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- W4243791269 abstract "The above letter was sent to the author of the original article, and Dr. Ferrell's reply follows. We were also disturbed by our findings that a substantial number of patients with pressure sores appeared to be managed rather haphazardly before admission to home care.1 The extent to which these observations are related to oversight, deficits in knowledge, miscommunication, arrogance, or negligence has not been fully explored. Others have witnessed this in nursing homes as well.2,3 Unfortunately, exploration of these issues was beyond the scope of our study and we do not have data to describe processes of care before home care admission. We do not know how many physicians even knew their patients had pressure sores or how they were being treated. Little is known about physicians' knowledge, attitudes, and practice patterns with regard to pressure sores. In a random survey of Minnesota family physicians in 1997, 99% of respondents said that it was the family physician's responsibility to provide pressure sore care, but 70% felt that they had not been adequately trained to do so. Moreover, despite wide circulation by the time of the survey, 70% of physicians were not aware of the Agency for Health Care Policy and Research's clinical practice guidelines on the subject.4 Physicians and nurses choose most pressure sore products and devices based on clinical judgment rather than on results of well-controlled studies. Indeed, there are only a few randomized trials of pressure sore care in the medical literature. In fact, recommendations from highly quoted clinical practice guidelines are largely based on weakly designed observations and consensus rather than results of well-controlled clinical outcome studies. Today there are hundreds of devices and products being actively marketed for the prevention and treatment of pressure sores. The care of patients becomes more perplexing with every new product that is brought to market based on in vitro studies or weakly designed clinical outcomes. With few good studies and inadequate formal training, perhaps it should not be so surprising that pressure ulcer care remains problematic.5" @default.
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- W4243791269 date "2001-05-01" @default.
- W4243791269 modified "2023-10-16" @default.
- W4243791269 title "Editor's note:" @default.
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- W4243791269 doi "https://doi.org/10.1046/j.1532-5415.2001.49501.x" @default.
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