Here - EWMA 2013

POSTER PRESENTATIONS
P 329
Poster: Pressure Ulcer
PRESSURE ULCER PREVALENCE IN A SAMPLE OF NORWEGIAN HOSPITALS
Ida Marie Bredesen 1 , Karen Bjøro 1-2 , Lena Gunningberg 3 , Dag Hofoss 4
1 Oslo university hospital (Oslo, Norway);
2 The Norwegian Nurses Organisation (Oslo, Norway);
3
Department of Public Health and Caring Sciences Uppsala University and Uppsala
University Hospital (Uppsala, Sweden);
4 University of Oslo (Oslo, Norway).
Aim: The goal of this research is to estimate the prevalence of pressure ulcers (PU) in
Norwegian hospitals and establish a baseline for future intervention research.
Methods: A cross sectional point prevalence study was conducted in a hospital sample
using the European Pressure Ulcer Advisory Panel (EPUAP) minimum data set,
including background data of the patients, skin examination and PU category, the
Braden scale for predicting pressure sore risk and information about preventive actions.
All data collectors had training in pressure ulcer classification and use of the Braden
scale.
Inpatients ≥18 years at somatic wards were included. Pediatric, psyciatric and maternity
wards were excluded.
Results: The prevalence was 18.2 % for all pressure ulcer categories was included and
7.2 % for categories II-IV. Localisation of most severe pressure ulcer was at sacrum
(36.3 %), heels (26.8 %), hip (6.4 %) and others (30.5 %). The average pressure ulcer
patients had about 1,7 wounds each. 56 % (n=210) of the patients with pressure ulcer
were using a standard hospital mattress. Of the 18 patients who had a category IV PU,
23.7 % were using a standard hospital mattress.
Conclusion: This 2012 study is the first multicenter pressure ulcer prevalence study in
Norway in fifteen years. About one of five patients had a PU. It is very likely that the PUprevalence
rate can be reduced and that support surfaces for patients with PU can be
more frequently used.
POSTER: PRESSURE ULCER
P 330
A pressure ulcer in progress
Poster: Pressure Ulcer
Trine Swierstra-Banke 1 , Doris Bjørnø 1 , Laila A. Pedersen 1 , Finn Kronborg 1
1 Odense Universitets Hospital, Svendborg (Svendborg, Denmark).
Introduction and Aim: This is a photographic case study of a sacral pressure ulcer in
order to follow the healing process due to three revising operations, NWPT, “gel”,
hydrofibre and at last speeding the healing process by using a “necrotic tissue dissolving
cushion”. Throughout the treatment period the patient was not laying on his back and an
air mattress was used.
Methods: The patient is a 63 year old male, who is paraplegic due to a work accident 36
years ago. He has never before had a pressure ulcer. During prolonged hospitalisation
and surgery (stoma) he developed a sacral pressure ulcer very close to anus. He does
sweat a lot and needs a daily shower, which makes it a challenge to choose the right
dressing that will stick and absorb sufficiently. Photos were taken several times a week,
allowing the patient to follow the healing process.
Results: The ulcer was first mentioned 2nd of Oct. 2012 and first revised 11th of Oct.
2012. The ulcer is close to heal, and it might be possible to admit a picture of a healed
ulcer.
The poster will show approximately one picture a week followed by dates and notes
describing the treatment at the time.
Conclusion: There is no final conclusion, but it was the impression that the “necrotic
tissue dissolving cushion“ was very effective in dissolving the necrotic wound tissue and
supporting the granulation.
Some of the photos are added to this abstract to give an impression of the photographic
material.
The name “necrotic tissue dissolving cushion” is used for the product Tenderwet.
194