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Pressure Ulcer Risk Assessment: What do we know today?

 

Chairs: Heidi Sandoz & Sue Bale

 

This session will explore new developments in understanding those people at risk of developing pressure ulcers and how they are risk assessed.
 

Topic:

  • What is the extent of pain suffering, and is pain predictive of pressure ulcer development?

Aim:

  • Research to determine the extent of pressure area and pressure ulcer pain and to explore the role of pain as a predictor of Category 2 and above pressure ulcers was undertaken within hospital and community populations.
  • Using multi-centre prevalence and cohort studies, it was determined that a significant minority of hospital in-patients without pressure ulcers suffers pressure area related pain and approximately 40% of hospital patients and 75% community patients with pressure ulcers report pain. In addition, pain severity is not related to ulcer severity, both inflammatory and neuropathic pain are observed and the presence of pain (on skin areas assessed as normal, altered but intact or Category 1 pressure ulcer) increases Category 2 and above pressure ulcer development and accelerates their development. This session will report the findings of this study which have been used to develop a risk assessment tool.


Topic:

  • Why do patients develop severe pressure ulcers?

Aim:

  • The aim of this research was to understand how organisational context influences the development of severe pressure ulcers.
  • Using a novel case study design, it was determined severe pressure ulcers were more likely to develop in contexts characterised by one or more of the following: clinicians failing to listen to patients or caregivers, clinicians failing to recognise and respond to (i.e., escalate) clear signs a patient had a pressure ulcer or was at risk for developing an ulcer or services were not effectively co-ordinated.


Topic:

  • What difference does a risk assessment tool make?

Aim:

  • Qualitative study considering the use of formal risk assessment in Ireland to informal assessment in Norway. Work published in journal of wound care. Explores the value of a risk assessment tools versus clinical judgement.


Topic:

  • Factors predicting risk of PU development in hospital population

Aim:

  • To report back on findings published in Journal of Advanced Nursing August 2014 with regard to secondary analyses of patients within a multi centre RCT.

 

Friday 15 May. 08:00-09:30
South Gallery 19-22

 

Speakers:

  • Isabelle Smith: What is the extent of pain suffering, and is pain predictive of pressure ulcer development?
  • Justin Keen: Why do patients develop severe pressure ulcers?
  • Edda Johansen: What difference does a risk assessment tool make?
  • Dimitri Beeckman: Factors predicting risk of PU development in hospital population