Regionalt vårdprogram: trycksår, prevention och behandling.
Regionalt vårdprogram: trycksår, prevention och behandling.
Regionalt vårdprogram: trycksår, prevention och behandling.
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<strong>Regionalt</strong> <strong>vårdprogram</strong> – Trycksår, <strong>prevention</strong> <strong>och</strong> <strong>behandling</strong><br />
Innehåll<br />
Förord, del II ...................................................................................................144<br />
Mer om <strong>trycksår</strong> ..............................................................................................145<br />
Vårdskada........................................................................................................147<br />
Kunskap om evidens .......................................................................................148<br />
Att förebygga istället för att behandla.............................................................149<br />
Använd kunskap inför upphandling ................................................................150<br />
Förekomst <strong>och</strong> kostnader ................................................................................151<br />
Mortalitet <strong>och</strong> morbiditet ................................................................................152<br />
Kostnader ........................................................................................................152<br />
Riskbedömning ...............................................................................................154<br />
Riskbedömningsinstrument.............................................................................154<br />
Fördelar med riskbedömning ..........................................................................155<br />
Svagheter med riskbedömning........................................................................155<br />
Sammanfattning ..............................................................................................157<br />
Svårigheter vid klassificeringen......................................................................158<br />
Tryck, skjuv <strong>och</strong> tidsaspekter..........................................................................158<br />
Patientrelaterade riskfaktorer ..........................................................................160<br />
Trauma <strong>och</strong> akut sjukdom...............................................................................160<br />
Ryggmärgsskada .............................................................................................160<br />
Ryggmärgsbråck..............................................................................................161<br />
Neurologiska sjukdomar .................................................................................161<br />
Diabetes...........................................................................................................162<br />
Hög ålder.........................................................................................................162<br />
Perifer kärlsjukdom.........................................................................................163<br />
Smärttillstånd ..................................................................................................163<br />
Nutrition ..........................................................................................................164<br />
Vård vid livets slutskede .................................................................................165<br />
Sammanfattning ..............................................................................................166<br />
Principer för val av madrass............................................................................168<br />
Olika madrassalternativ...................................................................................169<br />
Hygienmadrasser.............................................................................................170<br />
Tryckavlastande madrasser .............................................................................171<br />
Alternerande luftväxlande madrasser..............................................................171<br />
Madrasser med statiskt <strong>och</strong> konstant lågt tryck ..............................................173<br />
Att tänka på vid användande av luftväxlande madrasser ...............................173<br />
Övrigt ..............................................................................................................175<br />
Sammanfattning ..............................................................................................175<br />
Huden ..............................................................................................................177<br />
Sårläkningsprocessen ......................................................................................177<br />
Behandling av <strong>trycksår</strong>....................................................................................178<br />
Den lokala sår<strong>behandling</strong>ens fyra steg............................................................178<br />
Sårrengöring....................................................................................................178<br />
Kirurgisk <strong>behandling</strong> vid <strong>trycksår</strong>...................................................................179<br />
Upprensning (debridering) av <strong>trycksår</strong> ...........................................................179<br />
Stockholms läns landsting<br />
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