Research and work associated with treating pressure ulcers

Research and work associated with treating pressure ulcers


So a couple of these articles, you’re probably
pretty well aware of, but I’m going to flip through them really quick. This first one is from Dr. Whitfield. It tells us that, for the last twenty years,
pressure ulcer incidence really hasn’t changed. It’s about 7%, up or down a percent here
or there, but over 20 years, it really hasn’t changed much. And I will tell you, being a nurse for 26
years now, we’ve been working on skin care and skin care prevention — pressure ulcer
prevention — for a long time, and haven’t made much of a dent in this pressure ulcer
incidence across the country. Another article is actually from one of our
mentor hospitals, OSF Hospital in Illinois, and they’ve done some great work with pressure
ulcer reduction in their hospital. In this particular article, they actually
walk you through the steps of how they’ve done what they’ve done. They did a Six Sigma project and they documented
it very well, and it’s got some great tips and tricks for you. This next study tells us it matters what you
eat. It matters what our patients eat, and we’ll
talk about that a little bit later. We really have to focus on that, so that patients
are able to have good skin, have good nutrition, and good hydration to keep their skin safe. Another article tells us basically that it
matters what you lay on. You know, putting folks on hard ER stretchers
for four, five, six hours at a time is not good. And low air loss mattresses and beds really
do help us save our patients’ skin. This last article is a review of articles
for about 20 years, and it basically tells us risk is predictable, skin can deteriorate
in just a matter of hours, wet skin is more vulnerable than try skin — and those of
you who are parents know that very well. We learn very early on when our kids were
born that wet bottoms don’t do as good as dry bottoms. Continual pressure, especially over bony prominences,
can increase the risk for our patients’ skin. And pressure-relieving surfaces really can
help our folks.

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