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Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland

Zena Moore and Seamus Cowman

Journal of Clinical Nursing, 2012, vol. 21, issue 3‐4, 362-371

Abstract: Aims and objectives. The aim of this study was to establish pressure ulcer prevalence and prevention in the long‐term care setting. Background. There is no information on pressure ulcers prevalence in care of the older person in Ireland; therefore, a prevalence study was undertaken to investigate key aspects related to current practices in pressure ulcer prevention. Design. A cross‐sectional survey design was employed. Method. Ethical approval was received. Participants included 1100 older individuals residing in 12 long‐term care settings. Data were collected using the Braden scale, the European Pressure Ulcer Advisory Panel minimum data set and pressure ulcer grading system. Results. All participants were Irish and white, 70% were women, and 75% were aged 80 years or older. Prevalence was 9%, with 28% of pressure ulcers grade 1, 33% grade 2, 15% grade 3 and 24% grade 4, mainly located on the sacrum (58%) and the heel (25%). Seventy‐seven per cent scored Braden low risk or not at risk; however, 53% were completely immobile/very limited mobility and 58% were chair/bedfast. There was a significant association between activity and mobility and pressure ulcer development (χ2 = 45·50, p

Date: 2012
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https://doi.org/10.1111/j.1365-2702.2011.03749.x

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