title: Prevention and treatment of pressure ulcers.
abstract: Pressure ulcer prevention and treatment remains a challenge for interprofessional teams in all health care sectors. Evidencebased pressure ulcer guidelines can be simplified with a bedside enabler utilizing the wound bed preparation paradigm. Key steps involve treatment of the cause, addressing patient-centered concerns, and administering local wound care (debridement, infection/ inflammation control, and moisture balance before considering advanced therapies with the edge effect). Optimal outcomes are achievable with a multi-disciplinary approach that supports patients and their circle of care, which is central to every evaluation and course of treatment decisions.
authors.affiliation: Department of Medicine, University of Toronto, Toronto, ON, Canada.
authors.forename: R G
authors.initials: RG
authors.lastname: Sibbald
authors.forename: L
authors.initials: L
authors.lastname: Goodman
authors.forename: L
authors.initials: L
authors.lastname: Norton
authors.forename: D L
authors.initials: DL
authors.lastname: Krasner
authors.forename: E A
authors.initials: EA
authors.lastname: Ayello
mesh_terms: D000465:Algorithms; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D001513:Beds / Q000009:adverse effects*; D003646:Debridement / Q000193:education / Q000379:methods*; D006801:Humans; D010146:Pain / Q000517:prevention & control; D010347:Patient Care Planning; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D017592:Skin Care / Q000379:methods*; D013997:Time Factors; D014945:Wound Healing / Q000187:drug effects* / Q000502:physiology; D014946:Wound Infection / Q000517:prevention & control
chemical_list: D000890:Anti-Infective Agents