Factors affecting healing of pressure wounds in long-term care and the roles of paramedic
Muhanguzi, Asiimwe Enoch; Timah, Apolline Acheck; Chongsamran, Tantikorn (2026)
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202605069828
https://urn.fi/URN:NBN:fi:amk-202605069828
Tiivistelmä
This thesis explores the factors that the healing of pressure wounds in long-term care and looks at how paramedics can help improve wound care. It focuses on both changeable and changeable factors, especially repositioning, nutrition, early wound identification, monitoring, and teamwork in care.
The study used a narrative literature review. Peer-reviewed articles published between 2015 and 2025 were searched in electronic database, and relevant articles were included in the final analysis. The data were analysed by grouping the finding into themes.
The results showed four main themes affecting pressure wound healing: Clinical and physical factors, nutrition, malnutrition, poor repositioning, weak documentation, staff shortages, and limited wound care training. Paramedics were found to have an important supportive role in early identification, basic wound assessment, documentation, and referral, although their role is still limited by lack of training and unclear care pathways.
The thesis concludes that pressure wound healing in long-term care is affected by many different factors and needs coordinated, evidence-based care from healthcare professionals. Better wound care training, stronger nutritional assessment, clear documentation, and greater involvement of paramedics may improve healing and quality of care.
The study used a narrative literature review. Peer-reviewed articles published between 2015 and 2025 were searched in electronic database, and relevant articles were included in the final analysis. The data were analysed by grouping the finding into themes.
The results showed four main themes affecting pressure wound healing: Clinical and physical factors, nutrition, malnutrition, poor repositioning, weak documentation, staff shortages, and limited wound care training. Paramedics were found to have an important supportive role in early identification, basic wound assessment, documentation, and referral, although their role is still limited by lack of training and unclear care pathways.
The thesis concludes that pressure wound healing in long-term care is affected by many different factors and needs coordinated, evidence-based care from healthcare professionals. Better wound care training, stronger nutritional assessment, clear documentation, and greater involvement of paramedics may improve healing and quality of care.