The relationship among pressure ulcer risk factors, incidence and nursing documentation in hospital‐acquired pressure ulcer patients in intensive care units

Abstract

The implication of this study involves pressure ulcer prevention and litigable risk of nursing documentation.

An evaluation of nursing documentation of acutely admitted older home-living medical patients in a Danish hospital

“…[7,23,39] The best documented core area was nutrition, which is mandatory to document when hospitalized in Denmark and is a part of the accreditation process. When examining the unstructured notes in the nursing records for pain, cognitive level, and depression, we found a better documentation practice.…”

Indicadores da Nursing Outcomes Classification para avaliação de pacientes com lesão por pressão: consenso de especialistas

“…Pressure injury (PI) is a localized damage to the skin and underlying tissues, in general, over a bone prominence combined with shear and friction. 1 International studies indicate that incidence rates are approximately 3.51% to 25.9% 2,3 and prevalence of 16.9% to 23.8% 3 in intensive care patients. In clinical units, the incidence of PI is 1.8% and the prevalence is 3.3%.…”

“…6 These data demonstrate that pressure injuries (PIs) are still more prevalent in bed or wheelchair confined patients in individuals with extreme age, incontinence and/or neurological dysfunction. 1,2,4,7,8 The treatment of PI and its complications implies high financial costs, 9 however more important than the financial burden is the high social and emotional impact that PI causes to patients. 9,10 It is known that nursing has a fundamental role in the care of the patient with PI, being indispensable that the nurse makes a careful evaluation of the patient who presents this type of injury, to have the possibility to define the best interventions and to obtain the solution and/or improvement of this health problem.…”

Automated measurement of pressure injury through image processing

“…6) The accurate diagnosis and the appropriate treatment of pressure injury (PI) are highly dependent on correct and timely documentation by nurses. However, Li (2016) demonstrates that staff nurses often perform poorly on documenting the appearance, staging and treatment of PIs with both paper charting and Electronic Health Record (EHR) systems; moreover, additional studies (e.g. Stremitzer et al 2007, Ballard et al 2008, Gunningberg et al 2009) have demonstrated that the documentation of PIs by nurses often lacks accuracy, completeness and comprehensiveness.…”