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| This algorithm provides a general path of decision-making for assessment, prevention, and management of early skin breakdown. Each area of the chart links to detailed information designed to assist health care providers. This tool should be used along with the consultative services of a skin and wound care specialist, such as a WOC nurse, physical therapist, clinical nurse specialist with expertise in skin care, or a physician when indicated. |
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| Click on an area of the chart below for more detailed information. |
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| Developed in collaboration with Bonnie Sue Rolstad, RN, BA, CWOCN Bryant Rolstad Consultants, LLC, St. Paul, MN Photography courtesy of Ms. Rolstad |
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| References |
| Fiers SA. Breaking
the cycle: the etiology of incontinence dermatitis and
evaluating and using skin care products. Ostomy/Wound
Management 1996 42(3) 32-43. |
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| Hess, Cathy Thomas.
NurseÕs Clinical Guide to Wound Care. Springhouse, PA,
Springhouse Corporation, 1995. |
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| Krasner D, Kane
D (eds). Chronic Wound Care, A Clinical Source Book for
Healthcare Professionals, Second Edition, Wayne, Pennsylvania,
Health Management Publications, Inc. 1997. |
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| Maklebust J, Sieggreen.
Pressure Ulcers: Guidelines for Prevention and Nursing
Management. Second Edition. Springhouse, PA, Springhouse
Corporation, 1996. |
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| Morison M, Moffatt
C: A Colour Guide to the Assessment and Management of
Leg Ulcers, Second Edition, London, Mosby 1994. |
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| Panel for the Prediction
and Prevention of Pressure Ulcers in Adults. Pressure
Ulcers in Adults: Prediction and Prevention. Clinical
Practice Guideline, No. 3. AHCPR Publication No. 92-0047.
Rockville, MD: Agency for Health Care Policy and Research,
Public Health Service, U.S. Department of Health and Human
Services, May 1992. |
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| Wound, Ostomy and
Continence Nurses Society. Guidelines For Management:
Caring For A Patient With Fecal Incontinence. Laguna Beach,
CA 1994. |
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| Wound, Ostomy and
Continence Nurses Society. Standards of Care: Patient
With Urinary Incontinence. Laguna Beach, CA 1992. |
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| Wysocki AB. A review of the skin and its appendages. Advances in Wound Care 1995 8(2) 53-70. |
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