Medpedia

Jun 06, 11 07:11AM | 0 comments

A study from the Cleveland Clinic Journal of Medicine provides a far-ranging and extensive overview for treating and preventing bed sores (pressure ulcers) in elderly patients.

Among the key points of the study:

- 95 percent of pressure ulcers occur in the lower part of the body.

- The incidence of pressure ulcers is actually higher in acute care hospitals than in nursing homes.

- A great majority – 70 percent – of all pressure ulcers occur in people 70 years of age or older

- The use of catheters in incontinent patients greatly increases the risk of bed sores

- Healing occurs most rapidly when open bed sores are closed surgically

The study recommended that care staff turn patients every 1 1/2 hours, versus the usually standard two hour interval. Researchers also found that doctors should take great care in selecting preventative devices, which range pressure-relieving mattresses to manual movement from nurses and doctors. Proper preventative devices should ward off all bed sores, which vary in severity from stage 1 to stage 4.

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  • Hospitals discharging patients with a pressure ulcer are TWICE as likely to re-admit those patients within 30 days, than patients without pressure ulcers. This is according to our own review of SNF client data. This is not a widely known relationship, but will gain increasing importance as hospitals and IDNs pursue strategies to reduce rehospitalizations.
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