[Optimal nutrition protects against decubitus ulcer].
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Pressure sores are one of the preferred nursing research topics but, in spite of the large number of studies, most questions related to the prevention and treatment of pressure sores remain unanswered. Well designed clinical trials and on sufficiently large samples are very rare and most treatments are routinely used even without a reliable evidence of their efficacy. The PARI-ETLD trial is the occasion for: a. evaluating the efficacy of the Fitostimoline, in the ri-epitelization of superficial pressure sores; b. starting a clinical trial conducted by nurses; c. building a multicentre nursing network for collecting data on the epidemiology of pressure sores and for evaluating the effectiveness of caring strategies and treatments. The protocol presented, with the data collection forms, is an example of feasibility of clinical trials in the nursing practice and offers examples of ways for overcoming common problems related to the implementation of clinical trials in everyday practice.
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A one day prevalence survey was performed in a University Hospital, with the aim of assessing the risk of developing a pressure sore by patients systematically assessed with the Waterlow Scale. Out of the 141 at risk patients, 16 had a pressure sore (11.3%). For six of them the sore was already present at admission so that the in hospital incidence was 7% (10 patients). Most at risk patients (74.4) were still cared on a standard mattress. The advantages and limits of prevalence surveys are discussed at the end of the three articles that present a prevalence survey, an incidence survey and the study of sentinel events.
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