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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Development and Implementation of an Individualized Turning Program for Pressure Injury Prevention Using Sensor

Jeanine Maguire¹, Denine Hastings¹, Mary Adams¹

¹Genesis Healthcare, Quakertown, Pennsylvania.

Wound Management & Prevention

|January 14, 2022

Summary

This summary is machine-generated.

Individualized turning schedules for nursing home residents are feasible and effective in preventing pressure injuries (PrIs). Extending turning intervals safely reduced PrI incidence and saved staff time, supporting personalized care.

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Area of Science:

Gerontology
Nursing Science
Wound Care

Background:

The standard 2-hour turning interval for pressure injury (PrI) prevention lacks strong evidence.
New guidelines advocate for personalized turning schedules but offer no specific risk-based frequencies.

Purpose of the Study:

To assess the feasibility and outcomes of individualized turning schedules for new nursing home residents.

Main Methods:

An expert panel developed a tool for individualized turning schedules (1-4 hours) based on resident risk factors.
Wearable sensor technology provided visual cues for staff repositioning reminders.
PrI incidence was compared between participating (individualized schedules) and nonparticipating residents.

Main Results:

56% of 154 residents received extended turning intervals (3 or 4 hours).
Facility-acquired PrI incidence was 94% lower in the individualized turning group (P < .0001).
Extended intervals saved 21-35 minutes of staff time per resident per shift.

Conclusions:

Individualized turning schedules are feasible in nursing homes.
Longer turning intervals did not increase PrI incidence, supporting safe extensions for most residents.