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Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue

Pressure ulcers develop in patients who endure long periods of immobilization, often caused by conditions such as musculoskeletal and neurological diseases. Pressure ulcers adversely affect the patient and increase caregiver burden and healthcare costs. Typical sites for these ulcers include the sac...

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Autores principales: Rathore, Farooq A, Ahmad, Faria, Khan, Omer J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722637/
https://www.ncbi.nlm.nih.gov/pubmed/29226053
http://dx.doi.org/10.7759/cureus.1763
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author Rathore, Farooq A
Ahmad, Faria
Khan, Omer J
author_facet Rathore, Farooq A
Ahmad, Faria
Khan, Omer J
author_sort Rathore, Farooq A
collection PubMed
description Pressure ulcers develop in patients who endure long periods of immobilization, often caused by conditions such as musculoskeletal and neurological diseases. Pressure ulcers adversely affect the patient and increase caregiver burden and healthcare costs. Typical sites for these ulcers include the sacrum, trochanters, and heels; they also occur on the nape of the neck, penis, nostrils, helix of the ear, and upper back. Compression stockings are commonly used to prevent and stop the progression of venous disorders, including deep vein thrombosis, but their role in the development of pressure ulcers is not well known. We describe three case reports of pressure ulcer development due to prolonged application of compression stockings. In each case, the nursing staff who were primarily responsible for the prevention of pressure ulcers applied the stockings continuously without any intermittent relief. Moreover, the stockings did not include manufacturer instructions, such as recommended exposure times and applications. We recommend that nursing staff be trained in pressure relief and prevention of pressure ulcers, including rare occurrences, and that manufacturers give detailed guidance regarding the safe use of compression stockings.
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spelling pubmed-57226372017-12-10 Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue Rathore, Farooq A Ahmad, Faria Khan, Omer J Cureus Plastic Surgery Pressure ulcers develop in patients who endure long periods of immobilization, often caused by conditions such as musculoskeletal and neurological diseases. Pressure ulcers adversely affect the patient and increase caregiver burden and healthcare costs. Typical sites for these ulcers include the sacrum, trochanters, and heels; they also occur on the nape of the neck, penis, nostrils, helix of the ear, and upper back. Compression stockings are commonly used to prevent and stop the progression of venous disorders, including deep vein thrombosis, but their role in the development of pressure ulcers is not well known. We describe three case reports of pressure ulcer development due to prolonged application of compression stockings. In each case, the nursing staff who were primarily responsible for the prevention of pressure ulcers applied the stockings continuously without any intermittent relief. Moreover, the stockings did not include manufacturer instructions, such as recommended exposure times and applications. We recommend that nursing staff be trained in pressure relief and prevention of pressure ulcers, including rare occurrences, and that manufacturers give detailed guidance regarding the safe use of compression stockings. Cureus 2017-10-10 /pmc/articles/PMC5722637/ /pubmed/29226053 http://dx.doi.org/10.7759/cureus.1763 Text en Copyright © 2017, Rathore et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Plastic Surgery
Rathore, Farooq A
Ahmad, Faria
Khan, Omer J
Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue
title Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue
title_full Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue
title_fullStr Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue
title_full_unstemmed Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue
title_short Compression Stockings and Pressure Ulcers: Case Series of a Neglected Issue
title_sort compression stockings and pressure ulcers: case series of a neglected issue
topic Plastic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722637/
https://www.ncbi.nlm.nih.gov/pubmed/29226053
http://dx.doi.org/10.7759/cureus.1763
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