Pressure Ulcer Prevention
Primaris continues to work with Missouri nursing homes and hospitals to reduce pressure ulcers.
Pressure ulcers are a significant problem across all ages and health care settings, as well as a significant source of pain and human suffering. Multiple factors put individuals at risk for developing a pressure ulcer, including immobility, chronic illness, incontinence, poor nutrition, altered level of consciousness, altered sensory perception and a history of having pressure ulcers.
Pressure ulcers have been associated with an extended length of stay and mortality. The cost of treating a single full-thickness pressure ulcer can be as high as $70,000 with the total cost for treatment of pressure ulcers in the U.S. at $11 billion per year.
From August 2008 to July 2011, more than 1,250 U.S. nursing homes reduced the incidence of pressure ulcers among long-term residents (by 22.2% relative to their baseline performance.
Although pressure ulcers are preventable, the prevalence in health care facilities is high. Pressure ulcer rates vary considerably by clinical setting – ranging from 0.4% to 38% in acute care, from 2.2% to 23.9% in long-term care and from 0% to 17% in home care.
Primaris has free quality improvement resources for this topic.
Also visit the National Pressure Ulcer Advisory Panel for staging guidelines and illustrations of pressure ulcer stages.
Setting up a Wound Care Program - Webinar
In March 2012, Stratis Health - our sister QIO in Minnesota - hosted a 60-minute educational webinar on effective wound-care strategies. Presenting was Jeri Ann Lundgren, a national wound-care consultant and director of both Incontinent Services at Pathway Health Series and Clinical Services at Gulf South Medical Supply (both organizations are in Minnesota.
Ms. Lundgren's presentation can be used as an outline to homes who want to more effectively use their wound-care nurses and generally make patients healthier and safer.
Primaris Pressure Ulcer Tips of the Month
Primaris has re-launched our a Pressure Ulcer Tips of the Month to find pointers to help fight and prevent pressure ulcers in your nursing home. Look to this space for updates on this successful education campaign, originally published in 2009.
More pressure ulcer resources
This free online program, developed by the Georgia Medical Care Foundation, provides tools and resources to healthcare providers focusing on acute care transfers between nursing homes and hospitals. Along with downloadable tools such as transfer forms and checklists, this website provides step-by-step instructions on how to improve communication with other providers in order to improve the continuity of care.