Tissue Tolerance Testing and the Braden Scale: A Comparison of Methods to Reduce Pressure Ulcer Risk

2011 ◽  
Vol 12 (3) ◽  
pp. B27
Author(s):  
Mary Pat Rapp ◽  
Mary Pat Rapp ◽  
Stanley G. Cron ◽  
Jing Li ◽  
Nancy Bergstrom
1995 ◽  
Vol 4 (5) ◽  
pp. 361-367 ◽  
Author(s):  
MK Jiricka ◽  
P Ryan ◽  
MA Carvalho ◽  
J Bukvich

BACKGROUND: Although it is well known that pressure ulcers are associated with negative patient outcomes and increased hospital cost, there is little research related to pressure ulcers in an intensive care unit population. OBJECTIVE: To determine the relative contribution of risk factors in the development of pressure ulcers in intensive care unit patients. METHOD: In an exploratory descriptive design, a convenience sample of 85 adults was used. Patients were enrolled in the study within 24 hours of admission to the intensive care unit; data were collected every other day until discharge from the intensive care unit. Instruments included a demographic data form, Braden Scale for Predicting Pressure Sore Risk, Skin Assessment Tool, and Decubitus Ulcer Potential Analyzer. RESULTS: The most common reasons for admission to the intensive care unit included multiple trauma from motor vehicle accidents, gunshot and stab wounds, and gastrointestinal bleeding. A pressure ulcer developed in 48 subjects. There were no significant differences in age, gender, history of diabetes or smoking, or medical diagnoses between patients in whom a pressure ulcer developed and those in whom it did not. Data analysis indicated that a Braden Scale score of 11, rather than the recommended score of 16, was statistically significant for predicting pressure ulcer risk. CONCLUSIONS: The results suggest that a cut-off score on the Braden Scale could be specific to an intensive care unit trauma population.


1996 ◽  
Vol 9 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Terry VandenBosch ◽  
Cecelia Montoye ◽  
Martha Satwicz ◽  
Karen Durkee-Leonard ◽  
Barbara Boylan-Lewis

2017 ◽  
Vol 23 (9) ◽  
pp. 1153-1160 ◽  
Author(s):  
Vinay Sundaram ◽  
Jane Lim ◽  
Danielle M. Tholey ◽  
Sentia Iriana ◽  
Irene Kim ◽  
...  

2010 ◽  
Vol 4 (3) ◽  
pp. 1506 ◽  
Author(s):  
Gabriela Fernanda Furman ◽  
Aline Franco da Rocha ◽  
Maria Helena Dantas de Menezes Guariente ◽  
Silvana Kelie Souza de Almeida Barros ◽  
Mitiko Morooka ◽  
...  

ABSTRACTObjective: to identify the incidence of pressure ulcer (PU) and its risk factors in hospitalized patients in the medical-surgical units of a university hospital. Methodology: this is about a descriptive and quantitative study whose data were collected from November 2008 to February 2009 using a instrument containing demographic and clinical data, characterization of PU and Braden Scale after approved by the Ethics Committee of the State University of Londrina with protocol number 170/08. The results were organized in the database Epi info and analyzed using descriptive statistics Results: among 36 patients studied, the incidence of PU was 2.77%, nineteen patients were included already with PU, these were more frequent in the sacral region (50%) and stage III (37%). Hypertension was a statistically significant variable for the development of PU, as well as the patients with longer length of stay. Conclusion: for prevention of UP, it is the function of the nurse to know the possible risk factors, track changes and implement a clinical protocol and all available measures in health care practice. Descriptors: pressure ulcer; risk factors; incidence.RESUMOObjetivo: identificar a incidência de UP e seus fatores de risco em pacientes internados nas Unidades médico-cirúrgicas de um hospital escola. Metodologia: trata-se de estudo descritivo, com abordagem quantitativa, realizado com aprovação do Comitê de Ética da Universidade Estadual de Londrina (número de protocolo 170/08), cujos dados foram coletados de novembro de 2008 a janeiro de 2009 por meio de um instrumento com dados demográficos, clínicos, caracterização das UP e Escala de Braden. Os resultados foram armazenados no Epi-info e analisados segundo a estatística descritiva. Resultados: entre os 36 pacientes incluídos na amostra, a incidência de UP foi de 2,77%. Dezenove pacientes já apresentavam UP na inclusão do estudo, sendo estas mais frequentes na região sacral (50%) e no estágio III (37%). Em relação aos fatores de risco, a hipertensão foi uma variável estatisticamente significativa para o desenvolvimento de UP, assim como o tempo de internação mais prolongado. Conclusão: para a prevenção de UP cabe ao enfermeiro conhecer os possíveis fatores de risco, acompanhar as alterações clinicas e aplicar um protocolo e todas as medidas disponíveis na pratica assistencial. Descritores: úlcera por pressão; fatores de risco; incidência.RESUMENObjetivo: conocer la incidencia de la ulcera por presión (UP) y sus factores de riesgo en los pacientes internado en clínica médico-quirúrgica de un hospital universitario. Metodología: estudio descriptivo con abordaje cuantitativo. Después de la aprobación por el Comité de Ética de la Universidad Estadual de Londrina (número de protocolo 170/08), los datos fueron recolectados entre noviembre de 2008 y enero de 2009 a través de un instrumento con datos demográficos, la caracterización clínica de la UP y la Escala de Braden. Los resultados se almacenan en la base de datos Epi Info y analizados según la estadística descriptiva. Resultados: los 36 pacientes incluidos en la muestra, la incidencia de la UP fue del 2,77%. Diecinueve pacientes que ya tenía úlceras por presión durante la inclusión del estudio, más frecuentes en la región sacra (50%) y estadio III (37%). En relación con los factores de riesgo, la hipertensión fue una variable estadísticamente significativa para el desarrollo de la UP, así como el tiempo prolongado de admisión. Conclusión: para la prevención de la UP es la enfermera de conocer los factores de riesgo posible, cambios clínicos, aplicar un protocolo clínico y de todas las medidas posibles en la assistência práctica. Descriptores: úlcera por presión; factores de riesgo; incidencia.  


2010 ◽  
Vol 31 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Diba Maria Sebba Tosta de Souza ◽  
Vera Lúcia Conceição de Gouveia Santos ◽  
Helena Keiko Iri ◽  
Miriam Yukiko Sadasue Oguri

2016 ◽  
Vol 69 (1) ◽  
pp. 96-101
Author(s):  
Silvana Cidral ◽  
Waldirene Fernandes Silva ◽  
Angelita Visentin ◽  
Angela Cristina da Silva Borghi ◽  
Maria de Fátima Mantovani ◽  
...  

ABSTRACT Objective: to assess the risk of pressure ulcer development among hospitalized HIV/Aids. Metod: study quantitative descriptive with 35 patients admitted to an infectious diseases hospital in Curitiba-PR-BR. Characterized clinical and epidemiological of patients using a data collection instrument and the Braden Scale. Data was compiled using Excel® and a simple descriptive analysis. Results: two patients were found to have pressure ulcers and the most common comorbidities associated with HIV/Aids were pneumocystis pneumonia, caused by pneumocisti cariini (16), and pulmonary tuberculosis (13). The lowest scores were obtained in the friction and shear subscale, followed by the activity, nutrition, mobility and moisture subscales. The highest score was obtained in the sensory perception subscale. Two patients were classified as 'very high risk', six as 'high risk', three as 'low risk', and the rest as 'no risk'. Conclusion: risk assessment using scales provides objective information to assist with systemized and targeted nursing decision-making.


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