Case Study

Beard, Renée L.; Sharpp, Tara J.

doi:10.1097/01.naj.0000344036.26898.e3

Cited by 18 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Having a pressure ulcer has been highlighted as resulting in a loss of self-perceived dignity [ 19 , 22 ]. This may be particularly acute in those that have a pressure ulcer in the area of the sacrum [ 23 ] and for those patients reaching the end of their lives [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

The psychometric performance of generic preference-based measures for patients with pressure ulcers

Palfreyman

Mulhern

2015

Health Qual Life Outcomes

View full text Add to dashboard Cite

BackgroundPressure ulcers are wounds that result from reduced mobility, and can have a significant impact on morbidity, mortality and quality of life. As pressure ulcers are a consequence of a wide range of conditions and interventions, it is unclear whether the best means of capturing the quality of life impacts is via generic or condition specific Patient Reported Outcome Measures (PROMs). The aim of this study was to investigate the psychometric performance of the generic EQ-5D and SF-6D amongst patients identified as having or being at risk of developing pressure ulceration.MethodsA survey of patients who were using pressure relieving mattresses and other equipment was undertaken within inpatient and community settings using a handheld tablet and postal survey. Data on EQ-5D-3L, SF-12 (used to calculate SF-6D), an EQ-5D dignity bolt-on question, demographic and wound specific questions were collected. Convergent validity was assessed using Spearman’s correlations, and agreement using Bland-Altman plots. Known group validity was assessed by examining whether the instruments discriminated between different pressure ulcer severity groups. Multivariate linear regression was used to examine the impact of a range of pressure ulcer related variables.ResultsThe total number of participants was 307, including 273 from the acute setting (52 % response rate) and 41 from the community (32 %). SF-6D and EQ-5D were moderately correlated (0.61), suggesting that both instruments were capturing similar quality of life impacts. Both measures were able to significantly discriminate between groups based on the ulcer grade. Presence of a pressure ulcer and number of comorbidities were significant explanatory variables of EQ-5D and SF-6D score.ConclusionsThe results suggest that generic PROMs can effectively capture the impact of pressure ulcers on quality of life, although there are significant challenges in collecting data from this group of patients related to poor clinical condition and mental capacity. The most effective method for obtaining survey data was through the hand held devices and interviewers.

show abstract

Section: Introductionmentioning

confidence: 99%

The psychometric performance of generic preference-based measures for patients with pressure ulcers

Palfreyman

Mulhern

2015

Health Qual Life Outcomes

View full text Add to dashboard Cite

show abstract

What Use Is It Anyway? Considering Modes of Application and Contributions of Qualitative Inquiry

Morse

2016

Handbooks in Health, Work, and Disability

View full text Add to dashboard Cite

Two-Hourly Repositioning for Prevention of Pressure Ulcers in the Elderly: Patient Safety or Elder Abuse?

2019

View full text Add to dashboard Cite

For decades, aged care facility residents at risk of pressure ulcers (PUs) have been repositioned at two-hour intervals, twenty-four-hours-a-day, seven-days-a-week (24/7). Yet, PUs still develop. We used a cross-sectional survey of eighty randomly selected medical records of residents aged ≥ 65 years from eight Australian Residential Aged Care Facilities (RACFs) to determine the number of residents at risk of PUs, the use of two-hourly repositioning, and the presence of PUs in the last week of life. Despite 91 per cent (73/80) of residents identified as being at risk of PUs and repositioned two-hourly 24/7, 34 per cent (25/73) died with one or more PUs. Behaviours of concern were noted in 72 per cent (58/80) of residents of whom 38 per cent (22/58) were restrained. Dementia was diagnosed in 70 per cent (56/80) of residents. The prevalence of behaviours of concern displayed by residents with dementia was significantly greater than by residents without dementia (82 per cent v 50 per cent, p = 0.028). The rate of restraining residents with dementia was similar to the rate in residents without dementia. Two-hourly repositioning failed to prevent PUs in a third of at-risk residents and may breach the rights of all residents who were repositioned two-hourly. Repositioning and restraining may be unlawful. Rather than only repositioning residents two-hourly, we recommend every resident be provided with an alternating pressure air mattress.

show abstract

Case Study

Cited by 18 publications

References 8 publications

The psychometric performance of generic preference-based measures for patients with pressure ulcers

The psychometric performance of generic preference-based measures for patients with pressure ulcers

What Use Is It Anyway? Considering Modes of Application and Contributions of Qualitative Inquiry

Two-Hourly Repositioning for Prevention of Pressure Ulcers in the Elderly: Patient Safety or Elder Abuse?

Contact Info

Product

Resources

About