PT - JOURNAL ARTICLE AU - Thomas, David R. TI - Prevention and treatment of pressure ulcers: What works? What doesn’t? DP - 2001 Aug 01 TA - Cleveland Clinic Journal of Medicine PG - 704--722 VI - 68 IP - 8 4099 - http://www.ccjm.org/content/68/8/704.short 4100 - http://www.ccjm.org/content/68/8/704.full SO - Cleve Clin J Med2001 Aug 01; 68 AB - Although no gold standard for preventing or treating pressure ulcers has been established, data from clinical trials indicate specific efforts are worthwhile. Preventive strategies include recognizing risk, decreasing the effects of pressure, assessing nutritional status, avoiding excessive bed rest, and preserving the integrity of the skin. Treatment principles include assessing the severity of the wound; reducing pressure, friction, and shear forces; optimizing wound care; removing necrotic debris; managing bacterial contamination; and correcting nutritional deficits.