- Evidence supports the use of the Braden Scale and Skin Assessments to decrease the likelihood of patient's developing a HAPU
- More hospitals should require skin assessments upon admission to fully understand what condition patient's skin is in.
Can Hospital Acquired Pressure Ulcers be prevented by using early interventions such as the Braden Scale and Skin assessments upon admission?
Target Population/ Implementation
- Educate during huddle about importance about documenting properly
- Nurses
- Nurse Managers
- Patient Care Assistants
- Physical Therapists
- Occupational Therapists
- Billing/Accounting
- Doctors
Interventions/Issues
- Skin breakdown is a huge issue with patient’s within the hospital
- Patients that are immobile stay in the same place unless moved by someone else
- The Braden Scale gives hospital workers the ability to see how “at risk” patients are for skin breakdown
- Skin assessments determine if patient’s already have skin breakdown upon admission- therefore the hospital is not responsible for paying for it.
Conclusion
Evidence
Introduction
- Pressure Ulcer stages
- Braden Scale
- Skin Assessment
- Very strong evidence found supporting use of Braden Scale and Skin Assessments upon admission
- Large sample sizes
Population
Any hospitalized patient who is immobilized due to current condition
Types of Evidence
- Two evaluation perspective designs
- Three systematic reviews
- Two descriptive/ quantitative/longitudinal designs
- One prospective cohort study