Considerations for the global assessment and treatment of patients with recalcitrant wounds...including commentary by van Rijswijk et al
Many factors, both intrinsic and extrinsic, may contribute to wound recalcitrance. For example, arterial circulation may be impaired by atherosclerosis, vasospastic disorders, microemboli, thromboangiitis obliterans, vasculitis, sickle cell anemia, and antiphospholipid syndrome, all of which may imp...
| Publicado en: | Ostomy Wound Management Vol. 46; no. 1A; pp. 10S - 11 |
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| Autor principal: | |
| Formato: | CEU commentary exam questions tables/charts Journal Article |
| Publicado: |
HMP Global
2000 Jan Suppl
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107096561&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107096561 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08895899 4F3 jtl: Ostomy Wound Management issn: 08895899 maglogo: N pubinfo: dt: 2000 Jan Suppl vid: 46 iid: 1A pid: 20465 pub: HMP Global place: Malvern, Pennsylvania artinfo: ui: 107096561 107096561 2000020077 NLM10732637 107096561 ppf: 10S ppct: 1 formats: tig: atl: Considerations for the global assessment and treatment of patients with recalcitrant wounds...including commentary by van Rijswijk et al aug: au: Seaman S affil: Grossmont Hospital Wound Healing Center, Sharp HealthCare, San Diego, California sug: subj: Wounds and Injuries Diagnosis Wounds and Injuries Therapy Wounds and Injuries Etiology Education, Continuing (Credit) Patient History Taking Physical Examination Nutrition Disorders Symptoms Risk Factors Arteriosclerosis Physiopathology Arteriosclerosis Symptoms Arteriosclerosis Diagnosis Peripheral Vascular Diseases Physiopathology Peripheral Vascular Diseases Symptoms Peripheral Vascular Diseases Diagnosis Arteriosclerosis Therapy Peripheral Vascular Diseases Therapy Vasculitis Physiopathology Chronic Disease Leg Ulcer Etiology Vasculitis Therapy Vasculitis Classification Vasculitis Diagnosis Diagnosis, Laboratory Antiphospholipid Syndrome Complications Anemia, Sickle Cell Complications Hematologic Diseases Complications Venous Insufficiency Complications Venous Ulcer Etiology Venous Ulcer Therapy Compression Therapy Venous Ulcer Drug Therapy Pyoderma Gangrenosum Etiology Pyoderma Gangrenosum Therapy Wound Infection Diagnosis Wound Infection Microbiology Diabetes Mellitus Complications Diabetes Mellitus Physiopathology Calciphylaxis Complications Neoplasms Complications Nutrition Disorders Complications Pressure Ulcer Etiology Peripheral Nervous System Diseases Complications Diabetic Foot Etiology Diabetic Foot Therapy Wound Healing Drug Effects ab: Many factors, both intrinsic and extrinsic, may contribute to wound recalcitrance. For example, arterial circulation may be impaired by atherosclerosis, vasospastic disorders, microemboli, thromboangiitis obliterans, vasculitis, sickle cell anemia, and antiphospholipid syndrome, all of which may impair healing. Inflammatory disorders that may lead to recalcitrance include pyoderma gangrenosum and necrobiosis lipoidica. Chronic venous insufficiency, infection, diabetes mellitus, systemic malignancy, malnutrition, and exposure to pressure and shear prolong the healing process. Wounds secondary to primary skin carcinoma will not heal. Calciphylaxis, a life-threatening metabolic disorder, leads to multiple ulcerations that are especially difficult to heal. Knowledge of common factors that lead to wound recalcitrance is essential to the wound care clinician, as accurate diagnosis results in appropriate treatment. To arrive at the diagnosis, the wound care clinician must perform a thorough history and physical examination and order relevant investigative studies. Treatment is based on correction of the identified underlying condition. By utilizing a systematic approach in the management of each patient with a chronic wound, the wound care clinician increases the probability of achieving wound closure. pubtype: Academic Journal doctype: CEU commentary exam questions tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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