Introduction: Despite the extension of technologically advanced equipment, a number of utility for the prevention and years of research, pressure ulcer (PU) remains a major challenge. It is also a big health problem that reduces the quality of patients' lives, increases costs and represents a heavy burden on the health system. Surgical treatment of PU is one of the possibilities in the supply of these ulcers. Different techniques of reconstruction of defects with the lobes as well as the use of modern wraps and other ways to promote healing, such as the method of application of downforce are frequent methods of choice. The most important tasks of a nurse are monitoring the patients, discharging them, enabling pain release and taking care of the general condition of the patient. Purpose: The purpose of this thesis is to present a surgical wound care in patients with PU and to explore the causes that prevent the good result of the surgical treatment of PU. Methods: We used the descriptive method as well as the scientific literature. The overview was conducted from February 2016 to November 2016 using the database CINAHL, Medline (PubMed) and the Wiley Online Library. Literature was searched with the help of bibliographic databases Slovenian libraries COBBIB.SI. In search of the literature, we decided to use keywords and phrases in Slovenian: pressure ulcer, surgical treatment of ulcers, wound care and nursing. In English, however: surgical treatment AND pressure ulcer, nursing care AND pressure ulcer. Discussion: Due to the continuous care for the surgical treatment of PU the nurse is obligated to care for the wound, to follow the course of wound healing and to report about observed irregularities to the surgeon. High rate of complications and associated costs show that it is necessary to assess what will be the best way to treat PU. In order to facilitate monitoring of the progress or deterioration of the ulcer, there are assessment methods that help to evaluate healing. Conclusion: The wounds with delayed healing, which include PU, represent a unique challenge for both health care and the manufacturer of modern wrappings. Treatment strategy must be continuously adapted to assess the state of PU and other accompanying external and internal factors. With precise ongoing documentation we can integrate and continue a quality treatment for the individuals with PU and contribute to the treatment of ulcers.
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