![]() Residence in a NH puts individuals at risk of developing PrUs, and the limited mobility prevalent among NH residents increases the intensity and duration of pressure exposure – two factors leading to PrU development. Estimated annual treatment costs ($9.1–11.6 billion in the US ) are greater than prevention costs, even without considering other costs to the individual and healthcare system (outpatient visits, work loss, and lawsuits), thus making prevention a priority. Most PrUs are avoidable, but those that do develop are associated with complications (e.g., chronic wounds, amputations, septic infections, and premature deaths) and with overall deterioration in prognosis, compromising both a patient’s health status and quality of life. A PrU is any skin lesion over a bony prominence resulting from prolonged exposure to pressure that causes capillary occlusion and eventual tissue necrosis. Pressure ulcer/injury (PrU) prevention remains a challenge within the nursing home (NH) environment. Trial registrationĬlinical Trial Registration: NCT02996331. Outcomes of this research will contribute to future guidelines for more precise preventive nursing practices and refinement of PrU prevention guidelines. This study will advance knowledge about repositioning frequency and clinically assessed PrU risk level in relation to PrU incidence and medical severity. ![]() An FDA-cleared patient monitoring system that records position/movement of these residents via individual wireless sensors will be used to visually cue staff when residents need repositioning and document compliance with repositioning protocols. Each enrolled site will use a single NH-wide repositioning interval as the standard of care for residents at low, moderate, and high risk of PrU development ( N = 951) meeting the following criteria: minimum 3-day stay, without PrUs, no adhesive allergy, and using VE support surfaces (mattresses). In this proposed cluster randomized study, 9 NHs will be randomly assigned to one of three repositioning intervals (2, 3, or 4 h) for a 4-week period. The TEAM-UP (Turn Everyone And Move for Ulcer Prevention) study aims to determine: 1) whether repositioning interval can be extended for NH residents without compromising PrU incidence and 2) how changes in medical severity interact with changes in risk level and repositioning schedule to predict PrU development. The advent of visco-elastic (VE) high-density foam support-surfaces over the past decade may now make it possible to extend the repositioning interval to every 3 or 4 h without increasing PrU development. Current PrU prevention protocols recommend repositioning residents at moderate, high, and severe risk every 2 h. PrU direct treatment costs are greater than prevention costs, making prevention-focused protocols critical. ![]() NH residents experiencing a PrU and many NHs having high incidence and prevalence rates, in some instances well over 20%. PrUs occur most commonly in older adults and NH residence is a risk factor for their development, with at least one of every nine U.S. ![]() Pressure ulcers/injuries (PrUs), a critical concern for nursing homes (NH), are responsible for chronic wounds, amputations, septic infections, and premature deaths.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |