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Appl Nurs Res. 2005 Aug;18(3):148-54.

The quality of pressure ulcer prediction and prevention in home health care.

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  • 1School of Nursing, The University of Kansas, Kansas City, KS 66160, USA. sbergquist@kumc.edu

Abstract

The purpose of this study was to assess the quality of pressure ulcer prediction and prevention in home health care. Randomly selected Medicare-certified home care agencies in four midwestern states were surveyed. The overall response rate was 44% (n = 128). Approximately half (57.8%) of the responding agencies assessed all patients for pressure ulcer risk upon admission; another 4.7% assessed only chair or bed-bound patients. Clinical nursing judgment was the most commonly (72%) used method for assessing risk; only 21% of the agencies used a validated tool such as the Braden Scale or the Norton Scale to identify those at risk. Approximately one third of the reporting agencies had prediction and/or prevention policies. Only 18.0% of home health care agencies identified recommended interventions in a pressure ulcer prevention protocol. Findings suggest opportunities for improvement in pressure ulcer prediction and prevention practice in home health care.

PMID:
16106332
[PubMed - indexed for MEDLINE]
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