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Jorge G. Ruiz, MD, FACP Division of Gerontology and Geriatric Medicine University of Miami School of Medicine Pressure Ulcers
Pressure Ulcers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology
Pressure Ulcers Epidemiology   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers Epidemiology   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition and Location
Pressure Ulcers Definition   ,[object Object],[object Object]
Pressure Ulcers Location   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Areas of pressure
Classification
Pressure Ulcers /  Classification    National Pressure Ulcer Advisory Panel ,[object Object],[object Object],[object Object],[object Object]
 
Stage 1 The heralding lesion of skin ulceration
 
Stage 2 The ulcer is superficial and manifest clinically  as an abrasion, blister or shallow crater
 
Stage I-II Pressure sore
Stage 3 The ulcer manifests clinically as a deep crater with or without undermining of adjacent tissue
 
Stage 4 A B
 
Stage IV Pressure sore
Pressure Ulcers Staging. Limitations ,[object Object],[object Object],[object Object]
Pathogenesis and Risk Factors
Pressure Ulcers Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis
Pressure Ulcers Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention
Pressure Ulcers Risk Assessment ,[object Object],[object Object],[object Object]
Pressure Ulcers Activity or Mobility Deficit ,[object Object],[object Object]
Pressure Ulcers   Educational Program ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers  Reassessment ,[object Object],[object Object]
Pressure Ulcers/Mechanical Loading and Support Surfaces  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Relieving Devices
Pressure Relieving Boot
Pressure Ulcers/ Mechanical Loading and Support Surfaces   ,[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers/ Mechanical Loading and Support Surfaces   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers  Skin Care and Early Treatment   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers  Nutritional Deficit ,[object Object],[object Object]
Treatment
Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers Ulcer care ,[object Object],[object Object],[object Object],[object Object],[object Object]
Debridement ,[object Object],[object Object],[object Object],[object Object]
Eschar tissue
Eschar tissue
Granulating tissue & necrotic tissue
Wound Cleansing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dressings ,[object Object],[object Object],[object Object],[object Object]
Dressings ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adjunctive Therapies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pressure Ulcers Treatment for each stage
Stage 1 ,[object Object],[object Object],[object Object],[object Object]
Stage 2 ,[object Object],[object Object],[object Object],[object Object]
Stage 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stage 3 ,[object Object],[object Object],[object Object],[object Object]
Stage 3 ,[object Object],[object Object],[object Object],[object Object]
Stage 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Air Loss Mattress
Stage 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Managing Bacterial Colonization and Infection ,[object Object],[object Object],[object Object]
Infected Pressure Sore
Managing Bacterial Colonization and Infection ,[object Object],[object Object],[object Object],[object Object]
Managing Bacterial Colonization and Infection ,[object Object],[object Object],[object Object],[object Object]
Infection Control ,[object Object],[object Object],[object Object],[object Object],[object Object]
Operative Repair of Pressure Ulcers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operative Repair of Pressure Ulcers ,[object Object],[object Object],[object Object],[object Object]
Assessment of Ulcer Healing ,[object Object],[object Object],[object Object],[object Object]
Monitoring ,[object Object],[object Object],[object Object]
Complications
Pressure Ulcers Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Pressure Sores