Professional Practice-Clinical Practice Outcomes; Standards of Care; Clinical Pathways

Background: Pressure ulcers are costly to the healthcare provider and can have a major impact on patient's quality of life. One of the most distressing symptoms reported is pain. There is very little published data on the prevalence and details of pain experienced by patients with pressure ulcers, particularly in community populations. The study was conducted in two community NHS sites in the North of England. Methods: The aim was to estimate the prevalence of pressure area related pain within a community population. We also explored the type and severity of the pain and its association with pressure ulcer classification. A cross-sectional survey was performed of community nurses caseloads to identify adult patients with pressure ulcers and associated pain. Consenting patients then had a full pain assessment and verification of pressure ulcer grade.

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Pressure ulcer related pain in community populations: a prevalence survey

McGinnis

Briggs

Collinson³

et al. 2014

BMC Nurs

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The risk and prevalence of pressure injuries in older people in the home care service: a cross-sectional study

Bottega,

Tempesta,

Piovesan

et al. 2023

J Wound Care

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Objective: This study aimed to understand the risk of developing pressure injuries (PIs) and their prevalence rate in older adults in Italy who received public funded home care services and who were often living alone. Method: In May 2019, a cross-sectional study was performed according to the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) guidelines. The data collection included demographic variables, a PI risk assessment using the Braden Scale score, the type of mobility devices available, the wound description detailing the PI category, body location and ongoing treatment. Data analysis was conducted using non-parametric descriptive statistics. Results: Of the 2223 patients who participated in the study, the risk of developing a PI as measured with the Braden Scale sore was: ‘absent’ for 37.7%; ‘mild’ for 25.8%; ‘moderate’ for 13.8%; ‘high’ for 15.5%; and ‘severe’ for 7.1% of patients. The PI prevalence in the sample of home care service patients was 26%, of which 46% were inpatients with a Braden Scale score of <14. Of the PIs that developed during the study, 65% of these developed in patients in home care and of these, 81% had a Braden Scale score of ≤9. Conclusion: PIs developed not only during hospitalisation but at home. Assessing the commitment of patients and caregivers to PI prevention and treatment strategies in home care services could be key to reducing PI prevalence, hospital admissions for PIs, related complications for older people living at home, and the severity of the PI category.

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Professional Practice-Clinical Practice Outcomes; Standards of Care; Clinical Pathways

Cited by 2 publications

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Pressure ulcer related pain in community populations: a prevalence survey

Pressure ulcer related pain in community populations: a prevalence survey

The risk and prevalence of pressure injuries in older people in the home care service: a cross-sectional study

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