Monday, 11 April 2016

Doumenting pressure ulcers

Roger Watson, Editor

The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.

Nursing homes were recruited through an email sent to nursing home managers in the municipalities connected to the Centre for Caring Research, southern Norway. Managers who wished to participate were invited to contact the project manager, one of the present authors (RLH), by phone or email. The inclusion criterion was all patients currently living in the nursing homes. Ethical considerations led to the exclusion of terminal patients and those considered by nursing staff to be too unwell. In total, 209
patients were invited to participate, and 155 (74%) patients or their proxies gave informed consent. Four of the five nursing homes had permanent-stay patients, including 2-4 patients in residential respite care or short-term stay.

The prevalence of pressure ulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented pressure ulcers were not graded. When comparing the patient examinations with the patient record contents, the patient records lacked information about pressure ulcers and preventive interventions.

Reference

Hansen R-L, Fossum M (2016) Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations Nursing Open doi: 10.1002/nop2.47








Spanish translation of EdFED on the way

Roger Watson, Editor

The aim of this study is to obtain a Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale version, to assess its reliability for use by medical staff and caregivers at residential care homes, to evaluate by confirmatory methods its construct validity.A further aim was to determine the criterion validity with respect to biochemical markers of malnutrition such as serum albumin, transferrin, cholesterol and lymphocytes, the body mass index and the mini nutritional assessment.

The study will be conducted in residential care homes in the Costa del Sol healthcare district (Spain) in 2015. The study subjects will be aged over 65 years, institutionalized for at least 3 months and diagnosed with dementia. Exclusion criteria include terminal illness or other diseases that hinder feeding (stroke, Amyotrophic Lateral Sclerosis (ALS), motor neuron disease, maxillary fractures and paralysis.), the use of a gastrostomy tube, nasogastric tube, nasojejunal tube, enteral nutrition, refusal to participate in the study or the absence of consent by the legal guardians or reference relative/carers.

Reference

Saucedo Figueredo MC, Morilla Herrera JC, Ramos Gil R, Arjona Gómez MN, García Dillana F, Martínez Blanco J, Morlaes Ascencio JM (2016) Validation of the Spanish version of the Edinburgh feeding evaluation in dementia scale applied to institutionalized older persons with dementia: a study protocol Nursing Open doi: 10.1002/nop2.48

Who gets pressure ulcers?

Roger Watson, Editor

The study aimed to characterize demographic and clinical practice factors associated with community and hospital acquired pressure ulcers.

All patients admitted to the District General Hospital over 41 months between 2007–2010 were eligible for analysis. Throughout their hospital stay, data were collected by a single observer (GS) using a standardized reporting form to record their risk status and, where present, the location and category of any pressure ulcers.

The demographics of the 46,254 patients admitted to the general district hospital reflected the ageing population of the local community, with a mean age of 56 6 years. Of these patients, 6516 (14%) were considered to be at risk of developing a PU presenting with a maximum Waterlow score greater than 10 at some point during their hospital stay.

This study has shown that patients admitted to a General District hospital with a pressure ulcer or acquire a pressure ulcer during their inpatient stay are older and have an extended length of stay than those at risk who do not develop a pressure ulcer.

Reference

Worsley PR, Smith G, Schoonhoven L, Bader D (2016) Characteristics of patients who are admitted with or acquire Pressure Ulcers in a District General Hospital; a 3 year retrospective analysis Nursing Open doi: 10.1002/nop2.50