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Risk assessment for pressure ulcer: a hospital-based study
V K Shukla1, Dinesh Shukla, Abhisek Singh
1Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India. vkshuklabhu@gmail.com
Summary
Hospitalized patients at high risk for pressure ulcers developed them despite preventive measures. Early identification and intervention are crucial to reduce hospital-acquired pressure ulcers.
Area of Science:
- Clinical Nursing
- Patient Safety
- Wound Care
Background:
- Hospital-acquired pressure ulcers (HAPUs) are a significant concern in patient care.
- Risk assessment tools are vital for identifying patients susceptible to pressure ulcer development.
- Proactive interventions are necessary to mitigate HAPU incidence.
Purpose of the Study:
- To determine the prevalence of pressure ulcer risk among hospitalized patients.
- To identify patients at risk for developing pressure ulcers.
- To analyze the incidence of pressure ulcers in relation to risk stratification.
Main Methods:
- A prospective study involving 100 patients from medical and surgical wards.
- Utilized the Waterlow pressure ulcer risk assessment tool for patient stratification.
- Monitored patients for 2 weeks to record pressure ulcer development.
Main Results:
- 7% of patients were classified as very high risk, 10% as high risk, and 20% as at risk.
- Despite preventive measures, 57.1% of very high-risk patients and 20% of high-risk patients developed pressure ulcers within 2 weeks.
- No pressure ulcers developed in patients assessed as not at risk.
Conclusions:
- Pressure ulcers can develop even when preventive measures are in place for identified at-risk patients.
- Effective identification of at-risk individuals is paramount for implementing targeted preventive strategies.
- Reducing the incidence of hospital-acquired pressure ulcers requires continuous risk assessment and intervention.
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