Practice Dilemmas: Conditions That Mimic Pressure Ulcers/Injuries- To Be or Not To Be?


Journal

Wound management & prevention
ISSN: 2640-5245
Titre abrégé: Wound Manag Prev
Pays: United States
ID NLM: 101739664

Informations de publication

Date de publication:
02 2021
Historique:
entrez: 5 2 2021
pubmed: 6 2 2021
medline: 1 2 2022
Statut: ppublish

Résumé

Pressure ulcers/injuries (PU/Is) negatively affect patients by causing pain and increasing morbidity and mortality risks. Care teams have a heightened sense of awareness of the condition and may feel confident in their ability to appropriately identify and manage PU/Is, but the potential for, and consequences of, a misdiagnosis always should be considered. The purpose of this compendium is to describe and illustrate conditions that may mimic PU/Is. Advanced practice wound care nurses were asked to identify and describe conditions that may mimic PU/Is. Permission was obtained from all patients to use their cases and photos in this article. Sixteen (16) different skin and wound presentations resulting from vascular diseases, systemic infections, trauma, cancer, autoimmune disorders, coagulopathies, and multisystem organ dysfunction were identified and described. A complete patient history and assessment will help prevent misidentification of the etiology of a skin lesion or wound and misdiagnosis of these lesions as PU/Is.

Sections du résumé

BACKGROUND
Pressure ulcers/injuries (PU/Is) negatively affect patients by causing pain and increasing morbidity and mortality risks. Care teams have a heightened sense of awareness of the condition and may feel confident in their ability to appropriately identify and manage PU/Is, but the potential for, and consequences of, a misdiagnosis always should be considered.
PURPOSE
The purpose of this compendium is to describe and illustrate conditions that may mimic PU/Is.
METHODS
Advanced practice wound care nurses were asked to identify and describe conditions that may mimic PU/Is. Permission was obtained from all patients to use their cases and photos in this article.
RESULTS
Sixteen (16) different skin and wound presentations resulting from vascular diseases, systemic infections, trauma, cancer, autoimmune disorders, coagulopathies, and multisystem organ dysfunction were identified and described.
CONCLUSION
A complete patient history and assessment will help prevent misidentification of the etiology of a skin lesion or wound and misdiagnosis of these lesions as PU/Is.

Identifiants

pubmed: 33544693

Types de publication

Journal Article

Langues

eng

Pagination

12-38

Auteurs

Melania Howell (M)

Johns Hopkins University School of Nursing, Baltimore, Maryland.

Salomé Loera (S)

Johns Hopkins University School of Nursing, Baltimore, Maryland.

Anthony Tickner (A)

Saint Vincent Hospital, Hudson, Massachusetts; RestorixHealth, White Plains, New York.

Diane Maydick-Youngberg (D)

NYU Langone Health, New York, New York; Care Improvement Strategies, LLC, New York, New York.

Elizabeth Faust (E)

Tower Health, West Reading, Pennsylvania.

Sanaz Martin (S)

Wound Care Department, Kaiser Permanente, Northern California.

Oleg Teleten (O)

UC Davis Medical Center, Sacramento, California.

Ruth Bryant (R)

Association for the Advancement of Wound Care, Mount Royal, New Jersey; Abbott Northwestern Hospital, Minneapolis, Minnesota; University of Minnesota, Minneapolis, Minnesota.

Diane Sandman (D)

University of California San Francisco, San Francisco, California.

Emily Greenstein (E)

Sanford Health, Fargo, North Dakota.

Karen Bauer (K)

University of Toledo, Toledo, Ohio.

Jessica Miles (J)

UC Davis Health, Sacramento, California.

Alura Barsun (A)

UC Davis Medical Center, Sacramento, California.

Joy Schank (J)

UC Davis Medical Center, Sacramento, California.

Holly Kirkland-Kyhn (H)

Betty Irene Moore School of Nursing, UC Davis Medical Center, Sacramento, California; Johns Hopkins University School of Nursing, Baltimore, Maryland; UC Davis Medical Center, Sacramento, California.

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