Essay - Role of Staff Education in Pressure Ulcer Incidence in Long-term...


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ROLE OF STAFF EDUCATION IN PRESSURE ULCER INCIDENCE IN LONG-TERM CARE RESIDENTS

RESEARCH PROPOSAL

INTRODUCTION

***** of the Problem

***** ulcers (PUs), also known as bed sores, decubitus ulcers, or pressure sores, are formed where skin and tissue are squeezed between bone and an outside surface for long periods of time, often due to immobility ("Pressure Ulcer," 2002). The development of PUs is a common problem in ***** term care of the elderly. A recent report by a national pressure ulcer organization estimates the prevalence of PUs in acute ***** at about 15%, with about a 7% incidence *****fter admission (National Pressure Ulcer Advisory Panel, 2001).

Because PUs are so common, cause distress to ***** patient and their family, and can form the basis for litigation, it is important for the long-term medical care community to find ways to reduce ***** prevalence and *****. Two commonly suggested *****lutions to the PU problem include identifying patients at risk using risk assessment methods and initiating preventive measures (Ayello & Braden, 2002). In order for long term care staff to identify patients at risk they must be educ*****ed in assessment ***** the risk ***** develop*****g *****. One ***** assessment method used in this area is the Braden Scale, developed in 1987 by Drs. Barbara ***** ***** Nancy Bergstrom. The scale attempts to ***** risk factors that increase the chance that patients will develop PUs in the future and assigns a numeric value to the risk for any particular patient (Bergstrom, Braden, Laguzza, & Holman, 1987).

Rationale for the Study

This study will attempt ***** evaluate the effect of tra*****ing ***** in a long-***** care facility ***** the use of ***** Braden Scale on ulcer incidence. It will do this by examining three factors **********e and after training in the use of the Braden Scale: (1) the overall incidence of ulcers, (2) the average ulcer ********** time, ***** (3) the ***** ulcer healing time.

Definiti***** ***** Terms

***** Scale -- a ***** assessment method for the development of ***** ulcers that examines various factors and ***** a numeric value of the potential risk.

Retrospective Data -- data concerning events occurring before a subject is enrolled in ***** study.

Prospective Data -- data ***** events ***** after a subject is enrolled ***** a study.

Quasi-Experimental -- a method ***** qu*****ntitative research design that examines causality; it does not include random selection of subjects or control groups.

REVIEW ***** THE LITERATURE

***** presentation of the theoretical and ***** ***** for the study

***** Braden Scale is a risk assessment method ***** the development ***** pressure ***** ***** was *****ulated in ***** (Bergstrom et al.). Since that *****, a large number of studies have been done to try to determine if the scale is reliable (consistent) and valid (accurate) in predicting those ***** ***** will develop pressure ulcers. Work by ***** herself indicates that the ***** ***** have clinical utility, predictive utility, ***** extends to various healthcare settings (Braden & *****, *****989; Bergstrom, *****, Kemp, Champagne, &

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