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Publication
Pressure ulcer (risk) assessment: Recommendations to improve nursing practice
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Advisor(s)
Abstract(s)
Pressure ulcer (risk) assessment is complex and multifactorial. National and international
guidelines give orientations about pressure ulcer (PU) management and
provide important recommendations. However, it’s necessary to know our reality
in order to improve Evidence-Based Nursing. The main aim of this study was to provide
some recommendations to improve clinical practice, clinical research, clinical
management and continuous education on PU domain. The study was designed
as a retrospective cohort analysis of electronic health record database from adult
patients admitted to general wards in a Portuguese hospital during one year. The
study had a sample of 8147 participants where 34.4% had “high risk” of PU development
at the #rst PU risk assessment, 7.9% had (at least) one PU at the #rst skin
and tissue assessment and 3.4% developed (at least) one PU during the length of
inpatient stay. (Im)“mobility” was the major risk factor assessed through Braden
Scale for PU development. The systematic PU risk assessment: is sensitive to patient
clinical changes; should be performed since the hospital admission; and should
be used in combination with nursing clinical judgement. The systematic skin and
tissue assessment: identi#es early changes in skin and tissue condition; should be
performed since the hospital admission; and should identify wounds of di$erent
aetiologies. The PU assessment could be improved with the implementation of a
validated tool in order to standardised data record, to monitor PU/wounds characteristics
and their evolution.
Description
Keywords
Pressure Ulcer Risk Factors Nursing Assessment Risk Assessment
Citation
Garcez Sardo PM, Domingues Guedes JA, Puga Machado PA, De Oliveira Pinheiro de Melo EM. Pressure ulcer (risk) assessment. Suplemento Digital Rev ROL Enferm 2018; 41(11-12)