| Implementation of best practice in the prevention of heel pressure ulcers in the acute orthopedic population. | |
| | |
MedLine Citation:
|
PMID: 20409248 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
To implement and evaluate a heel pressure ulcer prevention program (HPUPP) for orthopaedic patients. Program development of HPUPP involved input from administrators, staff and adult patients on an orthopaedic service in an academic tertiary care facility, located in a small urban centre in Canada. Prospective evaluation was conducted. Consensus exercises with clinical staff and administrators (Delphi and Nominal group) were used to, evaluate current practices, select a heel protective device, and develop key aspects of the HPUPP. HPUPP involved an individualised, bedside, staff education program, a team approach to improve patient mobility and use of a heel protective device. A 2-inch foam wedge covered in washable vinyl was placed at the foot of all beds on the orthopedic service. After the program was implemented, the incidence of heel pressure ulcers was 0%, which was a significant reduction compared with pre-implementation levels [13.8% (95% confidence interval 8-18%)]. Key components of the program success were initial and ongoing support from administration and surgeons, incorporation of feedback from clinical staff and patients, and keeping the program simple. Heel PU can be prevented in most orthopaedic patients using a universal heel PU prevention program. |
| | |
Authors:
|
Karen E Campbell; M Gail Woodbury; Pamela E Houghton |
Related Documents
:
|
10242528 - Case study discussions contribute to total patient care. 6875708 - Hepatitis b transmission in school contacts of retarded hbsag carrier students. 15156648 - Interagency collaboration in seven north carolina counties. 6524938 - A rapid training procedure for teaching manual sign language skills to multidisciplinar... 16802558 - A cost analysis of monoplace hyperbaric oxygen therapy with and without recirculation. 19783558 - Alcohol expectancies among high school students in inner mongolia, china. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: International wound journal Volume: 7 ISSN: 1742-481X ISO Abbreviation: Int Wound J Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2010-04-22 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101230907 Medline TA: Int Wound J Country: England |
Other Details:
|
Languages: eng Pagination: 28-40 Citation Subset: IM |
Affiliation:
|
London Health Sciences Center, London, Ontario, Canada. karen.campbell@sjhc.london.on.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Canada Delphi Technique Equipment Design Heel* Hospitals, University Humans Organizational Case Studies Patient Positioning / instrumentation* Pressure Ulcer / prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The experience of children and families with lymphoedema--a journey within a journey.
Next Document: Improving venous ulcer healing: designing and reporting randomised controlled trials.