Pressure Injury Prevention

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McDonough, GA, June 23, 2019 – Encompass Group, LLC premiered its transformative new Airisana™ Therapeutic Support Surface in its exhibit booth at the WOCNext 2019 Conference in Nashville, Tennessee. Airisana™ is a unique, never-before-seen approach to pressure management therapy and microclimate. By combining all of the best practices devised to reduce health care-acquired pressure injuries into one surface and control unit, it replaces up to five other surface types.

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Braden Scale: Mobility

By Holly Hovan, MSN, RN-BC, APRN-CNS, CWOCN-AP

What is mobility? Typically, when we hear the word mobility, we think about our ability to move, with or without assistance. In a long-term care setting, we often hear the words, "mobility aids," which are typically pieces of medical equipment that are used to enhance mobility—wheelchairs, walkers, canes, power wheelchairs, crutches, and even guide dogs for those who are sight impaired. There are many intrinsic and extrinsic factors that impact one's mobility, which will be discussed in this blog.

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By the National Pressure Ulcer Advisory Panel

Washington, DC. – April 18, 2019 – On April 9, 2019, Dr. William Padula, NPUAP Treasurer, and Dr. Janet Luddigan, NPUAP President, provided written testimony to the House Committee on Appropriations; Subcommittee on Labor, Health and Human Services, Education and Related Agencies to explore new payment models that could further increase innovation and incentivize the prevention or pressure injuries.

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by the National Pressure Ulcer Advisory Panel

Washington, DC – April 12, 2019 – On March 25-27, Dr. William Padula visited Washington, D.C. to advocate for policy solutions surrounding pressure injury prevention at the highest levels of government and health care. His independent advocacy for improving patient safety was provided as a researcher on behalf of NPUAP and its panel members. Dr. Padula is Treasurer on the Board of Directors for NPUAP, as well as an Assistant Professor of Health Economics at the University of Southern California Schaeffer Center for Health Policy & Economics in Los Angeles, along with a secondary appointment at the Johns Hopkins School of Nursing in Baltimore.

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Age and Pressure Injury

By Ivy Razmus, RN, PhD, CWOCN

The very old and the very young are more alike than you might think when you consider risk for skin injuries. They are alike regarding their limited sensory perception, mobility, and activity. They are also alike in their potential for inadequate nutrition and their skin's supporting structures (muscle, collagen and elastin). These similarities place them at greater risk for pressure injuries.

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Medical Device Related Pressure Injury

by Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

Recently, one of my awesome staff nurses coined a phrase that stuck with me—Mr. DoctoR Pressure Injury (MDRPI), also known as medical device-related pressure injury. MDRPIs are a common yet usually preventable problem. We wanted to raise awareness of MDRPIs for World Wide Pressure Injury Prevention Day in November of 2018, and one of our staff nurses was quite creative in doing so! She thought of using a doctor’s briefcase with medical devices inside, many of which can and do cause pressure injuries. Being creative and using acronyms are great ways not only to engage staff, but also to be sure that they remember the information provided to them. Additionally, hands-on props and interactive stations require engagement, which appeals to many different types of learners.

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Skin Changes at Life's End

by Heidi H. Cross, MSN, RN, FNP-BC, CWON

"If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed sore, it is generally the fault not of the disease, but of the nursing." —Florence Nightingale

Ouch! What an indictment of nursing and, by extension, the facility in which the nurse works. We have a lot to thank Florence Nightingale for—a brilliant woman considered to be the founder of nursing and nursing standards and the first to ever put statistics to health care, among other valuable contributions.

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Risk Assessment

by Heidi H. Cross, MSN, RN, FNP-BC, CWON

When looking at medical charts from a legal perspective, one of the areas closely scrutinized is the risk assessment for skin breakdown and pressure ulcer development. Completing a risk assessment is considered a standard of care. Was the patient adequately assessed, and was this done in a timely fashion? Was it repeated at regular intervals, with a change in condition, or on readmission? Do scores seem appropriate for the patient's condition? Is there consistency among health practitioners? Were the results used to institute evidence-based and appropriate prevention and treatment measures and care plans? Or do the results seem to simply languish in the chart? What are the standards of care related to this?

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Pressure Injury Prevention

By Holly M. Hovan MSN, APRN, ACNS-BC, CWOCN-AP

What does your facility do to raise awareness regarding pressure injury prevention? We have lots of educational opportunities throughout the year, but one of our most important and prepared for days is the third Thursday in November – World Wide Pressure Injury Prevention Day! This is a day to raise awareness that has been promoted by the National Pressure Ulcer Advisory Panel (NPUAP). Every year, the NPUAP puts out a press release and lots of good information in terms of ways to educate and engage staff on such an important topic, on a national level.

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Details

By Margaret Heale, RN, MSc, CWOCN

In our point, click, fill-in-the -blanks world of ever increasing wound care algorithms and MOs, I have an ax to grind (straight into my so-called smart phone if I had the courage).

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