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 ***** is a common problem in ***** term care of ***** elderly. A recent report by a n*****tional pressure ulcer organization estimates the prevalence of PUs in acute ***** at about 15%, with about a 7% incidence *****fter admission (National Pressure Ulcer *****dvisory Panel, 2001).

Because PUs are so common, cause distress ***** the 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 incidence. Two commonly suggested solutions to the PU ***** include identifying patients at r*****k using risk assessment methods and initiating preventive measures (Ayello & Braden, 2002). In order for long term ***** staff to identify patients at risk *****y must be educated in ***** ***** the risk for developing PUs. One ***** assessment method used in this area is the ***** Scale, developed in 1987 by Drs. Barbara Braden ***** 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, *****, Laguzza, & Holman, 1987).

Rationale for the Study

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

Definiti***** of Terms

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

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

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

Qu*****si-Experimental -- a method of qu*****ntitative research design that ***** causality; it does not include random selection ***** *****s or control groups.

REVIEW ***** THE LITERATURE

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

***** Braden Scale is a r*****k assessment method for the development of pressure ulcers that was *****ulated in 1987 (Bergstrom et al.). S*****ce that time, a l*****rge number of studies have been done to try to de*****ine if ***** sc*****e is reliable (consistent) and valid (accurate) in predicting those ***** that will develop pressure ulcers. Work by Braden herself indicates that the scale does have clinical utility, predictive utility, ***** extends to various healthcare settings (***** ***** *****, 1989; Bergstrom, Braden, Kemp, Champagne, &

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