Under Pressure: The Visual Effects of Upright Positioning on Skin Integrity in Mobility-Challenged Hospitalized Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/201833
Type:
Presentation
Title:
Under Pressure: The Visual Effects of Upright Positioning on Skin Integrity in Mobility-Challenged Hospitalized Patients
Abstract:
(41st Biennial Convention) Purpose: To evaluate and describe the skin integrity of mobility-challenged patients sitting upright.    Background: Skin breakdown can impact hospital length of stay, quality of life and healthcare costs. A large body of literature exists on impaired skin integrity in hospitalized patients, little research is available about the effects of upright positioning on skin integrity. Research Question: Do mobility-challenged patients sitting in an upright position, for 20-45 minutes, show visible effects on skin integrity? Methods: This quantitative research study used a pre-test/post-test design. Using a modified Comprehensive Admission Skin Assessment participants’ skin was assessed, they were placed in an upright position and reassessed after 20-45 minutes. Results: Visible change in the color and size of impairment that occurred with intervention was statistically significant, p<0.001 and p=0.010 respectively. Nine impairments found on the initial assessment improved with intervention.   Conclusions: Guidelines are needed for re-positioning of patients when in an upright position.  Particular attention is needed on the placement of the lower extremities.  Education of direct care providers is needed on the effects of an upright position on skin integrity.   References: Berlowitz, D. MD, MPH. (2008). Prevention of pressure ulcers. Retrieved March 5, 2009 from www.uptodate.com. Defloor, T., Grypdonck, M. (1999). Sitting posture and prevention of pressure ulcers. Applied Nursing Research, 12 (3), 136-142. Defloor, T., De Bacquer, D. & Grypdonck, M. (2005). The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers. International Journal of Nursing Studies, 42,37-46. Gefen, A. (2008). How much time does it take to get a pressure ulcer? Integrated evidence from human, animal and in vitro studies. Ostomy Wound Management, 54 (10), 35. Piloian B. (1992). Defining characteristics of the nursing diagnosis "High risk for impaired skin integrity".  Decubitis  5 (4), 32-42.
Keywords:
skin; positioning
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUnder Pressure: The Visual Effects of Upright Positioning on Skin Integrity in Mobility-Challenged Hospitalized Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201833-
dc.description.abstract(41st Biennial Convention) Purpose: To evaluate and describe the skin integrity of mobility-challenged patients sitting upright.    Background: Skin breakdown can impact hospital length of stay, quality of life and healthcare costs. A large body of literature exists on impaired skin integrity in hospitalized patients, little research is available about the effects of upright positioning on skin integrity. Research Question: Do mobility-challenged patients sitting in an upright position, for 20-45 minutes, show visible effects on skin integrity? Methods: This quantitative research study used a pre-test/post-test design. Using a modified Comprehensive Admission Skin Assessment participants’ skin was assessed, they were placed in an upright position and reassessed after 20-45 minutes. Results: Visible change in the color and size of impairment that occurred with intervention was statistically significant, p<0.001 and p=0.010 respectively. Nine impairments found on the initial assessment improved with intervention.   Conclusions: Guidelines are needed for re-positioning of patients when in an upright position.  Particular attention is needed on the placement of the lower extremities.  Education of direct care providers is needed on the effects of an upright position on skin integrity.   References: Berlowitz, D. MD, MPH. (2008). Prevention of pressure ulcers. Retrieved March 5, 2009 from www.uptodate.com. Defloor, T., Grypdonck, M. (1999). Sitting posture and prevention of pressure ulcers. Applied Nursing Research, 12 (3), 136-142. Defloor, T., De Bacquer, D. & Grypdonck, M. (2005). The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers. International Journal of Nursing Studies, 42,37-46. Gefen, A. (2008). How much time does it take to get a pressure ulcer? Integrated evidence from human, animal and in vitro studies. Ostomy Wound Management, 54 (10), 35. Piloian B. (1992). Defining characteristics of the nursing diagnosis "High risk for impaired skin integrity".  Decubitis  5 (4), 32-42.en_GB
dc.subjectskinen_GB
dc.subjectpositioningen_GB
dc.date.available2012-01-11T10:55:23Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T10:55:23Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.