Le diagnostic repose sur l'examen clinique et l'évaluation de la peau.
Ulcères de pressionÉvaluation clinique
#2
Quels tests sont nécessaires pour les escarres ?
Aucun test spécifique n'est requis, mais des cultures peuvent être faites si infection.
InfectionCulture bactérienne
#3
Quels sont les stades des escarres ?
Les escarres sont classées en quatre stades, du rouge au tissu nécrotique.
Classification des ulcèresTissu nécrotique
#4
Comment évaluer la gravité d'une escarre ?
La gravité est évaluée selon la profondeur, l'étendue et l'état des tissus.
Évaluation des blessuresProfondeur des ulcères
#5
Quels signes indiquent une escarre ?
Rougeur persistante, douleur, chaleur, et parfois écoulement ou nécrose.
SymptômesRougeur cutanée
Symptômes
5
#1
Quels sont les symptômes d'une escarre ?
Rougeur, douleur, chaleur, et parfois des cloques ou des ulcérations.
SymptômesUlcères de pression
#2
Comment reconnaître une escarre au stade précoce ?
Une rougeur persistante sur une zone de pression est un signe précoce.
Ulcères de pressionRougeur cutanée
#3
Les escarres peuvent-elles être indolores ?
Oui, certaines escarres peuvent ne pas provoquer de douleur au début.
DouleurUlcères de pression
#4
Quels changements cutanés signalent une escarre ?
Changements de couleur, texture, et parfois des fissures ou des plaies.
Changements cutanésUlcères de pression
#5
Les escarres peuvent-elles s'infecter ?
Oui, les escarres peuvent s'infecter, entraînant rougeur et écoulement.
InfectionUlcères de pression
Prévention
5
#1
Comment prévenir les escarres ?
Changer régulièrement de position et utiliser des matelas spéciaux aide à prévenir.
PréventionMatelas anti-escarres
#2
Quelle est l'importance de l'hygiène pour prévenir les escarres ?
Une bonne hygiène cutanée réduit le risque d'infection et d'escarres.
HygiènePrévention des infections
#3
Les soins de la peau sont-ils importants ?
Oui, maintenir la peau propre et hydratée est crucial pour la prévention.
Soins de la peauPrévention
#4
À quelle fréquence faut-il changer de position ?
Il est recommandé de changer de position toutes les deux heures.
Changement de positionPrévention des escarres
#5
Les dispositifs médicaux aident-ils à prévenir les escarres ?
Oui, les coussins et matelas spéciaux réduisent la pression sur la peau.
Dispositifs médicauxPrévention des escarres
Traitements
5
#1
Quel est le traitement principal des escarres ?
Le traitement inclut le soulagement de la pression et des soins de la plaie.
Traitement des ulcèresSoin des plaies
#2
Quels types de pansements sont utilisés ?
Des pansements hydrocolloïdes, alginates ou en mousse sont souvent utilisés.
PansementsSoin des plaies
#3
Quand faut-il envisager une intervention chirurgicale ?
Une chirurgie peut être nécessaire pour retirer le tissu nécrotique ou réparer la plaie.
ChirurgieTissu nécrotique
#4
Comment gérer la douleur liée aux escarres ?
Des analgésiques et des soins appropriés de la plaie aident à gérer la douleur.
DouleurAnalgésiques
#5
Les antibiotiques sont-ils nécessaires pour les escarres ?
Des antibiotiques peuvent être prescrits si une infection est présente.
AntibiotiquesInfection
Complications
5
#1
Quelles complications peuvent survenir avec les escarres ?
Infections, septicémie, et complications osseuses comme l'ostéomyélite.
ComplicationsInfection
#2
Les escarres peuvent-elles entraîner des infections graves ?
Oui, les escarres non traitées peuvent mener à des infections graves.
InfectionUlcères de pression
#3
Comment les escarres affectent-elles la qualité de vie ?
Elles peuvent causer douleur, mobilité réduite et détérioration de l'état général.
Qualité de vieDouleur
#4
Les escarres peuvent-elles causer des problèmes psychologiques ?
Oui, la douleur et l'isolement peuvent entraîner dépression et anxiété.
Problèmes psychologiquesDépression
#5
Quelles sont les conséquences à long terme des escarres ?
Les escarres peuvent entraîner des handicaps permanents et des infections récurrentes.
ConséquencesHandicap
Facteurs de risque
5
#1
Qui est le plus à risque d'escarres ?
Les personnes alitées, âgées ou ayant des troubles de la circulation sont à risque.
Facteurs de risquePersonnes âgées
#2
Comment l'alimentation influence-t-elle le risque d'escarres ?
Une mauvaise nutrition peut affaiblir la peau et augmenter le risque d'escarres.
NutritionFacteurs de risque
#3
Les maladies chroniques augmentent-elles le risque d'escarres ?
Oui, des maladies comme le diabète et les maladies cardiovasculaires augmentent le risque.
Maladies chroniquesFacteurs de risque
#4
Le tabagisme est-il un facteur de risque pour les escarres ?
Oui, le tabagisme réduit la circulation sanguine, augmentant le risque d'escarres.
TabagismeCirculation sanguine
#5
L'immobilité prolongée est-elle un facteur de risque ?
Oui, rester immobile longtemps augmente considérablement le risque d'escarres.
ImmobilitéFacteurs de risque
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Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Division of Population Health, Health Services Research & Primary Care, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Nursing Research Institute, St Vincent's Health Australia Sydney, St Vincent's Hospital Melbourne & Australian Catholic University, Fitzroy, Melbourne, Australia.
Director of Nursing and Midwifery Research and Deputy Director of the Skin, Wounds and Trauma Research Centre, School of Nursing and Midwifery, The Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Republic of Ireland.
Fakeeh College of Health Sciences, Jeddah, Saudi Arabia.
Faculty of Science, Medicine and Health, University of Wollongong, Australia.
Fakeeh College of Health Sciences, Jeddah, Saudi Arabia.
Lida Institute, Shanghai, China.
Professor of Nursing, Head of School of Nursing and Midwifery and Director of the Skin Wounds and Trauma Research Centre, The Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Republic of Ireland.
Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Belgium.
The Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel.
Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (ACU), School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Darlinghurst, Australia.
Skin Wounds and Trauma Research Centre. The Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Republic of Ireland.
Following up on previous research demonstrating the high level of care realized by a paternalistic Mexican physician, the present research further explored the hypothesis that there are cultural diffe...
The objective of this study was to explore patient preference for attributes of calcitonin gene-related peptide (CGRP) inhibitors for the preventive treatment of migraine and to describe differences i...
CGRP inhibitors are a novel class of migraine drugs specifically developed for the preventive treatment of migraine. Clinicians should understand patient preferences for CGRP inhibitors to inform and ...
Patients with migraine in the US and Germany were recruited to participate in an online discrete choice experiment (DCE) survey, which presented hypothetical treatment choices using five attributes: m...
Of 680 who consented to participate, 506 participants completed the survey and were included in the study (US = 257; Germany = 249). Overall, participants placed highest importance (preference weight,...
In this DCE assessing CGRP inhibitors attributes, the main driver of patient choice was treatment effectiveness, specifically reduced migraine severity, and consistent treatment effectiveness. Further...
While clinical practice guidelines underscore the need to incorporate patient preferences in clinical decision making, incorporating meaningful assessment of patient preferences in clinical encounters...
We propose an approach to efficiently diagnose preferences of patients for outcomes of treatment alternatives by leveraging prior information on patient preferences to generate adaptive choice questio...
We identified 4 classes representing distinct preference profiles for patients who participated in a previous first-time anterior shoulder dislocation (FTASD) survey. Posterior probabilities of class ...
Our results suggest that this approach could help diagnose patient preferences for treatments for a condition such as FTASD with acceptable precision using as few as 2 choice questions. Such preferenc...
Approaches that combine patient preferences and clinical evidence can facilitate effective patient-provider communication and more patient-centric healthcare decisions. However, diagnosing individual-...
Interception therapy requires individuals to undergo treatment to prevent a future medical event, but little is known about preferences of individuals at high risk for lung cancer and whether they wou...
To explore preferences of individuals at high risk for lung cancer for potential interception therapies to reduce this risk....
This survey study used a discrete-choice experiment and included hypothetical lung cancer interception treatments with 4 attributes: reduction in lung cancer risk over 3 years, injection site reaction...
Attribute-level preference weights were estimated, and conditional relative attribute importance, maximum acceptable risks, and minimum acceptable benefits were calculated. Characteristics of responde...
Of the 803 survey respondents, 495 (61.6%) were female, 138 (17.2%) were African American or Black, 55 (6.8%) were Alaska Native, American Indian, or Native American, 44 (5.5%) were Asian or Native Ha...
In this survey study of individuals at high risk of lung cancer, most respondents were willing to consider interception therapy. These results suggest the importance of benefit-risk assessments for fu...
To adapt a patient-reported outcome (PRO) measure, the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC), into efficacy attributes for a discrete choice experiment (DCE) survey design...
The adaptation comprised four steps: (1) selecting domains of interest; (2) determining presentation and framing of selected attributes; (3) determining attribute levels; and (4) developing choice tas...
The WOMAC pain and function domains were selected for adaption to two efficacy attributes. Two versions of the discrete choice experiment (DCE) instrument were created to compare efficacy using (1) to...
This study adds to the growing literature regarding adapting PRO measures for patient preference studies. Such adaptation is important for designing a preference study that can incorporate a clinical ...
Approximately 20% of deceased donor kidneys are discarded each year in the United States. Some of these kidneys could benefit patients who are waitlisted. Understanding patient preferences regarding a...
This study uses a discrete choice experiment that presents a deceased donor kidney to patients who are waiting for, or have received, a kidney transplant. The choices involve trade-offs between accept...
In total, 605 participants completed the discrete choice experiment. Respondents made trade-offs between kidney quality and waiting time. The average respondent would accept a kidney today, with 6.5 y...
Participants preferred accepting a lower-quality kidney in return for shorter waiting time, particularly those who were older and had lower functional status....
Acromegaly is a rare disease caused by increased growth hormone secretion and a subsequent increase in insulin-like growth factor I (IGF-I) levels. Patients display multiple comorbidities that affect ...
A cross-sectional study based on interviews and a discrete choice experiment (DCE) in a Spanish cohort....
Adult patients diagnosed with acromegaly ≥1 year before the start of the study and under treatment were included. Treatment attributes were collected from patient testimony during face-to-face intervi...
Sixty-seven patients completed the study. QoL improvement was the most important treatment attribute (37%), followed by IGF-I control (20%), blood sugar control (17%) and tumour control (13%). Seconda...
QoL greatly influences patient treatment preference. Since acromegaly patients are informed and aware of their disease, treatment choices should always be shared with patients....
Patient-centered care (PCC) is the prevailing model of care globally. However, most research on PCC has been conducted in Westernized countries or has focused on only two facets of PCC: decision-makin...
Participants (...
Participants from all four countries had similar preferences for empathy and shared decision-making. For other facets of PCC, participants in the Philippines and Australia expressed somewhat similar p...
Empathy, information exchange, and shared decision-making are values shared across countries, while preferences for how the information is shared, and the importance of the doctor-patient relationship...
Understanding how glioma patients value cognitive outcomes is essential to personalizing their treatment plans. The purpose of this study was to identify the modifiable cognitive functions most affect...
Patients with gliomas were prospectively enrolled in focus groups and individual interviews using a standardized guide focusing on cognitive functions until saturation was achieved. Patient values and...
Twenty participants participated, of whom 60% were female. Racial identification consisted of 75% White, 15% Black/African American, and 10% Other Racial Identification. The cognitive functions most e...
Glioma patients in this study prioritized cognitive functions according to memory, personal identity, and their ability to communicate with loved ones independently of experiencing deficits in these f...