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FREE PAPER SESSION: PRESSURE ULCERS
Free Paper Session: Pressure Ulcers
91
THE IMPLEMENTATION OF THE STRATEGIC HEALTH AMBITION 1:
THE ELIMINATION OF AVOIDABLE PRESSURE ULCERS ACROSS
A UK PRIMARY CARE ORGANISATION
Jackie Stephen-Haynes 1
1 Worcester Health Care NHS Trust and Birmingham City University (Worcester, United
Kingdom).
Aim: To monitor the implementation of a strategic plan to reduce pressure ulcers
through the development of pressure ulcers in all patients who develop a category 2, 3
or 4 across a primary care organisation with a population of 620,000 over a six month
period.
Methods: Education has been offered across the Trust to all staff including risk
assessment, skin assessment, categorization of pressure ulcers and management of
pressure ulcers. All patients who develop a pressure ulcer are reported using a serious
incidence process and a root cause analysis is undertaken. This data is tracked against
the referral for pressure reducing equipment to ensure accuracy.
Results: The number of new pressure ulcers developed over a 6 month period is 51 of
which 11 were considered avoidable and 40 were unavoidable as agreed by the
consultant nurse and Director of Nursing. This is the lowest amount recorded in at the
SHA in England for this period of time.
Discussion: Staff have undertaken specific educational support and supported the
strategy across the NHS Trust and demonstrate a high level of knowledge regarding
pressure ulcer prevention. This is important for quality care and to reduce NHS
Expenditure. The financial cost of pressure ulcers has been estimated at £2.3–£3.1
billion per year in the UK, which would account for 3% of the annual NHS expenditure at
2005/6 levels (Posnett and Franks, 2007)
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Free Paper Session: Pressure Ulcers
Clinical impact of pressure ulcers in patients admitted in
a rehabilitation unit of an Intermediate Care Hospital
Miguel Angel Mas 1 , Sebastià Santaeugènia Gonzàlez 1 , Manoli García Lázaro 1 ,
Anna Maria Alventosa Cortés 1 , Albert Monterde Martínez 1 , Alícia Gutiérrez Benito 1 ,
Margarita Álvaro Pardo1
1 Department of Geriatric Medicine and Palliative Care. Badalona Serveis Assistencials
(Badalona. Catalonia, Spain).
Aim: To assess the effect of pressure ulcers during the admission, rehabilitation
treatment and inpatient discharge.
Methods: A prospective study was performed during the period from January 2010 to
December 2011 in different rehabilitation units of our hospital.
Results: 668 patients were assessed, 16% had pressure ulcers on admission (n=107).
Baseline characteristics group were: medium age was 82 years, 68% were female,
Charlson comorbidity index was 2, the average of geriatric syndromes was 4. The group
of patients with pressure ulcers had a higher average length of stay (70 vs 59 days),
more geriatric syndromes on admission (5 vs 4), higher prevalence of malnutrition (23 vs
16%), more number of admissions in a long term care units (14 vs 6%), higher rate of
admissions in acute care hospitals (8 vs 6%), were less frequently discharge at home
(69 vs. 82%) and an increased mortality during hospitalization (8 vs 5%). The 43% of
patients proceed from Orthopaedic Surgery Departments.
Conclusions: The pressure ulcers have a negative impact in the clinical evolution and
outcomes of inpatients of rehabilitation units. In our experience would be necessary to
improve the prevention of pressure ulcers in Orthopaedic Surgery Departments. A good
management of pressure ulcers allows better inpatient clinical evolution in a
rehabilitation unit.
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
65