Pressure ulcer prevention in frail older people

Mj, Barry; Nugent, Linda

doi:10.7748/ns.30.16.50.s46

Cited by 17 publications

(13 citation statements)

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“…However, with the shift in emphasis from acute services to community‐based services, it is important that patients are educated in prevention strategies to enable them to continue to live independently in the community. As many older people have multiple comorbidities and therefore more complex health needs, this is a challenge for health professionals . In order to support patients to self‐manage their risk of pressure ulceration, education programmes need to enable patients to engage in self‐management strategies aimed at optimal treatment management and encouraging adherence to prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

“…As many older people have multiple comorbidities and therefore more complex health needs, this is a challenge for health professionals. 8 In order to support patients to self-manage their risk of pressure ulceration, education programmes need to enable patients to engage in self-management strategies aimed at optimal treatment management and encouraging adherence to prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

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Development and psychometric evaluation of the patient knowledge of, and attitudes and behaviours towards pressure ulcer prevention instrument (KPUP)

Shanley

Moore

Patton

et al. 2019

International Wound Journal

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The Patient Knowledge of, and Attitude and Behaviour towards Pressure Ulcer Prevention Instrument (KPUP) was developed and validated using a two‐stage prospective psychometric instrument validation study design. In Stage 1, the instrument was designed, and it is psychometrically evaluated in Stage 2. To establish content validity, two expert panels independently reviewed each item for appropriateness and relevance. Psychometric evaluation included construct validity and stability testing of the instrument. The questionnaire was administered to a convenience sample of 200 people aged more than 65 years, living independently in the community; reliability and stability were assessed by test/retest procedures, with a 1‐week interval. Mean knowledge scores at ‘test’ were 11.54/20 (95% CI = 11.10‐11.99, SD: 3.07), and ‘retest’ was 12.24 (95% CI = 11.81‐12.66, SD: 2.93). For knowledge, correlation between the test/retest score was positive (r=. 60), attitude section‐inter‐item correlations ranged from r = −.31 to r = .57 (mean intraclass correlation coefficient of r = .42), and internal consistency for the retest was the same as the test (α = .41 for the eight items). For health behaviours, individual inter‐item correlations for test items ranged from r = −.21 to r = .41 for the 13 standardised items. Psychometric testing of the KPUP in a sample of older persons in the community provided moderate internal consistency and general high test‐retest stability.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development and psychometric evaluation of the patient knowledge of, and attitudes and behaviours towards pressure ulcer prevention instrument (KPUP)

Shanley

Moore

Patton

et al. 2019

International Wound Journal

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“…As elderly population increase, undesirable risk events, such as falls, aspiration pneumonia, and pressure ulcers, which are associated with functional decline and cause low quality of life among elderly people with disabilities also increased (2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

“…Risk assessment of previous undesirable events 2. Detailed informed consent about risk events to patients and/or proxy persons.…”

mentioning

confidence: 99%

Intervention trial for prevention and management of multirisk events among people living in geriatric facilities

Ikeda-Sonoda¹,

Okochi²,

Ichihara³

et al. 2019

Preprint

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Background: Undesirable risk events, such as falls, aspiration pneumonia and pressure ulcers, are associated with functional decline and cause low quality of life among the elderly. This study analyzed and compared the frequency of major risk events and the effect of standard risk management on their prevention. Methods: Subjects: This study recruited elderly persons with disabilities using Japanese geriatric intermediate care facilities (GICFs); these individuals provided written informed consent. Intervention: A standardized intervention process of risk management was in place in half of the facilities. The other half provided conventional risk-prevention models. Outcome variable: The six-month preadmission incidence and three-month postadmission incidence of undesirable events, including falls, aspiration pneumonia, pressure ulcers, dehydration, and fever, were collected. Analysis: The effect of multidisciplinary care management on the reduction of undesirable events was analyzed. Results: Overall, 862 elderly persons from 132 facilities using geriatric intermediate care facilities in Japan participated in this study. Falls (35.2%), fever (21.9%), bone fractures (18.2%), and pressure ulcers (12.1%) were frequent undesirable events. There was no reduction in postadmission incidence in the intervention group in any of the patients regardless of the previous incidence. The intervention reduced the occurrence of postadmission pressure ulcers among patients with a previous incidence (odds ratio: 0.34). There were no reductions in falls, fever, or dehydration. Conclusions: The effect of standardized risk-management implementation is limited to pressure ulcers. The improvement of risk-management processes is needed to understand their limitations in long-term care facilities.

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“…In particular, age over 70 years is a significant predictor (Bredesen et al, 2015). As PU substantially influences the health level and quality of life of older adult patients, the management of this condition is significantly important for older adult patients (Barry & Nugent, 2015).…”

Section: Introductionmentioning

confidence: 99%