Newsy Obok slidera Odleżyny Rodzaje ran

Odleżyna Kennedy – rana poprzedzająca śmierć pacjenta

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Odleżyna Kennedy to typ rany występującej najczęściej u pacjentów geriatrycznych w stanie agonalnym. Do rozwoju rany tego rodzaju w większości przypadków dochodzi na kilka dni lub tygodni przed zgonem chorego. Jakie są cechy kliniczne odleżyny Kennedy?

Dokładne przyczyny występowania odleżyny Kennedy nie zostały dotychczas w pełni poznane. Wśród mechanizmów mających prawdopodobnie wpływ na rozwój tego rodzaju ran wskazuje się zmniejszenie perfuzji w obrębie skóry, co zwiększa jej podatność na uszkodzenia i odleżyny.

Według części specjalistów patogeneza tego rodzaju ran nie jest w ogóle związana z uciskiem skóry, ale wynika z zaburzenia funkcji skóry i tkanek przyległych u kresu życia pacjenta.

Cechy kliniczne odleżyny Kennedy

Odleżyna Kennedy (ang. Kennedy Terminal Ulcer, KTU) charakteryzuje się innymi cechami klinicznymi niż pozostałe typy odleżyn. Zalicza się do nich:

Lokalizacja

Odleżyna Kennedy występuje najczęściej w okolicy kości ogonowej. Rzadko obserwuje się ją w innych obszarach ciała.

Kształt

Odleżyna Kennedy najczęściej przybiera nieregularny kształt gruszki lub skrzydeł motyla.

Barwa

Odleżyna Kennedy charakteryzuje się czerwono-żółto-czarnym zabarwieniem.

Rozwój

Charakterystyczne dla odleżyny Kennedy jest szybkie postępowanie degradacji tkanek. Odleżyna rozwija się w przeciągu kilku godzin i powiększa się znacznie szybciej niż „standardowa” odleżyna.

Leczenie odleżyny Kennedy i rokowanie

Ze względu na to, że odleżyna Kennedy występuje u pacjentów w stanie agonalnym, poddawanych leczeniu paliatywnemu, leczenie zgodne ze standardowymi protokołami dla ran trudno gojących się zazwyczaj nie przynosi efektów. Terapia miejscowa jest skupiona na zapewnieniu pacjentowi jak największego komfortu poprzez odciążanie, zabezpieczanie skóry wokół rany, zarządzanie wysiękiem, zapobieganie zakażeniu oraz ograniczanie bólu i nieprzyjemnego zapachu.

Źródła: woundsource.org

Przeczytaj także: Opatrunek hydrożelowy dostarczający tlen przyspiesza gojenie ran cukrzycowych

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Pielęgniarstwo w Anestezjologii i Intensywnej Opiece”:

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  137. Thanks for the different tips discussed on this blog. I have observed that many insurance companies offer clients generous deals if they opt to insure many cars together. A significant quantity of households have got several cars these days, specially those with more mature teenage youngsters still living at home, and also the savings upon policies can soon begin. So it is good to look for a good deal.

  138. If you’re still on the fence: grab your favorite earphones, head down to a Best Buy and ask to plug them into a Zune then an iPod and see which one sounds better to you, and which interface makes you smile more. Then you’ll know which is right for you.

  139. These days of austerity along with relative anxiety about incurring debt, a lot of people balk resistant to the idea of making use of a credit card in order to make acquisition of merchandise or pay for a holiday, preferring, instead just to rely on the actual tried and also trusted way of making repayment – cash. However, in case you have the cash on hand to make the purchase entirely, then, paradoxically, this is the best time to use the credit cards for several causes.

  140. Thanks for the strategies presented. One thing I additionally believe is credit cards supplying a 0 rate often entice consumers in with zero rate of interest, instant acceptance and easy online balance transfers, however beware of the number one factor that will void your own 0 easy road annual percentage rate and as well as throw anybody out into the very poor house rapid.

  141. Thanks for these tips. One thing I should also believe is credit cards offering a 0 rate often entice consumers in zero interest rate, instant endorsement and easy on-line balance transfers, nevertheless beware of the most recognized factor that will void your current 0 easy neighborhood annual percentage rate and also throw you out into the very poor house quick.

  142. Based on my observation, after a foreclosures home is sold at a sale, it is common with the borrower in order to still have a remaining balance on the mortgage loan. There are many loan companies who try and have all charges and liens repaid by the upcoming buyer. However, depending on a number of programs, laws, and state guidelines there may be many loans which aren’t easily handled through the shift of financial products. Therefore, the duty still lies on the debtor that has had his or her property foreclosed on. Thank you sharing your thinking on this blog.

  143. Thanks for your publication. I would also like to remark that the very first thing you will need to carry out is determine if you really need credit score improvement. To do that you must get your hands on a copy of your credit file. That should not be difficult, since government mandates that you are allowed to be issued one free copy of your credit report each year. You just have to check with the right individuals. You can either read the website for the Federal Trade Commission or contact one of the main credit agencies straight.

  144. Another thing I’ve really noticed is the fact that for many people, less-than-perfect credit is the results of circumstances past their control. For instance they may have been saddled by having an illness and as a consequence they have large bills for collections. It would be due to a occupation loss or inability to work. Sometimes divorce can really send the financial circumstances in a downward direction. Many thanks sharing your opinions on this site.

  145. Howdy just wanted to give you a quick heads up. The words in your content seem to be running off the screen in Safari. I’m not sure if this is a format issue or something to do with browser compatibility but I thought I’d post to let you know. The style and design look great though! Hope you get the issue resolved soon. Many thanks

  146. These days of austerity in addition to relative anxiousness about running into debt, many people balk contrary to the idea of utilizing a credit card in order to make acquisition of merchandise and also pay for a vacation, preferring, instead just to rely on the tried and trusted means of making payment – hard cash. However, in case you have the cash on hand to make the purchase entirely, then, paradoxically, this is the best time for you to use the credit card for several factors.

  147. Thanks for your writing. I would like to say a health insurance brokerage service also works well with the benefit of the particular coordinators of a group insurance coverage. The health insurance professional is given a directory of benefits desired by anyone or a group coordinator. Such a broker does is hunt for individuals or maybe coordinators which best complement those demands. Then he shows his referrals and if both sides agree, this broker formulates legal contract between the 2 parties.

  148. I’ve come across that now, more and more people are being attracted to camcorders and the subject of digital photography. However, to be a photographer, you have to first shell out so much period deciding the model of digital camera to buy along with moving store to store just so you can buy the most economical camera of the trademark you have decided to pick out. But it isn’t going to end just there. You also have to contemplate whether you can purchase a digital dslr camera extended warranty. Many thanks for the good recommendations I gathered from your site.

  149. One thing I have actually noticed is there are plenty of fallacies regarding the banking institutions intentions whenever talking about foreclosures. One fable in particular is the fact the bank wants your house. The bank wants your hard earned money, not your house. They want the amount of money they loaned you along with interest. Steering clear of the bank will draw a new foreclosed summary. Thanks for your write-up.

  150. Thank you for the auspicious writeup. It if truth be told was a entertainment account it. Look complicated to more delivered agreeable from you! However, how could we keep up a correspondence?

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