A Single Long‐Term Acute Care Hospital Experience with a Pressure Ulcer Prevention Program
Author(s) -
Young Daniel L.,
BorrisHale Cathy,
FalconioWest Margaret,
Chakravarthy Debashish
Publication year - 2014
Publication title -
rehabilitation nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 36
eISSN - 2048-7940
pISSN - 0278-4807
DOI - 10.1002/rnj.178
Subject(s) - medicine , acute care , long term care , relevance (law) , medline , physical therapy , emergency medicine , health care , nursing , political science , law , economics , economic growth
Purpose The occurrence of pressure ulcers (PrUs) challenges care facilities. Few studies report PrU reduction efforts in long‐term acute care (LTAC). This study described the PrU reduction efforts of a single, LTAC facility using the Medline Pressure Ulcer Prevention Program ( mPUPP ). Design This study was a quasi‐experimental, quality improvement project, with pre‐ and postmeasurement design. Methods Outcomes were tracked for 24 months. The mPUPP was implemented in month 11. Education for caregivers was provided through an interactive web‐based suite. In addition, all Patient Care Technicians attended a 4‐week 1‐hour inservice. New skin care products were implemented. The facility also implemented an algorithm for treatment of wounds. Findings There was a significant reduction in the mean monthly hospital‐acquired PrU ( nPrU ) rate when preprogram is compared to postprogram. Conclusions Sustainable nPrU reduction can be achieved with mPUPP . Clinical Relevance LTAC hospitals could expect to reduce nPrU with education and incentive of caregivers.
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