2.50
Hdl Handle:
http://hdl.handle.net/10755/183076
Category:
Abstract
Type:
Presentation
Title:
Pressure Ulcer Risk Assessment in Critical Care Patients
Author(s):
Hester, Jeannette; Puentes, Courtney
Author Details:
Jeannette Hester, MSN, RN, CCRN, email: hestjm@shands.ufl.edu; Courtney Puentes RN
Abstract:
Purpose: The purpose of this study was to identify which additional factors to Braden score were most strongly associated with FAPU development in the critically ill adult. Method: After obtaining IRB approval, data were collected over a one year period on a thirty-six bed adult intermediate care/intensive care unit during fiscal year 2007. Seven hundred eighty- nine patients were included in the sample; of these, one hundred and fifty patients had FAPU. Descriptive statistics will be used to compare the pressure ulcer and no pressure ulcer groups and to identify additional risk factors not identified by the Braden Scale. This study is currently in the analysis phase. Implications for clinical practice, risk management, and future research will be discussed. Discussion: Facility acquired pressure ulcers (FAPU) increase length of stay, pain and suffering, and morbidity and mortality. As of October 1, 2008, CMS will no longer reimburse hospitals for the portion of care associated with the FAPU. Not only will hospital costs increase through prevention efforts such as specialty bed rental, but reimbursement will decrease. Subsequently, FAPU may have a significant negative impact on the financial well-being of the hospital. Many sources now refer to nosocomial pressure ulcers as "never events", implying that all FAPU are preventable. In spite of this assumption, other studies report the incidence of FAPU in the ICU population as over fifty percent. Anecdotal reports and prevalence data from NDNQI benchmarks continue to show the presence of FAPU in critical care units among patients who receive the most aggressive skin care. The Braden Risk Assessment score is the most commonly used tool to identify patients at highest risk. However, a review of ICU patients reveals that while the majority of patients are identified as high risk, not all patients with low Braden score develop FAPU.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePressure Ulcer Risk Assessment in Critical Care Patientsen_GB
dc.contributor.authorHester, Jeannetteen_US
dc.contributor.authorPuentes, Courtneyen_US
dc.author.detailsJeannette Hester, MSN, RN, CCRN, email: hestjm@shands.ufl.edu; Courtney Puentes RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/183076-
dc.description.abstractPurpose: The purpose of this study was to identify which additional factors to Braden score were most strongly associated with FAPU development in the critically ill adult. Method: After obtaining IRB approval, data were collected over a one year period on a thirty-six bed adult intermediate care/intensive care unit during fiscal year 2007. Seven hundred eighty- nine patients were included in the sample; of these, one hundred and fifty patients had FAPU. Descriptive statistics will be used to compare the pressure ulcer and no pressure ulcer groups and to identify additional risk factors not identified by the Braden Scale. This study is currently in the analysis phase. Implications for clinical practice, risk management, and future research will be discussed. Discussion: Facility acquired pressure ulcers (FAPU) increase length of stay, pain and suffering, and morbidity and mortality. As of October 1, 2008, CMS will no longer reimburse hospitals for the portion of care associated with the FAPU. Not only will hospital costs increase through prevention efforts such as specialty bed rental, but reimbursement will decrease. Subsequently, FAPU may have a significant negative impact on the financial well-being of the hospital. Many sources now refer to nosocomial pressure ulcers as "never events", implying that all FAPU are preventable. In spite of this assumption, other studies report the incidence of FAPU in the ICU population as over fifty percent. Anecdotal reports and prevalence data from NDNQI benchmarks continue to show the presence of FAPU in critical care units among patients who receive the most aggressive skin care. The Braden Risk Assessment score is the most commonly used tool to identify patients at highest risk. However, a review of ICU patients reveals that while the majority of patients are identified as high risk, not all patients with low Braden score develop FAPU.en_GB
dc.date.available2011-10-28T16:13:32Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:32Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.