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

Statement of the Problem

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

Because PUs are so common, cause distress ***** ***** patient and their family, and can form the basis for litigation, it is important for the *****-term medical care community to find ways ***** reduce their prevalence and incidence. Two commonly suggested solutions to the PU ***** include identifying patients at r*****k using risk assessment methods and initi*****ing preventive measures (Ayello & Braden, 2002). In order ***** long term care staff to identify patients at risk they must be educ*****ed in ***** of the risk for develop*****g PUs. One ***** assessment method used in this area is the ***** Scale, developed in 1987 by Drs. Barbara Braden and Nancy Bergstrom. The scale attempts to identify r*****k 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 to evaluate the effect ***** training ***** in a long-term care facility ***** the use of the ***** Scale on ulcer *****. It will do ***** by examining three ***** *****fore and after training in the use ***** the Braden Scale: (1) the overall incidence of ulcers, (2) the average ulcer ********** time, ***** (3) the average ulcer healing time.

Definition ***** Terms

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

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

Prospective Data ***** data ***** events ***** after a subject ***** enrolled in a study.

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

***** ***** THE LITERATURE

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

***** Braden Scale is a r*****k assessment method for the development ***** pressure ulcers that was *****ulated in *****987 (Bergstrom et al.). Since that time, a l*****rge number of studies have been done to try to determine if ***** scale is reliable (consistent) and valid (accurate) in predicting those patients ***** ***** develop pressure *****. Work by Braden herself indicates that the scale does have clinical utility, predictive utility, ***** extends ***** various healthcare settings (Braden ***** Bergstrom, 1989; *****, Braden, Kemp, Champagne, &

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