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Using the Care Dependency Scale for identifying patients at risk for pressure ulcer
Author(s) -
Dijkstra Ate,
Kazimier Hetty,
Halfens Ruud J.G.
Publication year - 2015
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12713
Subject(s) - medicine , nursing homes , health care , scale (ratio) , long term care , nursing care , risk assessment , cross sectional study , nursing , family medicine , emergency medicine , physics , computer security , pathology , quantum mechanics , computer science , economics , economic growth
Aim The aim of this study was to evaluate risk screening for pressure ulcer by using the Care Dependency Scale ( CDS ) for patients receiving home care or admitted to a residential or nursing home in the Netherlands. Background Pressure ulcer is a serious and persistent problem for patients throughout the Western world. Pressure ulcer is among the most common adverse events in nursing practice and when a pressure ulcer occurs it has many consequences for patients and healthcare professionals. Design Cross‐sectional design. Methods The convenience sample consisted of 13,633 study participants, of whom 2639 received home care from 15 organisations, 4077 were patients from 67 residential homes and 6917 were admitted in 105 nursing homes. Data were taken from the Dutch National Prevalence Survey of Care Problems that was carried out in April 2012 in Dutch healthcare settings. Results For the three settings, cut‐off points above 80% sensitivity were established, while in the residential home sample an almost 60% combined specificity score was identified. The CDS items ‘Body posture’ (home care), ‘Getting dressed and undressed’ (residential homes) and ‘Mobility’ (nursing homes) were the most significant variables which affect PU . Conclusions The CDS is able to distinguish between patients at risk for pressure ulcer development and those not at risk in both home care and residential care settings. In nursing homes, the usefulness of the CDS for pressure ulcer detection is limited.