressure ulcers underwent treatment with a holistic approach, including teamwork provided by medical and other specialists. We recorded the patient characteristics, methods of surgery and anesthesia, and complications. We also collected data on previous pressure ulcer patients for comparison of treatment effectiveness. Results: Dementia was the only comorbidity that was statistically significant (P = 0.04). However, high odds ratios (ORs) were noted with some comorbidities, such as end-stage renal disease (OR, 16.2), and parkinsonism (OR, 3.10). General anesthesia showed a high OR (12.39) in the holistic group. Regarding the method of surgery, a high OR (13.64) was noted for skin grafting in the control group. All procedures performed in the holistic group consisted of flap surgery. The holistic group had a much greater number of systemic complications, with a high OR (10.48). Conclusions: With the holistic approach, complicated problems may be treated more easily. Management of pressure ulcers is more difficult if there is no good management of underlying medical conditions. We concluded that the holistic approach should be helpful in patients with pressure ulcers.",
keywords = "holistic approach, pressure ulcer, teamwork",
author = "Wen-Kuan Chiu and Chieh-feng Chen and Chun-Chang Li and Chun-Yuan Huang and Chiung-Wen Chang and Hsian-Jenn Wang",
year = "2017",
language = "English",
volume = "26",
pages = "176--183",
journal = "中華民國整形外科醫學會雜誌",
issn = "1025-1375",
publisher = "中華民國整形外科醫學會",
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}

TY - JOUR

T1 - A Holistic Approach to Manage Pressure Ulcers

AU - Chiu, Wen-Kuan

AU - Chen, Chieh-feng

AU - Li, Chun-Chang

AU - Huang, Chun-Yuan

AU - Chang, Chiung-Wen

AU - Wang, Hsian-Jenn

PY - 2017

Y1 - 2017

N2 - Background: A pressure ulcer is a difficult problem for reconstruction. Many medical problems must be dealt with first. A holistic approach can be used for these problematic conditions. We introduce our experience with the holistic approach for treatment of pressure ulcers. Methods: From July 2014 to October 2016, 42 patients with pressure ulcers underwent treatment with a holistic approach, including teamwork provided by medical and other specialists. We recorded the patient characteristics, methods of surgery and anesthesia, and complications. We also collected data on previous pressure ulcer patients for comparison of treatment effectiveness. Results: Dementia was the only comorbidity that was statistically significant (P = 0.04). However, high odds ratios (ORs) were noted with some comorbidities, such as end-stage renal disease (OR, 16.2), and parkinsonism (OR, 3.10). General anesthesia showed a high OR (12.39) in the holistic group. Regarding the method of surgery, a high OR (13.64) was noted for skin grafting in the control group. All procedures performed in the holistic group consisted of flap surgery. The holistic group had a much greater number of systemic complications, with a high OR (10.48). Conclusions: With the holistic approach, complicated problems may be treated more easily. Management of pressure ulcers is more difficult if there is no good management of underlying medical conditions. We concluded that the holistic approach should be helpful in patients with pressure ulcers.

AB - Background: A pressure ulcer is a difficult problem for reconstruction. Many medical problems must be dealt with first. A holistic approach can be used for these problematic conditions. We introduce our experience with the holistic approach for treatment of pressure ulcers. Methods: From July 2014 to October 2016, 42 patients with pressure ulcers underwent treatment with a holistic approach, including teamwork provided by medical and other specialists. We recorded the patient characteristics, methods of surgery and anesthesia, and complications. We also collected data on previous pressure ulcer patients for comparison of treatment effectiveness. Results: Dementia was the only comorbidity that was statistically significant (P = 0.04). However, high odds ratios (ORs) were noted with some comorbidities, such as end-stage renal disease (OR, 16.2), and parkinsonism (OR, 3.10). General anesthesia showed a high OR (12.39) in the holistic group. Regarding the method of surgery, a high OR (13.64) was noted for skin grafting in the control group. All procedures performed in the holistic group consisted of flap surgery. The holistic group had a much greater number of systemic complications, with a high OR (10.48). Conclusions: With the holistic approach, complicated problems may be treated more easily. Management of pressure ulcers is more difficult if there is no good management of underlying medical conditions. We concluded that the holistic approach should be helpful in patients with pressure ulcers.

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KW - pressure ulcer

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VL - 26

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JO - 中華民國整形外科醫學會雜誌

JF - 中華民國整形外科醫學會雜誌

SN - 1025-1375

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