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Pressure Ulcer Prevention and Treatment Practices in Inpatient Rehabilitation Facilities

Authors

  • Wipa Sae-Sia MSN,

    Corresponding author
      1000 Hospital Drive, Apt. 10A, Columbia, MO, 65201 or e-mail: ws216@mizzou.edu
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    • Wipa Sae-Sia is a doctoral student at the MU Sinclair School of Nursing at the University of Missouri-Columbia.

  • Deidre Wipke-Tevis PhD RNC

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    • Deidre Wipke-Tevis is an associate professor at the MU Sinclair School of Nursing at the University of Missouri-Columbia.


1000 Hospital Drive, Apt. 10A, Columbia, MO, 65201 or e-mail: ws216@mizzou.edu

Abstract

Although many strategies have been developed to prevent pressure ulcers, they remain a significant healthcare problem, particularly for chronically ill patients in rehabilitation facilities. This study describes self-reported pressure ulcer prevention and treatment practices in rehabilitation facilities. Surveys were sent to all 52 licensed inpatient rehabilitation facilities in Missouri; the response rate was 76.9%. Less than 30% of the facilities used inexpensive nursing interventions such as keeping the head of a patient's bed at or below a level of 30°. Informally established protocols were used more frequently than the evidence-based pressure ulcer prevention and treatment guidelines issued by the Agency for Health Care Policy and Research. Furthermore, only 50% of the respondent facilities used established, valid, and reliable risk assessment tools. There was little difference in the interventions used when a client either developed a pressure ulcer or was assessed as being at risk for an ulcer. These findings reveal a significant gap between research and practice and suggest a need to educate rehabilitation nurses about the most appropriate, evidence-based nursing interventions for preventing and treating pressure ulcers.

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