Preventing Pressure Ulcers in Nursing Home Patients
With growing numbers of the American population joining the elderly ranks, there has been a corresponding increase in the number of residents of long-term care facilities including approximately 16,100 nursing homes in recent years (Palumbo & Mclaughlin, 2011). As a result, there has also been increased interest among clinicians concerning optimal turning and repositioning rates for immobile nursing home patients to reduce pressure ulcers (Miller & Ward, 2010). The need for improved care of pressure ulcers is great, and it has been estimated that the cost of each pressure ulcer incident ranges between $500 and $70,000 for a staggering total of $11 billion annually (Lilly & Estocada, 2014). Therefore, the question of interest for this study is whether turning and repositioning a patient more frequently (i.e., every 2 hours) reduces the risk of patients developing pressure ulcers compared with patient turned and repositioned less frequently (i.e., every 4 hours). To develop an informed and timely answer to this question, this paper reviews a study by Rich, Margolis, Shardell et al. (2011) concerning optimal manual repositioning pressure ulcer prevention protocols for a population of immobilized hip fracture patients treated in tertiary health care facilities, followed by a summary of the research and important findings concerning these issues.
Research question for the Rich et al. (2011) study
Citing the conventional intervention for the prevention of pressure ulcers in bed-bound patients and current clinical guidelines for the prevention of pressure ulcers which prescribe manual repositioning at least every 2 hours, the research question of interest in the Rich et al. study was based on the...
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