Eman S M Shahin1, Theo Dassen, Ruud J G Halfens. 1. Department of Nursing Science, Centre for the Humanities and Health Sciences, Charité, Universitätsmedizin Berlin, Berlin. eman.shahin@charite.de
Abstract
BACKGROUND: Pressure ulcers are a potential problem in intensive care patients, and their prevention is a major issue in nursing care. This study aims to assess the allocation of preventive measures for patients at risk for pressure ulcers in intensive care and the evidence of applied pressure ulcer preventive measures in intensive care settings in respect to the European Pressure Ulcer Advisory Panel (EPUAP) and Agency for Health Care Policy and Research (AHCPR) guidelines for pressure ulcer prevention. DESIGN: The design of this study was a cross-sectional study (point prevalence). Setting The study setting was intensive care units. The sample consisted of 169 patients - 60 patients from surgical wards, 59 from interdisciplinary wards and 50 from medical intensive care wards. RESULTS: The study results revealed that pressure reducing devices like mattresses (alternating pressure air, low air loss and foam) are applied for 58 (36.5%) patients, and all of these patients are at risk for pressure ulcer development. Most patients receive more than one nursing intervention, especially patients at risk. Nursing interventions applied are skin inspection, massage with moisture cream, nutrition and mobility (81.8%, 80.5%, 68.6% and 56.6%) respectively. Moreover, all applied pressure ulcer preventive measures in this study are in line with the guidelines of the EPUAP and AHCPR except massage which is applied to 8.8% of all patients. CONCLUSIONS: The use of pressure reducing devices and nursing interventions in intensive care patients are in line with international pressure ulcer guidelines. Only massage, which is also being used, should be avoided according to the recommendation of national and international guidelines.
BACKGROUND: Pressure ulcers are a potential problem in intensive care patients, and their prevention is a major issue in nursing care. This study aims to assess the allocation of preventive measures for patients at risk for pressure ulcers in intensive care and the evidence of applied pressure ulcer preventive measures in intensive care settings in respect to the European Pressure Ulcer Advisory Panel (EPUAP) and Agency for Health Care Policy and Research (AHCPR) guidelines for pressure ulcer prevention. DESIGN: The design of this study was a cross-sectional study (point prevalence). Setting The study setting was intensive care units. The sample consisted of 169 patients - 60 patients from surgical wards, 59 from interdisciplinary wards and 50 from medical intensive care wards. RESULTS: The study results revealed that pressure reducing devices like mattresses (alternating pressure air, low air loss and foam) are applied for 58 (36.5%) patients, and all of these patients are at risk for pressure ulcer development. Most patients receive more than one nursing intervention, especially patients at risk. Nursing interventions applied are skin inspection, massage with moisture cream, nutrition and mobility (81.8%, 80.5%, 68.6% and 56.6%) respectively. Moreover, all applied pressure ulcer preventive measures in this study are in line with the guidelines of the EPUAP and AHCPR except massage which is applied to 8.8% of all patients. CONCLUSIONS: The use of pressure reducing devices and nursing interventions in intensive care patients are in line with international pressure ulcer guidelines. Only massage, which is also being used, should be avoided according to the recommendation of national and international guidelines.
Authors: Mary Jo Grap; Christine M Schubert; Ruth S Burk; Valentina Lucas; Paul A Wetzel; Anathea Pepperl; Cindy L Munro Journal: Intensive Crit Care Nurs Date: 2017-03-06 Impact factor: 3.072
Authors: Mary Jo Grap; Cindy L Munro; Paul A Wetzel; Christine M Schubert; Anathea Pepperl; Ruth S Burk; Valentina Lucas Journal: Intensive Crit Care Nurs Date: 2016-11-08 Impact factor: 3.072
Authors: Nick Santamaria; Marie Gerdtz; Sarah Sage; Jane McCann; Amy Freeman; Theresa Vassiliou; Stephanie De Vincentis; Ai Wei Ng; Elizabeth Manias; Wei Liu; Jonathan Knott Journal: Int Wound J Date: 2013-05-27 Impact factor: 3.315