Protocol of Care for Early Detection and Prevention of Pressure Ulcer Among Critically Ill Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/603825
Category:
Full-text
Type:
Poster
Title:
Protocol of Care for Early Detection and Prevention of Pressure Ulcer Among Critically Ill Patients
Author(s):
Elazazy, Hend Mohamed; Younes, Gehan Abdel-Hakeem
Lead Author STTI Affiliation:
Non-member
Author Details:
Hend Mohamed Elazazy, Hend.elazazy@yahoo.com; Gehan Abdel-Hakeem Younes
Abstract:
Session presented on Saturday, April 9, 2016, and Friday, April 8, 2016: Pressure ulcers (PU) are a common problem across all health care settings and the incidence is one of the quality signs of health centers. Critically ill patients are at a high risk for pressure ulcer than are patients in general care areas. The protocol of nursing care provides the intensive care unit (ICU) staff with a decision-making structure that allows immediate response to patients identified as at high risk for pressure ulcers. The study aimed to evaluate the effect of protocol of nursing care for early detection and prevention of pressure ulcer in ICU. The study was carried out in Anesthesia Care Unit at Tanta Emergency Hospital. A convenient sample of 40 adult critically ill patients meeting the inclusion criteria were selected and divided into two equal groups. The control group consisted of 20 critically ill patients undergoing routine care of the unit. Another 20 critically ill patients in the study group were undergoing the protocol of nursing care for pressure ulcer prediction and prevention applied  by the researchers. Three tools were used for data collection. Tool I: patient assessment tool. It consists of three parts. part (a), includes bio- sociodemographic data. part (b), includes patient’s medical and nutritional history, Part (c) includes assessment of critically ill patients related to  level of consciousness, level of mobility, and skin assessment. Tool II: Braden Scale risk assessment tool that identifies patients at risk for pressure ulcer development. Tool III: ulcer development evaluation.  The main result of this study showed that 30% of the control group undergoing routine care of ICU developed pressure ulcer stage I at the 7th day of admission and 60% of them developed stage II pressure ulcer at the 15th day of admission. On the other hand, it was observed that only 10% of study group developed pressure ulcer grade 1 at 15th day of admission and none of them developed stage II pressure ulcer at any time of the study period.  It is recommended that Periodic clinical assessment of critically ill patients at risk for ulcer development should become a routine for Intensive Care Unit by using Braden scale. Also, the protocol of nursing care for early detection and prevention of pressure ulcer should be generalized at ICUs and other acute care settings
Keywords:
pressure Ulcer; protocol of Care; Critically Ill Patients
Repository Posting Date:
29-Mar-2016
Date of Publication:
29-Mar-2016
Other Identifiers:
NERC16PST24
Conference Date:
2016
Conference Name:
Nursing Education Research Conference 2016
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing, and National League for Nursing
Conference Location:
Washington, DC
Description:
Nursing Education Research Conference Theme: Research as a Catalyst for Transformative Practice

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleProtocol of Care for Early Detection and Prevention of Pressure Ulcer Among Critically Ill Patientsen
dc.contributor.authorElazazy, Hend Mohameden
dc.contributor.authorYounes, Gehan Abdel-Hakeemen
dc.contributor.departmentNon-memberen
dc.author.detailsHend Mohamed Elazazy, Hend.elazazy@yahoo.com; Gehan Abdel-Hakeem Younesen
dc.identifier.urihttp://hdl.handle.net/10755/603825en
dc.description.abstractSession presented on Saturday, April 9, 2016, and Friday, April 8, 2016: Pressure ulcers (PU) are a common problem across all health care settings and the incidence is one of the quality signs of health centers. Critically ill patients are at a high risk for pressure ulcer than are patients in general care areas. The protocol of nursing care provides the intensive care unit (ICU) staff with a decision-making structure that allows immediate response to patients identified as at high risk for pressure ulcers. The study aimed to evaluate the effect of protocol of nursing care for early detection and prevention of pressure ulcer in ICU. The study was carried out in Anesthesia Care Unit at Tanta Emergency Hospital. A convenient sample of 40 adult critically ill patients meeting the inclusion criteria were selected and divided into two equal groups. The control group consisted of 20 critically ill patients undergoing routine care of the unit. Another 20 critically ill patients in the study group were undergoing the protocol of nursing care for pressure ulcer prediction and prevention applied  by the researchers. Three tools were used for data collection. Tool I: patient assessment tool. It consists of three parts. part (a), includes bio- sociodemographic data. part (b), includes patient’s medical and nutritional history, Part (c) includes assessment of critically ill patients related to  level of consciousness, level of mobility, and skin assessment. Tool II: Braden Scale risk assessment tool that identifies patients at risk for pressure ulcer development. Tool III: ulcer development evaluation.  The main result of this study showed that 30% of the control group undergoing routine care of ICU developed pressure ulcer stage I at the 7th day of admission and 60% of them developed stage II pressure ulcer at the 15th day of admission. On the other hand, it was observed that only 10% of study group developed pressure ulcer grade 1 at 15th day of admission and none of them developed stage II pressure ulcer at any time of the study period.  It is recommended that Periodic clinical assessment of critically ill patients at risk for ulcer development should become a routine for Intensive Care Unit by using Braden scale. Also, the protocol of nursing care for early detection and prevention of pressure ulcer should be generalized at ICUs and other acute care settingsen
dc.subjectpressure Ulceren
dc.subjectprotocol of Careen
dc.subjectCritically Ill Patientsen
dc.date.available2016-03-29T13:10:41Zen
dc.date.issued2016-03-29en
dc.date.accessioned2016-03-29T13:10:41Zen
dc.conference.date2016en
dc.conference.nameNursing Education Research Conference 2016en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursing, and National League for Nursingen
dc.conference.locationWashington, DCen
dc.descriptionNursing Education Research Conference Theme: Research as a Catalyst for Transformative Practiceen
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