REPLY
Pressure Ulcers
David M. Smith, MD
1 September 1996 | Volume 125 Issue 5 | Page 422
IN RESPONSE:
I appreciate the comments of Drs. Francis and Pica and of Dr. Landi and colleagues. Both letters stress the importance of multidisciplinary involvement and of systematic assessment in addressing the problem of pressure ulcers in the nursing home. As stated in my review, before-and-after studies have shown that involvement of multidisciplinary teams can reduce the prevalence and incidence of this condition [1, 2]. Landi and colleagues appropriately add an important dimension, the use of the Minimum Data Set for nursing home resident assessment [3]. The Minimum Data Set provides a systematic and comprehensive resident assessment instrument and has potential for creating a database for further research. Reports of this instrument's use in research on pressure ulcers are now appearing [4].
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Author and Article Information
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Veterans Affairs Medical Center, Indianapolis, IN 46202
1. Dimant J, Francis ME. Pressure sore prevention and management. J Gerontol Nurs. 1988; 14:18-25.
2. Ameis A, Chiarcossi A, Jimenez J. Management of pressure sores. Comparative study in medical and surgical patients. Postgrad Med. 1980; 67:177-84.
3. Morris JN, Hawes C, Fries BE, Phillips CD, Mor V, Katz S, et al. Designing the national resident assessment instrument for nursing homes. Gerontologist. 1990; 30:293-307.
4. Brandeis GH, Berlowitz DR, Hossain M, Morris JN. Pressure ulcers: the Minimum Data Set and the resident assessment protocol. Adv Wound Care. 1995; 8:18-25.
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