Posttraumatic and postoperative infective wounds that progress to chronic wounds can pose serious problem for the traumatized patient with reduced biological potential for healing. Also, due to the need for specific and individual approach to such a patient, they represent a challenge for physicians. The use of topical hemoglobin spray (Granulox®) with protective and supportive local action ensures and improves physiological conditions for healing, thus providing additional possibilities for adequate and safe healing of complicated infected wounds.
{"title":"[APPLICATION OF TOPICAL HEMOGLOBIN SPRAY IN INFECTED POSTTRAUMATIC AND POSTOPERATIVE WOUNDS].","authors":"Marin Marubivuc, Nera Fumic, Stanislava Laginja, Eva Smokrovic, Bore Bakota, Marijo Bekic, Miran Čoklo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Posttraumatic and postoperative infective wounds that progress to chronic wounds can pose serious problem for the traumatized\u0000patient with reduced biological potential for healing. Also, due to the need for specific and individual approach to\u0000such a patient, they represent a challenge for physicians. The use of topical hemoglobin spray (Granulox®) with protective\u0000and supportive local action ensures and improves physiological conditions for healing, thus providing additional possibilities\u0000for adequate and safe healing of complicated infected wounds.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patients with pressure ulcers usually arrive to the Unified Emergency Admission Department (UEAD) due to other illnesses, from the family or social care institutions. After triage and treatment at UEAD, the patient is hospitalized or discharged from the hospital. The objective of this study was to examine the incidence, reasons for presenting to UEAD and further procedure that patients with pressure ulcers admitted to UEAD were subjected to. Data in the Hospital Information System on patients with pressure ulcers admitted to UEAD, Dr Tomislav Bardek General Hospital in Koprivnica in the period between January 1, 2016 and May 31, 2016 were retrospectively analyzed. The analysis included demographic data, location from which the patient arrived, triage category and further procedure the patient was subjected to. Data were analyzed by using the methods of descriptive statistics. A total of 18 patients with pressure ulcers were admitted to UEAD, 13 (72%) women and five (28%) men. Five (28%) patients were referred from social care institutions and 13 (72%) from the family. Triage category 2 included 7 (38.8%) patients, four (22%) patients were included in triage categories 3 and 4, while three (16%) patients were included in triage category 5. Ten (55.5%) patients were hospitalized, while eight (44.4%) patients were discharged from the hospital. Only one patient was admitted primarily due to pressure ulcer complications. Contrary to our assumptions, a lower number of patients were referred from social care institutions, i.e. more patients were referred from the family. These data resulted from a long lasting active training of nurses and implementation of the nurse’s discharge letter.
压疮患者通常因其他疾病从家庭或社会护理机构来到统一急诊部(UEAD)。在UEAD进行分诊和治疗后,患者住院或出院。本研究的目的是研究压疮患者的发病率、出现UEAD的原因和进一步的治疗过程。回顾性分析2016年1月1日至2016年5月31日期间在Koprivnica Dr Tomislav Bardek综合医院UEAD住院的压疮患者的医院信息系统数据。分析包括人口统计数据、患者到达的地点、分诊类别和患者接受的进一步手术。采用描述性统计方法对资料进行分析。共有18例压疮患者入住UEAD, 13例(72%)女性和5例(28%)男性。5名(28%)患者从社会护理机构转介,13名(72%)患者从家庭转介。分类2包括7例(38.8%),分类3和分类4包括4例(22%),分类5包括3例(16%)。住院10例(55.5%),出院8例(44.4%)。仅有1例患者主要因压疮并发症入院。与我们的假设相反,从社会护理机构转介的患者数量较少,即更多的患者是从家庭转介的。这些数据来自于对护士的长期积极培训和护士出院信的实施。
{"title":"[PATIENTS WITH PRESSURE ULCERS IN THE UNIFIED EMERGENCY ADMISSION DEPARTMENT – OUR REALITY].","authors":"M Friščić, G Šantek-Zlatar, M Žulec","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with pressure ulcers usually arrive to the Unified Emergency Admission Department (UEAD) due to other illnesses,\u0000from the family or social care institutions. After triage and treatment at UEAD, the patient is hospitalized or discharged from\u0000the hospital. The objective of this study was to examine the incidence, reasons for presenting to UEAD and further procedure\u0000that patients with pressure ulcers admitted to UEAD were subjected to. Data in the Hospital Information System on patients\u0000with pressure ulcers admitted to UEAD, Dr Tomislav Bardek General Hospital in Koprivnica in the period between January 1,\u00002016 and May 31, 2016 were retrospectively analyzed. The analysis included demographic data, location from which the\u0000patient arrived, triage category and further procedure the patient was subjected to. Data were analyzed by using the methods\u0000of descriptive statistics. A total of 18 patients with pressure ulcers were admitted to UEAD, 13 (72%) women and five (28%)\u0000men. Five (28%) patients were referred from social care institutions and 13 (72%) from the family. Triage category 2 included\u00007 (38.8%) patients, four (22%) patients were included in triage categories 3 and 4, while three (16%) patients were included\u0000in triage category 5. Ten (55.5%) patients were hospitalized, while eight (44.4%) patients were discharged from the hospital.\u0000Only one patient was admitted primarily due to pressure ulcer complications. Contrary to our assumptions, a lower number\u0000of patients were referred from social care institutions, i.e. more patients were referred from the family. These data resulted\u0000from a long lasting active training of nurses and implementation of the nurse’s discharge letter.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Negative pressure therapy is gradually taking an increasingly important role in the treatment of chronic wound healing because of its simple application in hospital or outpatient setting and good comfort with no pain for the patient. Chronic wound healing is accelerated in comparison with other conservative treatments. The level of negative pressure is between 40 and 125 mm Hg below ambient. Direct and indirect effect of the negative pressure therapy helps in wound healing and provides good preparation for definitive surgical management of wounds.
{"title":"[APPLICATION OF NEGATIVE PRESSURE THERAPY].","authors":"S Laginja, M Marinović","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Negative pressure therapy is gradually taking an increasingly important role in the treatment of chronic wound healing because\u0000of its simple application in hospital or outpatient setting and good comfort with no pain for the patient. Chronic wound\u0000healing is accelerated in comparison with other conservative treatments. The level of negative pressure is between 40 and\u0000125 mm Hg below ambient. Direct and indirect effect of the negative pressure therapy helps in wound healing and provides\u0000good preparation for definitive surgical management of wounds.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Marinović, N Fumić, S Laginja, E Smokrović, B Bakota, M Bekić, M Čoklo
The ever improving health standards in terms of quality and more efficient health care result in an increase in life expectancy, thus increasing the number of elderly people in the population. A higher level of activity in elderly population leads to greater incidence of injuries, and on the other hand, there is an increasing number of comorbidities. Circulatory disorders, diabetes mellitus, metabolic imbalances, etc. and a reduced biological potential of tissue regeneration result in an increased number of chronic wounds that pose a significant health, social and economic burden on the society. These conditions require significant involvement of medical and non-medical staff in pre-hospital institutions. Significant material and other health care resources are allocated for the treatment of chronic wounds. These conditions result in a lower quality of life of patients and their families and caregivers. Debridement is a crucial medical procedure for the treatment of acute and chronic wounds. The result of debridement is removal of all barriers within and around the wound that obstruct physiological processes of wound healing. Debridement is a repeating process when indicated. There are several types of debridement, each with its advantages and disadvantages. The method of debridement should be determined by the physician or other professional trained person on the basis of wound characteristics and in accordance with their expertise and capabilities. In the same wound, we can combine different types of debridement, all with the goal of faster and better wound healing.
{"title":"[BASIC PRINCIPLES OF SURGICAL TREATMENT OF CHRONIC WOUNDS – SHARP DEBRIDEMENT].","authors":"M Marinović, N Fumić, S Laginja, E Smokrović, B Bakota, M Bekić, M Čoklo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ever improving health standards in terms of quality and more efficient health care result in an increase in life expectancy,\u0000thus increasing the number of elderly people in the population. A higher level of activity in elderly population leads to greater\u0000incidence of injuries, and on the other hand, there is an increasing number of comorbidities. Circulatory disorders, diabetes\u0000mellitus, metabolic imbalances, etc. and a reduced biological potential of tissue regeneration result in an increased number\u0000of chronic wounds that pose a significant health, social and economic burden on the society. These conditions require significant\u0000involvement of medical and non-medical staff in pre-hospital institutions. Significant material and other health care\u0000resources are allocated for the treatment of chronic wounds. These conditions result in a lower quality of life of patients and\u0000their families and caregivers. Debridement is a crucial medical procedure for the treatment of acute and chronic wounds.\u0000The result of debridement is removal of all barriers within and around the wound that obstruct physiological processes of\u0000wound healing. Debridement is a repeating process when indicated. There are several types of debridement, each with its\u0000advantages and disadvantages. The method of debridement should be determined by the physician or other professional\u0000trained person on the basis of wound characteristics and in accordance with their expertise and capabilities. In the same\u0000wound, we can combine different types of debridement, all with the goal of faster and better wound healing.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Practical experience and numerous studies have shown that, after finishing their studies nursing graduates are not sure in their independent assessment and treatment of wounds. It appears that nursing education lacks narrowly specialized educational content in this area, practical skills and connection between graduates and experts who follow the standards and guidelines in the area of wound healing. The aim of this study was to assess the knowledge through tests and attitudes of nurses/nursing graduates on the condition of the skin and damage treatment. In addition, the study was also aimed at learning about possible guidelines for the future content of the nursing curriculum studies in Croatia. The study was conducted on a sample of 71 students (six (8.5%) male and 65 (91.5%) female of Nursing Studies at University North. The subjects voluntarily and anonymously completed the survey electronically. A semi-structured standardized questionnaire was used, “Knowledge test about the basis of pressure ulcers in geriatric patients”, designed by Dr Andrija Štampar Department of Health Gerontology, Reference Center for Health Care of the Elderly of the Ministry of Health of the Republic of Croatia. The test administered to the sample of students of nursing, mostly aged 18-25 (64.8%) showed correct answers to 12 questions asked, in a range of 17.9% to 100% (median 60.6%, SD 24.1, Q1 53.8%, Q3 81%). Answers to question 13 (daily work with patients) revealed that 39.4% of students knew and often used modern approach to the prevention and treatment of pressure ulcers; the same percentage of students rarely used modern method of prevention and treatment of pressure ulcers, 26.8% were not familiar with the issue, while 2.8% were not interested in it. As for question 14 (given the existing contents on the treatment of pressure ulcers in the educational program for students of nursing), 47.9% of study subjects believed they needed more practical skills in treating pressure ulcers, 45.1% considered it necessary to introduce more contents on the treatment of pressure ulcers in regular courses, while 8.5% believed it was not necessary to introduce additional contents because there was enough knowledge on wound treatment. The results indicated that there was a relatively satisfactory partial knowledge to assess skin condition, prevention measures and treatment of pressure ulcers in the elderly, but also that more practical skills were needed in the treatment and modern dressing application, which can be considered as guidelines for future educational contents in the nursing studies. Based on the simple and standardized survey in a relatively broad sample of students of Nursing Studies at University North, student knowledge on the prevention and treatment of pressure ulcers with modern methods can be well assessed. Scarce practical knowledge in the field of modern pressure ulcer treatment, the lack of professional literature revision in terms of modern guideli
{"title":"[ASSESSMENT OF THE KNOWLEDGE AND ATTITUDES OF NURSES ON THE SKIN CONDITION AND TREATMENT OF DAMAGE].","authors":"M Neuberg, G Kozina, T Novinšćak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Practical experience and numerous studies have shown that, after finishing their studies nursing graduates are not sure\u0000in their independent assessment and treatment of wounds. It appears that nursing education lacks narrowly specialized\u0000educational content in this area, practical skills and connection between graduates and experts who follow the standards\u0000and guidelines in the area of wound healing. The aim of this study was to assess the knowledge through tests and attitudes\u0000of nurses/nursing graduates on the condition of the skin and damage treatment. In addition, the study was also aimed at\u0000learning about possible guidelines for the future content of the nursing curriculum studies in Croatia. The study was conducted\u0000on a sample of 71 students (six (8.5%) male and 65 (91.5%) female of Nursing Studies at University North. The\u0000subjects voluntarily and anonymously completed the survey electronically. A semi-structured standardized questionnaire was\u0000used, “Knowledge test about the basis of pressure ulcers in geriatric patients”, designed by Dr Andrija Štampar Department\u0000of Health Gerontology, Reference Center for Health Care of the Elderly of the Ministry of Health of the Republic of Croatia.\u0000The test administered to the sample of students of nursing, mostly aged 18-25 (64.8%) showed correct answers to 12\u0000questions asked, in a range of 17.9% to 100% (median 60.6%, SD 24.1, Q1 53.8%, Q3 81%). Answers to question 13\u0000(daily work with patients) revealed that 39.4% of students knew and often used modern approach to the prevention and\u0000treatment of pressure ulcers; the same percentage of students rarely used modern method of prevention and treatment of\u0000pressure ulcers, 26.8% were not familiar with the issue, while 2.8% were not interested in it. As for question 14 (given the\u0000existing contents on the treatment of pressure ulcers in the educational program for students of nursing), 47.9% of study\u0000subjects believed they needed more practical skills in treating pressure ulcers, 45.1% considered it necessary to introduce\u0000more contents on the treatment of pressure ulcers in regular courses, while 8.5% believed it was not necessary to introduce\u0000additional contents because there was enough knowledge on wound treatment. The results indicated that there was a\u0000relatively satisfactory partial knowledge to assess skin condition, prevention measures and treatment of pressure ulcers in\u0000the elderly, but also that more practical skills were needed in the treatment and modern dressing application, which can be\u0000considered as guidelines for future educational contents in the nursing studies. Based on the simple and standardized survey\u0000in a relatively broad sample of students of Nursing Studies at University North, student knowledge on the prevention and\u0000treatment of pressure ulcers with modern methods can be well assessed. Scarce practical knowledge in the field of modern\u0000pressure ulcer treatment, the lack of professional literature revision in terms of modern guideli","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35508214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dressings can be categorized into groups according to their exudate absorbing capacity or the phase of wound healing when they are most efficient. Wound dressings are also classified as basic dressings, i.e. materials used in all types of wound (as secondary dressings), highly absorbent dressings, alginate dressings, dressings with antimicrobial action (with the addition of DACC, iodine, PHMB, silver), films, foams, dressings with honey, hydrocolloids, hydrogels, anti-odor dressings, dressings with protease modulators, dressings applied on scars, skin protecting dressings, dressings protecting wound surface, bio-cellulose dressings, dressings with collagen, and dressings with polyurethane matrix.
{"title":"DRESSINGS FOR CHRONIC WOUNDS TREATMENT].","authors":"P Štilet, T Planinšek Ručigaj","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dressings can be categorized into groups according to their exudate absorbing capacity or the phase of wound healing when\u0000they are most efficient. Wound dressings are also classified as basic dressings, i.e. materials used in all types of wound (as\u0000secondary dressings), highly absorbent dressings, alginate dressings, dressings with antimicrobial action (with the addition\u0000of DACC, iodine, PHMB, silver), films, foams, dressings with honey, hydrocolloids, hydrogels, anti-odor dressings, dressings\u0000with protease modulators, dressings applied on scars, skin protecting dressings, dressings protecting wound surface,\u0000bio-cellulose dressings, dressings with collagen, and dressings with polyurethane matrix.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pressure ulcer is defined as a wound resulting from tissue ischemia due to prolonged continuous pressure on the protruding parts of the body. Pressure ulcer is a significant health problem that more often affects the elderly and disabled. It can be noticed that a large number of patients who end up on prolonged and severe treatment are released from the hospital to home care without or with mild degree pressure ulcers. Therefore, the conclusion is that patient care in hospital conditions is satisfactory. It is important to emphasize the importance of maintaining the same level of care for patients at a high risk of pressure ulcers, considering all recommendations and innovations in preventing development of pressure ulcers.
{"title":"[PRESSURE ULCER – WHAT’S NEW]?","authors":"M Filipović, T Novinščak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcer is defined as a wound resulting from tissue ischemia due to prolonged continuous pressure on the protruding\u0000parts of the body. Pressure ulcer is a significant health problem that more often affects the elderly and disabled. It can be\u0000noticed that a large number of patients who end up on prolonged and severe treatment are released from the hospital to\u0000home care without or with mild degree pressure ulcers. Therefore, the conclusion is that patient care in hospital conditions\u0000is satisfactory. It is important to emphasize the importance of maintaining the same level of care for patients at a high risk of\u0000pressure ulcers, considering all recommendations and innovations in preventing development of pressure ulcers.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pressure ulcer is an undesired event for patient, frequently used in quality monitoring as an indicator of healthcare quality and patient safety. According to legal regulations in the Republic of Croatia, pressure ulcer is included in the group of indicators of other undesired events (patient safety) and healthcare institutions are obliged to monitor the applicable indicator and submit report to the Agency every six months. Annual reports on the patient safety indicators are available on the Agency website. The article presents the descriptive list of indicators and descriptive list for the Pressure Ulcer indicator.
{"title":"[PRESSURE ULCER – HEALTHCARE QUALITY AND PATIENT SAFETY INDICATOR].","authors":"J Mesarić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcer is an undesired event for patient, frequently used in quality monitoring as an indicator of healthcare quality\u0000and patient safety. According to legal regulations in the Republic of Croatia, pressure ulcer is included in the group of indicators\u0000of other undesired events (patient safety) and healthcare institutions are obliged to monitor the applicable indicator and\u0000submit report to the Agency every six months. Annual reports on the patient safety indicators are available on the Agency\u0000website. The article presents the descriptive list of indicators and descriptive list for the Pressure Ulcer indicator.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35508216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychodermatologic disorders are conditions involving an interaction between the mind and the skin. Correlation between psychiatric and dermatological disorders is a highly complex relation considering etiology, diagnostic procedures and treatment. There are three major groups of psychodermatological disorders: psychosomatic (psychophysiologic) disorders, primary psychiatric disorders and secondary psychiatric disorders. Psychosomatic disorders are dermatological diseases which can be exacerbated or worsened by emotional stress, but are not caused directly by stress. Emotional stress can exacerbate many chronic dermatoses like urticaria, eczema, psoriasis, acne, seborrheic dermatitis, atopic dermatitis, alopecia areata, psychogenic purpura, rosacea, atypical pain syndromes and hyperhidrosis. The treatment of patients with the resistant chronic dermatosis can be difficult when stress is not recognized as a provoking factor. Primary psychiatric disorders are psychiatric conditions which induce development of various skin changes, e.g trichotillomania, factitial dermatitis, neurotic excoriations, delusions of parasitosis and dysmorphophobia. They include psychiatric disorders with anxiety, compulsive- opsessive and depressive symptoms and pathologic delusional ideas or hallucinations regarding the skin. Secondary psychiatric disorders appear as a result of a certain disfiguring skin disease that induces psychologic suffering such as loss of self-confidence, anxiety and social phobia. This category includes diseases like psoriasis, chronic eczema, various ichthyosiform syndromes, rhinophyma, multiple neurofibromas, severe acne, and other cosmetically disfiguring cutaneous lesions. The therapeutic approach of psychodermatological disorders should be multidisciplinary including primary care physicians, dermatologist, psychiatrist and psychologist. It is very important to educate dermatologists in the diagnostic procedures and therapy of psychiatric disorders which sometimes coexist with the skin disease. Majority of psychodermatological disorders can be treated with cognitive-bihevioral psychotherapy, psychotherapeutic stress-and-anxiety-management techniques and psychotropic drugs. Psychopharmacologic treatment includes anxiolytics, antidepressants, antipsychotics and mood stabilizer.
{"title":"[PSYCHODERMATOLOGY].","authors":"M Šitum, M Kolić, M Buljan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Psychodermatologic disorders are conditions involving an interaction between the mind and the skin. Correlation between\u0000psychiatric and dermatological disorders is a highly complex relation considering etiology, diagnostic procedures and treatment.\u0000There are three major groups of psychodermatological disorders: psychosomatic (psychophysiologic) disorders,\u0000primary psychiatric disorders and secondary psychiatric disorders. Psychosomatic disorders are dermatological diseases\u0000which can be exacerbated or worsened by emotional stress, but are not caused directly by stress. Emotional stress can\u0000exacerbate many chronic dermatoses like urticaria, eczema, psoriasis, acne, seborrheic dermatitis, atopic dermatitis, alopecia\u0000areata, psychogenic purpura, rosacea, atypical pain syndromes and hyperhidrosis. The treatment of patients with the\u0000resistant chronic dermatosis can be difficult when stress is not recognized as a provoking factor. Primary psychiatric disorders\u0000are psychiatric conditions which induce development of various skin changes, e.g trichotillomania, factitial dermatitis,\u0000neurotic excoriations, delusions of parasitosis and dysmorphophobia. They include psychiatric disorders with anxiety, compulsive-\u0000opsessive and depressive symptoms and pathologic delusional ideas or hallucinations regarding the skin. Secondary\u0000psychiatric disorders appear as a result of a certain disfiguring skin disease that induces psychologic suffering such as loss\u0000of self-confidence, anxiety and social phobia. This category includes diseases like psoriasis, chronic eczema, various ichthyosiform\u0000syndromes, rhinophyma, multiple neurofibromas, severe acne, and other cosmetically disfiguring cutaneous lesions.\u0000The therapeutic approach of psychodermatological disorders should be multidisciplinary including primary care physicians,\u0000dermatologist, psychiatrist and psychologist. It is very important to educate dermatologists in the diagnostic procedures and\u0000therapy of psychiatric disorders which sometimes coexist with the skin disease. Majority of psychodermatological disorders\u0000can be treated with cognitive-bihevioral psychotherapy, psychotherapeutic stress-and-anxiety-management techniques and\u0000psychotropic drugs. Psychopharmacologic treatment includes anxiolytics, antidepressants, antipsychotics and mood stabilizer.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35508218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pressure ulcer develops as a result of many factors, primarily pressure, tensile forces and ischemia with immobility and incontinence. Targeted and properly designed preventive measures reduce the incidence and complications of pressure ulcers, among which the most common are infections. An important preventive measure is protection of the surrounding skin before the application of wound dressings. Skin changes dictate the use of emollients and topical therapy according to dermatological status.
{"title":"[THE ROLE OF PRESSURE ULCER SURROUNDING SKIN PREPARATION PRIOR TO THE APPLICATION OF WOUND DRESSING].","authors":"S Marinović Kulišić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pressure ulcer develops as a result of many factors, primarily pressure, tensile forces and ischemia with immobility and\u0000incontinence. Targeted and properly designed preventive measures reduce the incidence and complications of pressure\u0000ulcers, among which the most common are infections. An important preventive measure is protection of the surrounding\u0000skin before the application of wound dressings. Skin changes dictate the use of emollients and topical therapy according to\u0000dermatological status.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35209831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}