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Clinical Practice Guideline for Pressure Ulcer Prevention and Treatment
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Literature Identified In Data Base Searches
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The following citations were identified in the database searches (see Search
Strategy http://internationalguideline.com/literature). This preliminary list of
identified literature includes repeat citations. The citations below have been
screened for initial eligibility and those that appeared to meet inclusion criteria
based on title and abstract were selected for critical appraisal by the Small
Working Groups. In addition to the citations below, additional works identified by
members of the Guideline Development Group, Small Working Groups and
experts in the field were screened for eligibility.
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Guideline for prevention and management of pressure ulcers.
Pressure ulcer prevention and treatment. Health care protocol.
Pressure ulcers in the long-term care setting.
Preventing pressure ulcers and skin tears. In: Evidence-based geriatric nursing protocols for best
practice.
American Medical Directors Association Pressure Ulcers in the Long-Term Care Setting Clinical
Practice Guideline2008, Columbia, MD: AMDA 2008.
American Pain Society: Principles of analgesic use in the treatment of acute and cancer pain. 5th
ed2008, Glenview, IL: APS.
American Dietetic Association Evidence Analysis Library. 2008 [cited Accessed 06/30/08;
Available from: http://www.adaevidencelibrary.com/topic.cfm?format_tables=0&cat=3016.
European Wound Management Association (EWMA) Position Document: Hard-to-heal wounds: a
holistic approach2008, London: MEP Ltd, 2008.
World Union of Wound Healing Societies (WUWHS). Principles of best practice: Compression in
venous leg ulcers. A concensus document2008, London: MEP Ltd, 2008.
World Union of Wound Healing Societies (WUWHS). Principles of best practice: Diagnostics and
wounds. A consensus document2008, London: MEP Ltd, 2008.
World Union of Wound Healing Societies (WUWHS). Principles of best practice: Vacuum assisted
closure: recommendations for use. A consensus document2008, London: MEP Ltd, 2008.
World Union of Wound Healing Societies (WUWHS). Principles of best practice: Wound infection in
clinical practice. An international consensus2008, London: MEP Ltd, 2008.
Get pressure ulcers near zero with these best practices. Hospital Peer Review, 2008. 33(5): p. 6769.
Pressure ulcers--management of pressure related tissue damage. Australian Nursing Journal,
2008. 15(11): p. 37-39.
Pressure ulcers--prevention of pressure related damage. Australian Nursing Journal (July 1993),
2008. 15(10): p. 27-29.
Treatment of decubitus ulcers botched: verdict for $3,050,000. Nursing Law's Regan Report, 2008.
49(1): p. 1-1.
Nutrition care process and model part I: the 2008 update. Journal of the American Dietetic
Association, 2008. 108(7): p. 1113-1117.
Centers for Medicare and Medicaid Services. Bed Groups and DMERC Policies. 2008;
2008:[Available from: http://www.palmettogba.com/palmetto/lmrps_dmerc.nsf/.
Centers for Medicare and Medicaid Services. State Operations Manual, Guidance to Surveyors for
Long Term Care Facilities, Appendix PP.
http:www.cms.hhs.gov/GuidanceforLawsAndRegulations/12_NHs.asp.Revision 26,September 1,
2008. Accessed September 30, 2008., 2008.
Clinical trial news. Advances in Skin & Wound Care, 2008. 21(1): p. 16.
New products. Advances in Skin & Wound Care, 2008. 21(7): p. 312-312.
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New care tracking tool helps identify nursing home patients at risk for pressure ulcers. AHRQ
Research Activities, 2008(339): p. 7-8.
Preventing bedsores. American Family Physician, 2008. 78(10): p. 1195-1196.
Clinical pearls. Preventing and managing pressure ulcers. American Journal of Critical Care, 2008.
17(4): p. 314-314.
JAGS abstracts. Annals of Long Term Care, 2008. 16(11): p. 39-42.
Journal based CME: evaluation and application. Archives of Physical Medicine & Rehabilitation,
2008. 89(8): p. 1629-1629.
News. British Journal Of Community Nursing, 2008. 13(3): p. S4-5.
Products, news & services. British Journal of Healthcare Management, 2008. 14(2): p. 82-85.
Clinical nurse specialist wins national award: Margaret Talley develops highly successful plan to
combat high rate of pressure ulcers. Clinical Nurse Specialist, 2008. 22(1): p. 50-51.
AvMA medical & legal journal. Delayed treatment of sacral pressure sore leading to necrotizing
fasciitis. Clinical Risk, 2008. 14(4): p. 156-157.
Information for critical care nurses. Dimensions of Critical Care Nursing, 2008. 27(1): p. 41-41.
CMS wants to double list of conditions for which it will not pay a higher rate: focus is on hospitalacquired conditions not present on admission. ED Management, 2008. 20(7): p. 73-75.
Cigna stops paying for 'avoidable' conditions. Healthcare Benchmarks & Quality Improvement,
2008. 15(6): p. 58-58.
Bed sores can be stopped with proper care in nursing homes, Medicare project shows. Home
Healthcare Nurse, 2008. 26(1): p. 68-68.
Cochrane abstracts. International Journal of Lower Extremity Wounds, 2008. 7(3): p. 186-187.
Assessing a patient's risk for pressure ulcers: compliance tips for National Patient Safety Goal 14.
Joint Commission Perspectives on Patient Safety, 2008. 8(10): p. 9-11.
Strategies for preventing pressure ulcers. Joint Commission Perspectives on Patient Safety, 2008.
8(1): p. 5-7.
Hospitals pressured with pressure ulcer prevention. Journal of Gerontological Nursing, 2008. 34(7):
p. 6-6.
Pressure ulcer products to aid with new CMS policy. Journal of Gerontological Nursing, 2008.
34(9): p. 5-5.
Abstracts of the Tissue Viability Society annual meeting, Peterborough, 2008. Journal Of Tissue
Viability, 2008. 17(4): p. 121-133.
Tissue Viability Society business. Journal Of Tissue Viability, 2008. 17(3): p. 68-75.
Correction... Compton F, Hoffmann F, Hortig T, et al. Pressure ulcer predictors in ICU patients:
nursing skin assessment versus objective parameters. J Wound Care 2008;17:10, 417-424.
Journal Of Wound Care, 2008. 17(11): p. 493-493.
European Pressure Ulcer Advisory Panel: guidelines on track. Journal Of Wound Care, 2008.
17(12): p. 546-547.
National Pressure Ulcer Advisory Panel: best practice. Journal Of Wound Care, 2008. 17(12): p.
548-548.
Bulletin board... Resin salve for pressure care. Journal Of Wound Care, 2008. 17(3): p. 114-114.
Retrospective versus prospective cohort study designs for evaluating treatment of pressure ulcers:
a comparison of 2 studies. Journal of Wound, Ostomy & Continence Nursing, 2008. 35(4): p. 395396.
Skin care: care plan was ignored. Legal Eagle Eye Newsletter for the Nursing Profession, 2008.
16(10): p. 7-7.
Baribed, turning: court discusses the legal standard of care for post-CABG nursing. Legal Eagle
Eye Newsletter for the Nursing Profession, 2008. 16(2): p. 8-8.
Decubitus ulcers: home health nurse's care ruled negligent. Legal Eagle Eye Newsletter for the
Nursing Profession, 2008. 16(4): p. 7-7.
Pressure sores: case relates patient's death to sub-standard skin care. Legal Eagle Eye Newsletter
for the Nursing Profession, 2008. 16(7): p. 5-5.
Pressure sores: court case points out importance of hydration and nutrition. Legal Eagle Eye
Newsletter for the Nursing Profession, 2008. 16(7): p. 5-5.
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Pressure sores: facility liable. Legal Eagle Eye Newsletter for the Nursing Profession, 2008. 16(5):
p. 5-5.
The "Nursing 15". Michigan Nurse, 2008. 81(5): p. 12.
Pressure ulcer staging update. Nevada RNformation, 2008. 17(1): p. 20-20.
The Nursing in Practice wound care survey. Nursing in Practice: The Journal for Today's Primary
Care Nurse, 2008(45): p. 5p.
Home health nurse botches care of pressure ulcers. Nursing Law's Regan Report, 2008. 48(10): p.
2-2.
Local beat. Nursing Spectrum -- Florida Edition, 2008. 18(9): p. 22-23.
Pressure ulcer-related mortality is 'scandalous', says MP. Nursing Standard, 2008. 23(11): p. 1010.
Ib brief. Nursing Times, 2008. 104(41): p. 9-9.
In brief. Nursing Times, 2008. 104(8): p. 6-6.
News. Health checks for 'bed sores'. Nursing Times, 2008. 104(18): p. 3-3.
US surgical errors cost $1.5 billion a year. Operating Theatre Journal, 2008(216): p. 15-15.
AORN updates recommended practices. OR Manager, 2008. 24(6): p. 14-16.
Commentary from Ferris Mfg. Corp. Ostomy Wound Management, 2008. 54(12): p. 14-14.
Optimizing clinical and cost effectiveness with early intervention of V.A.C.® Therapy. Ostomy
Wound Management, 2008: p. 2-15.
New products/industry news. Ostomy Wound Management, 2008. 54(3): p. 68.
Pearls for practice. Commentary from Ferris Mfg. Corp. Ostomy Wound Management, 2008. 54(9):
p. 8-8.
Special to OWM. NPUAP elects 2008 officers and board members... National Pressure Ulcer
Advisory Panel. Ostomy Wound Management, 2008. 54(4): p. 16-16.
Reducing pressure ulcers. PN, 2008. 62(11): p. 66-67.
2008 SNRS abstracts -- F - G. Southern Online Journal of Nursing Research, 2008. 8(4): p. 5-5.
2008 SNRS abstracts -- T - V. Southern Online Journal of Nursing Research, 2008. 8(4): p. 13-13.
2008 SNRS abstracts -- W - Z. Southern Online Journal of Nursing Research, 2008. 8(4): p. 14-14.
Skin changes at life's end (SCALE): a preliminary consensus statement. World Council of
Enterostomal Therapists Journal, 2008. 28(4): p. 15-22.
Product news. Wound Practice & Research, 2008. 16(2): p. 51-51.
Industry news. Wounds: A Compendium of Clinical Research & Practice, 2008. 20(10): p. A36A36.
[Item 50: complications of immobility. Prevention and management of pressure sores.]. Annales De
Dermatologie Et De Vénéréologie, 2008. 135(11 Suppl): p. F7-f11.
CMS wants to double list of conditions for which it will not pay a higher rate. ED Management: The
Monthly Update On Emergency Department Management, 2008. 20(7): p. 73-75.
Home health nurse botches care of pressure ulcers. Case on point: Olsten Health Services, Inc. v.
Cody, 2008 FLCA3 3D07-212- (03/05/08) So.2d -FL. Nursing Law's Regan Report, 2008. 48(10):
p. 2-2.
A simple solution for preventing air leakage in VAC therapy for sacral pressure sores. Journal of
Plastic, Reconstructive & Aesthetic Surgery (JPRAS), 2008. 61(10): p. 1267-1269.
A systematic review of the use of hydrocolloids in the treatment of pressure ulcers. Journal of
Clinical Nursing, 2008. 17(9): p. 1164-1173.
Adherence to pressure ulcer prevention guidelines in home care: a survey of current practice.
Journal of Clinical Nursing, 2008. 17(5): p. 627-636.
Alternating pressure air mattresses as prevention for pressure ulcers: A literature review.
International Journal of Nursing Studies, 2008. 45(5): p. 784-801.
Assessing pressure ulcer risk using Waterlow Scale. Nursing Older People, 2008. 20(7): p. 39-39.
Back to Basics: A Multifaceted Approach to Reduce the Prevalence of Acquired Pressure Ulcers in
a Long Term Care Facility. Journal of the American Medical Directors Association, 2008. 9(3): p.
B7-B7.
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Beta-Blockers and Their Role in Non-Healing Pressure Ulcers Seen in Long Term Care Facilities.
Journal of the American Medical Directors Association, 2008. 9(3): p. B7-B8.
Cast and Splint Immobilization: Complications. Journal of the American Academy of Orthopaedic
Surgeons, 2008. 16(1): p. 30-40.
CLINICAL UPDATE. Australian Nursing Journal, 2008. 15(11): p. 37-39.
Commentary on Duimel-Peeters et al.'s (2007), “The effectiveness of massage with and
without dimethyl sulfoxide in preventing pressure ulcers: A randomized, double blind cross-over
trial in patients prone to pressure ulcers†. International Journal of Nursing Studies, 2008. 45(1):
p. 154-156.
Commentary on Wann-Hannson C, Hagell P, Willman A (2008) Risk factors and prevention among
patients with hospital-acquired and pre-existing pressure ulcers in an acute care hospital. Journal
of Clinical Nursing17, 1718-1727. Journal of Clinical Nursing, 2008. 17(23): p. 3255-3257.
Dilemmas about the decubitus ulcer: skin-fold ulcerations and apposition lesions. Expert Review of
Dermatology, 2008. 3(3): p. 287-291.
Documented Nutrition Intervention for Patients Identified at Risk for Pressure Ulcers. Journal of the
American Dietetic Association, 2008. 108(9): p. A42-A42.
Evaluate the use of two different endotracheal tube tapes in the adverse events of pressure sore
development. Australian Critical Care, 2008. 21(1): p. 57-57.
How Often are Potential Patient Safety Events Present on Admission? Joint Commission Journal
on Quality and Patient Safety, 2008. 34(3): p. 154-163.
Interpreting interrater reliability coefficients of the Braden scale: A discussion paper. International
Journal of Nursing Studies, 2008. 45(8): p. 1238-1246.
Interrater reliability using Modified Norton Scale, Pressure Ulcer Card, Short Form-Mini Nutritional
Assessment by registered and enrolled nurses in clinical practice. Journal of Clinical Nursing,
2008. 17(5): p. 618-626.
MAPI : capteur de pression d’interface actif intégré dans un siège. IRBM, 2008. 29(6): p.
375-379.
Medicare's Decision to Withhold Payment for Hospital Errors: The Devil Is in the Details. Joint
Commission Journal on Quality and Patient Safety, 2008. 34(2): p. 116-123.
Methods for Sitting Posture Evaluation: Static Posture and Applications. Strain, 2008. 44(6): p.
423-428.
Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced
moist wound therapy. Evidence-Based Nursing, 2008. 11(4): p. 116-116.
New Products, in Critical Care Nurse2008, American Association of Critical-Care Nurses. p. 92-92.
Norton, Waterlow and Braden scores: a review of the literature and a comparison between the
scores and clinical judgement. Journal of Clinical Nursing, 2008. 17(5): p. 646-653.
Nutritional Supplementation in Community-Dwelling Elderly People. Annals of Nutrition and
Metabolism, 2008. 52(0 suppl.): p. 33-37.
O041 DISEASE-SPECIFIC VERSUS STANDARD NUTRITIONAL SUPPORT FOR THE
TREATMENT OF PRESSURE ULCERS IN INSTITUTIONALISED ELDERLY. A RANDOMIZEDCONTROLLED TRIAL. Clinical Nutrition Supplements, 2008. 3(9): p. 19-19.
P281 NUTRITIONAL STATUS IN THE PREVENTION OF DECUBITUS ULCERS IN BEDRIDDEN
PATIENTS. Clinical Nutrition Supplements, 2008. 3(9): p. 149-149.
Physical Restraint Initiation in Nursing Homes and Subsequent Resident Health. The
Gerontologist, 2008. 48(4): p. 442-442.
Poor healing or improper care? Nursing Older People, 2008. 20(7): p. 28-28.
Pressure sores and hip fractures. Injury, 2008. 39(2): p. 219-223.
Pressure Ulcer Monitoring: A Process of Evidence-Based Practice, Quality, and Research. Joint
Commission Journal on Quality and Patient Safety, 2008. 34(6): p. 355-359.
Pressure Ulcer Monitoring: Observational Versus Quantitative Measurements (PUSH Tool) in
Nursing Home Residents. Journal of the American Medical Directors Association, 2008. 9(3): p.
B22-B22.
Pressure Ulcer Prevalence at a Pediatric Medical Center. Journal of Pediatric Nursing, 2008. 23(2):
p. e19-e20.
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Pressure ulcers: e-learning to improve classification by nurses and nursing students. Journal of
Clinical Nursing, 2008. 17(13): p. 1697-1707.
Registered nurse impact in care homes. Primary Health Care, 2008. 18(1): p. 6-6.
Response to van Rossum's commentary on Duimel-Peeters et al. (2007) “The effectiveness of
massage with and without Dimethyl Sulfoxide in preventing pressure ulcers: A randomized, double
blind cross-over trial in patients prone to pressure ulcers†. International Journal of Nursing
Studies, 2008. 45(1): p. 157-158.
Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limited.
Evidence-Based Nursing, 2008. 11(4): p. 115-115.
Skin Assessment and Prevention of Pressure Ulcers: The Role of the Perianesthesia Nurse.
Journal of Perianesthesia Nursing, 2008. 23(4): p. 262-264.
The Association Between Changes in Health Status and Nursing Home Resident Quality of Life.
The Gerontologist, 2008. 48(5): p. 584-584.
The effect of protective treatment in reducing pressure ulcers for non-invasive ventilation patients.
Intensive and Critical Care Nursing, 2008. 24(5): p. 295-299.
Upper lip pressure ulcers in very low birth weight infants due to fixation of the endotracheal tube.
Journal of Neonatal Nursing, 2008. 14(6): p. 207-210.
Validation of a Numerical Model of Skeletal Muscle Compression With MR Tagging: A Contribution
to Pressure Ulcer Research. Journal of Biomechanical Engineering, 2008. 130(6): p. 061015061015.
Using topical negative pressure with a lipidocolloid dressing. Ostomy/wound management, 2008.
54(6): p. 12.
Item no. 50 - Complications of immobility and decubitus: Prevention and management of bedsore.
Item 50 - Complications de l'immobilité et du décubitus. Prévention et prise en charge: escarre,
2008. 135(11 SUPPL.): p. F7-F11.
A stimulating approach to hard-to-heal wounds. Wounds UK, 2008. 4(1 SUPPL.): p. 1-5.
Collagen White Paper: Appendices and References, 2009.
American Dietetic Association. International Dietetics and Nutrition Terminology (IDNT) Reference
Manual: Standardized Language for the Nutrition Care Process. The American Dietetic
Association. Second ed, ed. A.D. Association2009, Chicago, IL.
Beacon corner: best practices submitted by Beacon Award recipients. AACN News, 2009. 26(3): p.
3-3.
Pressure ulcers are increasing among hospital patients. AHRQ Research Activities, 2009(341): p.
18-18.
Pressure ulcers are increasing among hospital patients... reprinted from January, 2009 issue of
Research Activities. Alabama Nurse, 2009. 36(1): p. 21-21.
Fast Stats from the AHRQ. American Journal of Nursing, 2009. 109(3): p. 27-27.
JAGS Abstracts. Annals of Long Term Care, 2009. 17(7): p. 38-41.
Facility lowers rate of pressure ulcers, specifically on heel: use of boot proves to be a step in right
direction. Briefings on Patient Safety, 2009. 10(6): p. 3-5.
Therapeutic mattresses for pressure ulcer management. Critical Care Nurse, 2009. 29(1): p. 91-91.
Dermatology Nursing® news. Pressure ulcer update. Dermatology Nursing, 2009. 21(3): p. 161161.
Clinical tip. Match skin care supplies to stages of pressure ulcers. ED Nursing, 2009. 12(7): p. 7878.
Clinical tip. Remove patients from backboards immediately. ED Nursing, 2009. 12(7): p. 77-77.
Hospital Wound Care Protocol. ED Nursing, 2009: p. 1-1.
Take steps now to prevent pressure ulcers in your ED. ED Nursing, 2009. 12(7): p. 76-77.
Study shows disappointing results in many safety indicators. Healthcare Benchmarks & Quality
Improvement, 2009. 16(6): p. 61-65.
CMS adds to pressure for safe patient handling. Hospital Employee Health, 2009. 28(5): p. 52-54.
Diary page. International Journal of Lower Extremity Wounds, 2009. 8(1): p. 52-52.
Society news. International Wound Journal, 2009. 6(4): p. 246-249.
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Preventing never events: pressure ulcers. Joint Commission Perspectives on Patient Safety, 2009.
9(4): p. 5-7.
CNE quiz. Evaluation of the National Database of Nursing Quality Indicators (NDNQI) training
program on pressure ulcers. Journal Of Continuing Education In Nursing, 2009. 40(6): p. 259.
Pressure ulcers topic of white paper. Journal Of Gerontological Nursing, 2009. 35(9): p. 7.
Bulletin board. Journal Of Wound Care, 2009. 18(4): p. 176-176.
Japanese Society of Pressure Ulcers. Journal Of Wound Care, 2009. 18(6): p. 262-263.
National Pressure Ulcer Advisory Panel. Journal Of Wound Care, 2009. 18(6): p. 263-263.
New Zealand Wound Care Society. Journal Of Wound Care, 2009. 18(6): p. 263-263.
Spanish Advisory Panel on Pressure Ulcers and Chronic Wounds. Journal Of Wound Care, 2009.
18(6): p. 263-264.
Review of the evidence for WOC nursing practice: 2007-2008. Journal of Wound, Ostomy &
Continence Nursing, 2009. 36(4S): p. S2-24.
Fall: court sees deviations from nursing standards. Legal Eagle Eye Newsletter for the Nursing
Profession, 2009. 17(9): p. 2-2.
Home health: MS patient's care plan not adequate. Legal Eagle Eye Newsletter for the Nursing
Profession, 2009. 17(3): p. 2-2.
Nurse as expert witness: court was wrong to exclude her testimony. Legal Eagle Eye Newsletter
for the Nursing Profession, 2009. 17(6): p. 6-6.
Pressure sores: court lets photos come in as evidence. Legal Eagle Eye Newsletter for the Nursing
Profession, 2009. 17(8): p. 2-2.
Skin care: substandard care did not cause death. Legal Eagle Eye Newsletter for the Nursing
Profession, 2009. 17(1): p. 4-4.
Nurse scholar in residence seeks input from nurses on pressure ulcers. Nevada RNformation,
2009. 18(3): p. 7-7.
Pressure ulcers: incidence increased 80% over 13 years. Nursing, 2009. 39(3): p. 20-20.
Survey responses: preventing pressure ulcers: do you reposition patients every 2 hours? Nursing,
2009. 39(3): p. 20-20.
Nursing home care smacks of deplorable nursing care. Nursing Law's Regan Report, 2009. 49(12):
p. 4-4.
In brief. Nursing Standard, 2009. 23(47): p. 8-8.
AAWC update. Ostomy Wound Management, 2009. 55(3): p. 54-54.
Healing wounds in long-term care... Takahashi PY et al. A retrospective cohort study of factors that
affect healing in long-term care residents with chronic wounds. Ostomy Wound Manage. 2009;
[1]:32-37. Ostomy Wound Management, 2009. 55(4): p. 5-5.
New products and industry news. Ostomy Wound Management, 2009. 55(6): p. 61-62.
A matter of function and comfort. PN, 2009. 63(5): p. 27-28.
Avoidable versus unavoidable pressure ulcers. World Council of Enterostomal Therapists Journal,
2009. 29(3): p. 24-26.
AAWC news. Wounds: A Compendium of Clinical Research & Practice, 2009. 21(6): p. A22-3.
Industry news. Wounds: A Compendium of Clinical Research & Practice, 2009. 21(6): p. A16.
Product news. Wounds: A Compendium of Clinical Research & Practice, 2009. 21(6): p. A16.
Pressure ulcer guidelines on performing prevalence and incidence studies presented. Dermatology
Nursing / Dermatology Nurses' Association, 2009. 21(4): p. 219-219.
Hazard Report. Failure of Mizuho OSI Advanced Control Pad system may go undetected. Health
Devices, 2009. 38(3): p. 94-95.
Wound, ostomy and continence nurses society position statement on avoidable versus
unavoidable pressure ulcers. Journal Of Wound, Ostomy, And Continence Nursing: Official
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