2.50
Hdl Handle:
http://hdl.handle.net/10755/161273
Type:
Presentation
Title:
Nursing Home Quality and Pressure Ulcer Prevention Practices
Abstract:
Nursing Home Quality and Pressure Ulcer Prevention Practices
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Wipke-Tevis, Deidre
P.I. Institution Name: Missouri University
Contact Address:Sinclair School of Nursing, S329, Columbia, MO, 65211, USA
Co-Authors:Donna A. Williams; Marilyn J. Rantz
The Minimum Data Set (MDS), a comprehensive assessment tool for nursing home residents, is used for clinical decision-making, research, quality improvement, and Medicare and Medicaid reimbursement. Within the MDS, pressure ulcers are evaluated. The purpose of this study was to measure pressure ulcer (PU) quality indicator scores during a 6 month period; and to determine the self-reported skin integrity assessment, PU risk assessment, and PU prevention and treatment practices in long-term care (LTC) facilities. Surveys were mailed to the director of nursing of all certified LTC facilities in Missouri (n=577). The response rate was 62.7%. The MDS and pressure ulcer QI data were retrieved from 44,502 MDS assessments, involving 23,833 different residents and were obtained between April and September 1999. The overall mean PU prevalence was 10.9% (SD 6.2). For high risk residents, the mean PU prevalence was 15.7% (SD 8.9), whereas the mean PU prevalence for low risk residents was 3.1% (SD 3.6). Head of bed elevation < 30 degrees was used by 19% of LTC facilities for PU prevention and 19.6% for PU treatment. Greater than 40% of facilities utilized a PU risk assessment tool that was not evidence based. Less than 13% of facilities reported using the AHCPR guidelines for PU prevention. When self-reported prevention interventions were compared for residents “at risk” with self-reported treatment interventions for residents who “actually develop” a pressure ulcer, use of a pressure reduction mattress, barrier ointment, and a toileting plan were used less often (p<0.0001) once a resident actually developed an ulcer. In contrast, a dietician referral, nutritional supplements, low air loss mattress or bed, and use of an indwelling catheter were used more often (p<0.0001) when a resident develops a pressure ulcer. This study provides a basis for developing educational programs for staff as well as directions for future research. AN: MN030237
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Home Quality and Pressure Ulcer Prevention Practicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161273-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Home Quality and Pressure Ulcer Prevention Practices </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wipke-Tevis, Deidre</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value"> Missouri University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Sinclair School of Nursing, S329, Columbia, MO, 65211, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Donna A. Williams; Marilyn J. Rantz</td></tr><tr><td colspan="2" class="item-abstract">The Minimum Data Set (MDS), a comprehensive assessment tool for nursing home residents, is used for clinical decision-making, research, quality improvement, and Medicare and Medicaid reimbursement. Within the MDS, pressure ulcers are evaluated. The purpose of this study was to measure pressure ulcer (PU) quality indicator scores during a 6 month period; and to determine the self-reported skin integrity assessment, PU risk assessment, and PU prevention and treatment practices in long-term care (LTC) facilities. Surveys were mailed to the director of nursing of all certified LTC facilities in Missouri (n=577). The response rate was 62.7%. The MDS and pressure ulcer QI data were retrieved from 44,502 MDS assessments, involving 23,833 different residents and were obtained between April and September 1999. The overall mean PU prevalence was 10.9% (SD 6.2). For high risk residents, the mean PU prevalence was 15.7% (SD 8.9), whereas the mean PU prevalence for low risk residents was 3.1% (SD 3.6). Head of bed elevation &lt; 30 degrees was used by 19% of LTC facilities for PU prevention and 19.6% for PU treatment. Greater than 40% of facilities utilized a PU risk assessment tool that was not evidence based. Less than 13% of facilities reported using the AHCPR guidelines for PU prevention. When self-reported prevention interventions were compared for residents &ldquo;at risk&rdquo; with self-reported treatment interventions for residents who &ldquo;actually develop&rdquo; a pressure ulcer, use of a pressure reduction mattress, barrier ointment, and a toileting plan were used less often (p&lt;0.0001) once a resident actually developed an ulcer. In contrast, a dietician referral, nutritional supplements, low air loss mattress or bed, and use of an indwelling catheter were used more often (p&lt;0.0001) when a resident develops a pressure ulcer. This study provides a basis for developing educational programs for staff as well as directions for future research. AN: MN030237</td></tr></table>en_GB
dc.date.available2011-10-26T23:18:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:18:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.