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Pressure is On to Reduce Pressure Ulcers



No longer accepted as "normal complications," pressure ulcers are the target of healthcare leaders who are investing in prevention strategies and seeing results.

 



5 comments on "Pressure is On to Reduce Pressure Ulcers"
David Sutterfield (12/6/2013 at 8:06 AM)

All the Mount Sinai Hospital study seems to state is that the risk of developing a PU increases as the number of co-morbidities increases. That has been known for years. The UTH study noted in this issue makes a case that it is still about relieving pressure and other preventive care, noting they achieved a high rate of success with use of high density foam mattresses. If the MSH study had any validity, then one would not see the wide ranges of outcomes between facilities with bad facilities having consistently bad outcomes and good facilities having consistently good outcomes.
Karen Bry (12/4/2013 at 11:32 AM)

The Wound Care Team at Mount Sinai Hospital in Chicago conducted research investigating the link between hospital acquired pressure ulcer (HAPU) development and co-morbidity. We found that persons who developed HAPU (despite having all recommended prevention)had an average of 9.25 major co-morbid conditions Skin Failure literature discusses the physiology of skin death. Skin Fails too....we need to optimize prevention, invest in the best bed surfaces and prevention devices and ......stop blaming the nurses!
Bonnie Altman (12/4/2013 at 9:51 AM)

PS Hospital Admin. is partially at fault. Hire more nurses and higher quality nurses and nursing staff. Offer better in house edu. ongoing. Put your money and your investment in your nurses and reduce the "need" for unnecessary, prolonged analysis.
Bonnie Altman (12/4/2013 at 7:00 AM)

Re. Pressure ulcers and skin breakdown. I work in geriatrics. I graduated from nursing school in 1977 and was well taught that bed sores and skin ulcers are a direct result of poor nursing care. This analysis (above) and the acceptance of skin ulcers as "normal complications" is outrageous. Spending money on analyzing , investigating would be better spent on teaching, better training of nurse caregivers,hiring more nurses to reduce the work load on the individual nurse, more turning more often and encouraging increased mobility of patients. which goes straight back to more nurses who get the pt moving or who report the breakdown at the first signs and act promptly to reduce those signs. I work in geriatrics as mentioned above.I see pressures ulcers and skin breakdown often. Get with it!
Stefani Daniels (11/22/2013 at 7:37 AM)

I am dismayed to read that pressure ulcers are thought by some to be a "normal complication." As a nurse of more years than I care to recall, I was taught that bed sores reflect a failure of good nursing. I still believe it.