Prevention of pressure ulcers from the perspective of frailty, pre-frailty, and health and social inequalities: An opinion paper
Notice bibliographique
Résumé
Pressure ulcers affect many people in acute care and community settings. People with pressure ulcers may have delayed ulcer healing due to various factors, such as malnutrition and frailty. Prevention of pressure ulcers by addressing individual risk factors is essential, as it can help maintain skin integrity and functional ability, prevent or delay frailty, reduce care-associated costs, and improve quality of life. There are key factors leading to both frailty and pressure ulcers but the psychosocial aspects of these factors are often overlooked. In the current literature and clinical practice, the key concepts related to the bio-psychosocial aspects of frailty and pressure ulcer prevention are under-explored and not fully considered as part of routine care services. To address this gap in research and practice, a group of experts were invited to an online panel discussion. The expert panel included academics, researchers, and specialist clinical professionals in key leadership roles such as consultant geriatricians, advanced nurse practitioners and tissue viability nurse specialists, the national lead for older person services in Ireland, and the lead person for the National Wound Care Strategy in England. In March 2024, an expert panel meeting was held online with participation from experts in the areas of frailty, wound care, and nutrition to discuss key concepts of frailty and pressure ulcers. The main focus of this expert panel was to identify the connections between frailty and pressure ulcers and discuss priority areas to help address the needs of an ageing population who are at risk of developing pressure ulcers. This opinion paper presents the summary of the expert panel under a number of headings based on the focus of the panel discussions. It highlights the key concepts of frailty and pressure ulcers, discusses the bidirectional complex vicious cycle between them, and emphasises the importance of a preventative approach. While there are many definitions and classifications of frailty in the literature, this paper aims to describe the impact of frailty on the development, treatment and prevention of pressure ulcers from the perspective of experts in wound care, older persons care and nutrition. The key focus explored in this paper is the complex interplay between frailty and pressure ulcers and the role of modifiable risk factors including nutrition, socioeconomic status, and other factors in that relationship.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,005 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».