Science_and_Practice_of_Pressure_Ulcer_Management.pdf

Science and Practice of

Pressure Ulcer Management

Editor Marco Romanelli

Coeditors Michael Clark, George Cherry,

Denis Colin, and Tom Deﬂoor

Science and Practice

of Pressure Ulcer

Management

With 52 Illustrations

including 34 Color Plates

Marco Romanelli, MD, PhD

Department of Dermatology

University of Pisa

Pisa

Italy

Michael Clark, PhD

George Cherry, D.Phil (Oxon)

Wound Healing Research Unit

Clinical Faculty

University of Wales College of

Oxford Medical School

Medicine

University of Oxford

Cardiff, UK

Oxford, UK

Denis Colin, MD, PhD

Tom Deﬂoor, RN, PhD

Centre de l’Arche

Nursing Science

Le Mans

Ghent University

France

Ghent

Belgium

British Library Cataloguing in Publication data

A catalogue record for this title is available from the British Library.

Library of Congress Control Number: 2005923439

ISBN 10: 1-85233-839-3

Printed on acid-free paper

ISBN 13: 978-1-85233-839-8

Apart from any fair dealing for the purposes of research or private study, or criticism or

review, as permitted under the Copyright, Designs and Patents Act 1988, this publication

may only be reproduced, stored or transmitted, in any form or by any means, with the

prior permission in writing of the publishers, or in the case of reprographic reproduction

in accordance with the terms of licences issued by the Copyright Licensing Agency.

Enquiries concerning reproduction outside those terms should be sent to the publishers.

The use of registered names, trademarks, etc. in this publication does not imply, even in

the absence of a speciﬁc statement, that such names are exempt from the relevant laws

and regulations and therefore free for general use.

Product liability: The publisher can give no guarantee for information about drug dosage

and application thereof contained in this book. In every individual case the respective

user must check its accuracy by consulting other pharmaceutical literature.

Printed in the United States of America

(BS/MVY)

987654321

Business Media

springeronline.com

Springer Science

Foreword I

I consider it a great privilege to have been asked to write the foreword

for this book. The European Pressure Ulcer Advisory Panel (EPUAP)

is less than 10 years old having been founded in 1997. I had the honour

of being the ﬁrst president of this group and have been amazed and

delighted at the progress and achievements the panel have made since

that time. The progress is remarkable, not only because it is a truly

European group consisting of a wide range of clinical and academic

interests but also because it has retained its focus on the prevention

and treatment of pressure ulcers.

The ofﬁcers and board should be congratulated in developing a

range of educational and research opportunities in this important but

often neglected aspect of clinical practice. Not only have they organ-

ised a series of successful annual conferences that have been held in a

number of a European countries but they have developed a number of

other exciting initiatives. These have included setting up working

groups, developing guidelines, undertaking prevalence studies and

research projects. The latest addition to these activities is the publica-

tion of this book which I am conﬁdent will rapidly become the stan-

dard textbook for all interested in this subject—not only in Europe but

on a global scale.

The editors of this book—who are all internationally known for

their work in this area—are all key individuals in the success of the

EPUAP. They have pulled together a comprehensive review of this

subject written by a range of experts from different professional back-

grounds representing many European countries. This is no mean feat

and they should be congratulated on their vision and determination.

The 22 chapters address key issues in this condition and range from

updates in research through to epidemiological aspects on to assess-

ment of patients and equipment. The book also debates local wound

care either by conservative or surgical methods, complications such as

infection onto issues around developing and implementing guidelines

and the increasingly important subject of litigation in this area. Many

special interest groups claim to be working in a ‘Cinderella’ area but

few conditions other than pressure ulceration can really justify that

description. In an increasingly diverse world the challenges of provid-

ing pressure ulcer care in developing countries are different but no less

challenging than those of providing care in so called developed or

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