Stage 4 Sacral Pressure Injuries Among Fully Dependent Older Adults During the COVID-19 Pandemic

Hanif, Muhammad; Halim, N. A. A.; Teo, Shyh Poh

doi:10.33879/amh.124.2021.03014

Cited by 4 publications

(6 citation statements)

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“…Gorecki et al 8 examined patients’ experiences of PI-related pain and reported that providers assessed pain levels in only stage 3 to 4 PIs, whereas other stages of PIs were not evaluated 8 . Hanif et al 26 studied patients with stage 4 PIs during the COVID-19 pandemic and found that providers conducted pain assessments before procedures such as routine care. Most of these procedures required analgesia, debridement, and wound dressing, and patients experienced moderate to severe PI-related pain 26 .…”

Section: Discussionmentioning

confidence: 99%

“…Hanif et al 26 studied patients with stage 4 PIs during the COVID-19 pandemic and found that providers conducted pain assessments before procedures such as routine care. Most of these procedures required analgesia, debridement, and wound dressing, and patients experienced moderate to severe PI-related pain 26 . The management of pain related to PI may have been hindered by the adverse effects of the COVID-19 pandemic on nurses’ work patterns and wound care practices 27 …”

Section: Discussionmentioning

confidence: 99%

“…Most of these procedures required analgesia, debridement, and wound dressing, and patients experienced moderate to severe PI-related pain. 26 The management of pain related to PI may have been hindered by the adverse effects of the COVID-19 pandemic on nurses' work patterns and wound care practices. 27 As the number of COVID-19 cases increased during the pandemic, wound care specialists in Turkey experienced sudden increases in the number of patients requiring care.…”

Section: Discussionmentioning

confidence: 99%

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Overlooked Pain Assessment Records in Patients with Pressure Injuries During the COVID-19 Pandemic: A Retrospective Data Analysis

Sengul,

Erden,

Karadağ

et al. 2024

Adv Skin Wound Care

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BACKGROUND During the COVID-19 pandemic, healthcare professionals focused on identifying the cause of hemodynamic instability in patients and may have neglected to assess pressure injury (PI)-related pain. Although pain is an early indicator of PI development, there has been no systematic evaluation of PI-related pain in patients. OBJECTIVE To review nurses’ records of PI-related pain in patients who developed PIs during the COVID-19 pandemic. METHODS This retrospective, descriptive study included data from 510 patients at one hospital. Collected data included patient demographics (age, sex, diagnosis, and comorbidities), PI classification, and assessment of PI-related pain. Assessment data regarding PI-related pain included the characteristics of the pain, the type of analgesia (pharmacologic/nonpharmacologic) administered before and after PI management (debridement, dressing change, etc), the route of administration, and the frequency of pain assessment before and after analgesia. RESULTS The mean age of the patients (60.4% men) was 28.96 (SD, 5.82) years, and the mean length of hospital stay was 26.15 (SD, 16.1) days. Overall, 43.1% of the patients were treated in the ICU, 68.0% were conscious, and 18.6% tested positive for COVID-19. Deep-tissue injuries occurred in 57.5% of patients, with 48.6% developing stage 2 PI. The sacral region was the most common area for PI development (44.8%). The mean duration of repositioning in patients with PI was 23.03 (SD, 5.4) hours. Only 0.40% of patients (n = 2) were evaluated for pain, and only one patient was assessed for pain before and after analgesia was administered. CONCLUSIONS The findings suggest a lack of comprehensive evaluation and records concerning PI-related pain in patients with COVID-19.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Overlooked Pain Assessment Records in Patients with Pressure Injuries During the COVID-19 Pandemic: A Retrospective Data Analysis

Sengul,

Erden,

Karadağ

et al. 2024

Adv Skin Wound Care

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“…Pressure injuries not only increase morbidity and mortality from sepsis secondary to wound infection but also prolong the length of hospital stay. 10 Pressure injuries may not be entirely preventable, but their incidence or severity can be minimised. However, usual measures to reduce the risk of pressure injuries (evaluation of risk on admission and during hospitalisation, regular repositioning, use of pressure-reducing devices, and skin care) are difficult to practise during the pandemic.…”

Section: Case Scenario 2: Deconditioning and Pressure Injuriesmentioning

confidence: 99%

Complications of COVID-19 infection in older patients at a community treatment facility

Wong

Auyeung²,

Sze

et al. 2023

Asian Journal of Gerontology and Geriatrics

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Older patients are vulnerable to complications from hospitalisation, particularly during the COVID-19 pandemic. We report four cases of complications (psychological distress, deconditioning and pressure injuries, delirium, and poor feeding) that occurred during the stay in the community treatment facility. These complications are common and tend to be overlooked during the pandemic because of the isolation policy with decreased contact between healthcare workers and patients, increased patient load, and shortage of healthcare manpower. The usual preventive measure should be implemented despite the difficulties during the pandemic. Early mobilisation with decreased bedrest and early discharge arrangement should be considered once medical condition stabilised and isolation period completed.

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“…During the COVID-19 pandemic, stringent movement restrictions affected the delivery of health services, including community nursing visits to bedridden patients [1]. In Brunei, there was also an observed increase in dependent patients hospitalised with infected deep pressure injuries and osteomyelitis, with a 67% inpatient mortality rate [2]. This necessitated the implementation of preventive measures for caregivers of dependent patients to reduce the risk of pressure injuries.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an online educational intervention for pressure injury prevention in caregivers: a pre-test post-test study

Bungsu,

Teo,

Halim

et al. 2024

Palliat Med Pract

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Stage 4 Sacral Pressure Injuries Among Fully Dependent Older Adults During the COVID-19 Pandemic

Cited by 4 publications

References 0 publications

Overlooked Pain Assessment Records in Patients with Pressure Injuries During the COVID-19 Pandemic: A Retrospective Data Analysis

Overlooked Pain Assessment Records in Patients with Pressure Injuries During the COVID-19 Pandemic: A Retrospective Data Analysis

Complications of COVID-19 infection in older patients at a community treatment facility

Effectiveness of an online educational intervention for pressure injury prevention in caregivers: a pre-test post-test study

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