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Heel Damage and Epidural Analgesia

出版	La Trobe University, 2009
URL	http://books.google.com.hk/books?id=1nnaSAAACAAJ&hl=&source=gbs_api

註釋This was in spite of active measures incorporating clinical guidelines in nursing practice in the above institution. The findings prompted further investigations including measuring the ongoing prevalence, identifying contributing factors and examining the efficacy of support systems used to prevent heel damage. This study reports the findings of these investigations. The project sought to address three research aims: l. To examine heel damage prevalence in elective surgical patients prescribed epidural infusion. 2. To examine the literature for factors, both innate to patients and imposed by hospital environment influential in heel damage and relate this finding to heel damage recorded in this study. 3. To examine the impact of the two available types of in-house heel protectors had on the above prevalence. Heel damage prevalence in the study sample was found to be 13.8%. Intrinsic factors associated with this complication included intra and postoperative hypotension, vascular disease, smoking, chronic obstructive pulmonary disease, past history of varicose vein surgery, depression and multiple disease burdens. Extrinsic factors associated with heel damage included thromboembolic stockings and the postoperative ward use of heel protectors specifically designed and recommended for use within operating rooms. Findings from this study are anticipated to further assist improvements in nursing practice in assessing risk of heel damage and pressure preventative strategies required in this patient cohort.