Unavoidable Pressure Injury

Edsberg, Laura E.; Langemo, Diane; Baharestani, Mona Mylene; Posthauer, Mary Ellen; Goldberg, Marvin E.

doi:10.1097/won.0000000000000050

Cited by 163 publications

(67 citation statements)

References 166 publications

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“…The fact that patients with malnutrition and multiple comorbidities were at increased risk for developing a pressure ulcer was asserted in 2014 National Pressure Ulcer Consensus Conference. [ 20 21 ] New onset weight loss has been identified as a risk factor for mortality in elderly patients. [ 22 ] Two studies on individuals in long-term care facilities showed that a 5% decrease in body weight occurring over 30 days was associated with a higher mortality risk.…”

Section: R Esearch a Bout N mentioning

confidence: 99%

Pressure ulcer and nutrition

Saghaleini

Dehghan

Shadvar

et al. 2018

Indian Journal of Critical Care Medicine

118

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Pressure ulcers can diminish global life quality, contribute to rapid mortality in some patients and pose a significant cost to health-care organizations. Accordingly, their prevention and management are highly important. Nutritional deprivation and insufficient dietary intake are the key risk factors for the development of pressure ulcers and impaired wound healing. Unplanned weight loss is a major risk factor for malnutrition and pressure ulcer development. Suboptimal nutrition interferes with the function of the immune system, collagen synthesis, and tensile strength. No laboratory test can exactly define an individual's nutritional status. Although serum albumin, prealbumin, transferrin, and retinol-binding protein as well as anthropometric measures such as height, weight, and body mass index and the other laboratory values may be suitable to establish the overall prognosis, still they might not well represent the nutritional status. Although the ideal nutrient intake to encourage wound healing is unknown, increased needs for energy, protein, zinc, and Vitamins A, C, and E and also amino acids such as arginine and glutamine have been documented. Hydration plays a vital role in the preservation and repair of skin integrity. Dehydration disturbs cell metabolism and wound healing. Adequate fluid intake is necessary to support the blood flow to wounded tissues and to prevent additional breakdown of the skin. The main aim of the present article is to review the current evidence related to hydration and nutrition for bedsore prevention and management in adults.

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Section: R Esearch a Bout N mentioning

confidence: 99%

Pressure ulcer and nutrition

Saghaleini

Dehghan

Shadvar

et al. 2018

Indian Journal of Critical Care Medicine

118

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“…HAPU are considered preventable events and Medicare applies payment penalties to the bottom 25% lowest performing hospitals—a measure that was implemented in 2015 [ 16 , 17 ]. However, based on a consensus statement by the Wound Ostomy and Continence Nurses Society “unavoidable pressure ulcers do occur” [ 18 ] (p. 328).…”

Section: Introductionmentioning

confidence: 99%

Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics

et al. 2015

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A multidisciplinary process improvement program was initiated at the University of Miami Hospital (UMH) in 2009 to identify the prevalence of hospital-acquired pressure ulcers (HAPU) at the institution and to implement interventions to reduce the incidence of HAPU. This deliberate and thoughtful committee-driven process evaluated care, monitored results, and designed evidence-based strategic initiatives to manage and reduce the rate of HAPU. As a result all inpatient beds were replaced with support surfaces, updated care delivery protocols were created, and monitored, turning schedules were addressed, and a wound, ostomy, and continence (WOC) nurse and support staff were hired. These initial interventions resulted in a decrease in the prevalence of HAPU at UMH from 11.7% of stage II to IV ulcers in the second quarter, 2009 to 2.1% the third quarter. The rate remained at or near the 2009 UMH benchmark of 3.1% until the first quarter of 2012 when the rate rose to 4.1%. At that time new skin products were introduced into practice and continuing re-education was provided. The rate of HAPU dropped to 2.76% by the second quarter of 2012 and has remained steadily low at 1%–2% for nine consecutive quarters.

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“…1–3 PrUs, which are largely preventable, 4,5 are painful and debilitating, reduce quality of life, and can lead to septic infections and premature death. 3,6 Additional adverse consequences of PrUs in the US include high treatment costs (~ $20,900 to $151,700 per patient), and litigation.…”

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confidence: 99%

An Evidence-Based Cue-Selection Guide and Logic Model to Improve Pressure Ulcer Prevention in Long-term Care

Yap

Kennerly

Bergstrom

et al. 2016

Journal of Nursing Care Quality

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Pressure ulcers (PrUs) have consistently resisted prevention efforts in long term care (LTC) facilities nationwide. Recent research has described cueing innovations that – when selected according to the assumptions and resources of particular facilities – support best practices of PrU prevention. This paper synthesizes that research into a unified, dynamic logic model to facilitate effective staff implementation of a PrU prevention program.

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Unavoidable Pressure Injury

Cited by 163 publications

References 166 publications

Pressure ulcer and nutrition

Pressure ulcer and nutrition

Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics

An Evidence-Based Cue-Selection Guide and Logic Model to Improve Pressure Ulcer Prevention in Long-term Care

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