Scoping Review of Pressure Ulcer Prevalence and Prevention in Elderly Inpatient Care in England
Keywords:
Pressure ulcers, Pressure Ulcer Prevalence and Prevention, Care of the Elderly Inpatient Wards, pressure ulcer in EnglandAbstract
Background: Treatment of pressure ulcers brings a significant financial burden to NHS Commissioners in the UK. Based on research data, the prevalence of the issue shows a consistent yearly increase.
Purpose: To evaluate the Pressure Ulcer Prevalence and Prevention on the Care of the Elderly Inpatient Wards in England.
Methods: A scoping review was conducted to explore the available sources of information on pressure ulcer prevalence and prevention specific to the care of elderly wards in the UK. This review is focused on patients above the age of 65 and involves desk research.
Results: Inappropriate use and over-prescription of manual handling equipment, lack of timely risk assessment completion, education and training discrepancies, ineffective use of technology, and specialist bedding were found to be the key reasons for the increased prevalence of pressure ulcer cases in England.
Conclusion: The preliminary results conclude that, for pressure ulcer prevention strategies to be effective, appropriate use of pressure relieving equipment and staff training on its use is imperative. Timely risk assessments are of utmost importance to reduce the cases of pressure ulcers in the care of elderly patients.
Keywords: Pressure ulcers, Pressure Ulcer Prevalence and Prevention, Care of the Elderly Inpatient Wards
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References
National Institute of Care and Excellence; surveillance of pressure ulcers: prevention and management (NICE guideline CG179),(2018), Accessed: March 2024.
The King’s Fund, NHS Hospital bed numbers: past, present, future, (2021). online Source; Accessed: January 2024.
Blackburn, J et al; “The relationship between common risk factors and the pathology of pressure ulcer development: a systematic review”, Journal of Wound Care, 29(3), (2020). https://doi.org/10.12968/jowc.2020.29.Sup3.S4.
Mamom, J., Daovisan, H., “Listening to Caregivers’ Voices: The Informal Family Caregiver Burden of
Caring for Chronically Ill Bedridden Elderly Patients”, International Journal of Environmental Research and Public Healthe-journal 19(1), (2022). https://doi.org/10.3390/ijerph19010567.
Stephenson, J., Fletcher, J., Parfitt, G., Ousey, K., “National audit of pressure ulcer prevalence in England:
a cross-sectional study”. Wounds UK 17(4), (2021).
Clark, M., Semple, M. J., Ivins, N., Mahoney, K., Harding, K., “National audit of pressure ulcers and
incontinence-associated dermatitis in hospitals across Wales: a cross-sectional study”, BMJ Open, 21(7-
, (2017). https://doi.org/10.1136/bmjopen-2016- 015616.
Smith, I. L., Nixon, J., Brown, S., Wilson, L., Coleman, S., “Pressure ulcer and wounds reporting in NHS
hospitals in England part 1: Audit of monitoring systems”, Journal of Tissue Viability, 25(1), (2016).
https://doi.org/10.1016/j.jtv.2015.11.001.
Bombard, Y et al. “Engaging patients to improve quality of care: a systemic review”, Implementation Science, 13(98), (2018). https://doi.org/10.1186/s13012-018-0784-z.
NHS England; National Pressure Ulcer Prevalence and Quality of Care Audit – Cohorts 1 and 2 National
Stop the Pressure Programme (2020). PDF. Accessed: February 2024
National Institute for Health and Care Excellence (NICE); Pressure ulcers: prevention and management (Clinical guidelines 179),(2014). Accessed: March 2024
Guest, J. F., Fuller, W., G., Vowden, P., Vowden, K. R; “Cohort study evaluating pressure ulcer management
in clinical practice in the UK following initial presentation in the community: costs and outcomes”, BMJ
Open, 8(7), (2018). https://doi.org/10.1136/bmjopen-2018-021769
Wood, J et al; “Reducing pressure ulcers across multiple care setting using a collaborative approach”, BMJ
Open, 8(3), (2019). https://doi.org/10.1136/bmjoq-2018-000409.
European Pressure Ulcer Advisory Panel; Stop Pressure Ulcers, (2021) Online
Al-Otaibi, Y. K., Al-Nowaiser, N., Rahman, A.; “Reducing hospital-acquired pressure injuries”, BMJ
Open, 8(1),(2019) https://doi.org/10.1136/bmjoq-2018-000464.
The King’s Fund; Understanding NHS financial pressures How are they affecting patient care? (2017) PDF
Accessed: April 2024
Lindhart, C. L., Beck, H. S., Ryg, J; “Nursing care for older patients with pressure ulcers: A qualitative study”, Nursing Open, 7(4), (2020). https://doi.org/10.1002/nop2.474
NHS Improvement; Pressure ulcers: revised definition and measurement, (2018) PDF. Accessed: December
[18] Herron, K; “Treatment of a Complex Pressure Ulcer Using a Synthetic Hybrid-Scale Fiber Matrix”, Cureus, 13(4), (2021). https://10.7759/cureus.14515.
Nightingale, P., Musa, L; “Evaluating the impact on hospital-acquired pressure injury/ulcer incidence in a United Kingdom NHS Acute Trust from use of sub-epidermal scanning technology”, Journal of Clinical Nursing, 30(17-18), (2021). https://doi.org/10.1111/jocn.15779.
Hashim, N. M., Engkasan, J. P., Hasnan, N; “The impact of a pressure ulcer prevention educational program based on the health belief model for persons with spinal cord injury”, The Journal of Spinal Cord Medicine, 19(1-9) (2021). https://10.1080/10790268.2020.1860868.
Tshia mo, A.; Nurses’ knowledge, attitude and barriers towards pressure ulcers’ prevention in two referral
hospitals in Botswana, (2021) PDF. Accessed: May 2024
Moore, Z. E., Patton, D; Risk Assessment Tools for the Prevention of pressure Ulcers, Cochrane Library, 2019(1), (2019). https://10.1002/14651858.CD006471.pub4.
Taylor, C., Mulligan, K., McGraw, C; “Barriers and enablers to the implementation of evidence-based practice in pressure ulcer prevention and management in an integrated community care setting: A qualitative study
informed by theoretical domains framework”, Health and Social Care in the community, 29(3), (2021).
https://doi.org/10.1111/hsc.13322.
Chen, S., Keglovits, M., Devine, M., Stark, S; “Sosociodemographic Differences in Respondent Preferences for Survey Formats: Sampling Bias and Potential Threats to External Validity”, Archives of Rehabilitation Research and Clinical Translation, 4(1) (2022). https://doi.org/10.1016/j.arrct.2021.100175
Lavallee, J. F., Gray, T. A., Dumville, J., Cullum, N; “Barriers and facilitators to preventing pressure ulcers
in nursing home residents: A qualitative analysis informed by the Theoretical Domains Framework”,
International Journal of Nursing Studies, 82 (2018). https://doi.org/10.1016/j.ijnurstu.2017.12.015.
Deakin, J., Gillespie, B., Chaboyer, W., Nieuwenhoven, P. and Latimer, S; “An education intervention
care bundle to improve hospitalized patients’ pressure injury prevention knowledge: a before and after
study”, Wound Practice and Research, 28(4) (2020). https://doi.org/10.33235/wpr.28.4.154-162.
Holbrook, S., OBrien-Malone, C., Barton, A. and Harper, K., “A quality improvement initiative to reduce
hospital-acquired pressure injuries (HAPI) in an acute inpatient setting by improving patient education and
seating”, Wound Practice and Research, 29(4), (2021). https://doi.org/10.33235/wpr.29.4.198-205.
Latimer, S., Deakin, J., Chaboyer, W., and Gillespie, B; “Feasibility and acceptability of implementing a patient education pressure injury prevention care bundle in acute care: an interview study”, Wound Practice and Research, 29(3), (2021). https://doi.org/10.33235/wpr.29.3.163-170.
Turmell, M, et al., “Improving Pressure Injury Prevention by Using Wearable Sensors to Cue Critical Care Patient Repositioning”, American Journal of Critical Care, 31(4),(2022). https://doi.org/10.4037/ajcc2022701
Knibbe, N.E., Zwaenepoel, E., Knibbe, H.J.J. and Beeckman, D; “An automatic repositioning system to prevent pressure ulcers: A case series” British Journal of Nursing, 27(6), (2018). https://doi.org/10.12968/bjon.2018.27.6.S16.
Linthwaite, A. and Bethell, E.; “Managing pressure ulcers and moisture lesions with new hydrocolloid
technology”, British Journal of Nursing, 25(8), (2016). https://doi.org/10.12968/bjon.2016.25.8.442.
Rose, A., et al.; “Increasing Nursing Documentation Efficiency With Wearable Sensors for Pressure Injury Prevention”, Critical Care Nurse, 42(2), (2022). https://doi.org/10.4037/ccn2022116.
Gleeson, D; “Effectiveness of a pressurerelieving mattress in an acute stroke ward”, British Journal of Nursing, 25(20), (2016). https://doi.org/10.12968/bjon.2016.25.20.S34.
Freeman, R. et al; “Speciality linens and pressure injuries in high-risk patients in the intensive care unit”,
American Journal of Critical Care, 26(6), (2017). https://doi.org/10.4037/ajcc2017530.
Nursing and Midwifery Council (NMC), The Code: Professional standards of practice and behavior for
nurses and midwives. [pdf] (2018) PDF Accessed: April 2024
Young, C; “Using the ’aSSKINg’ model in pressure ulcer prevention and care planning”, Nursing Standard, 36 (2),(2021). https://doi.org/10.7748/ns.2021.e11674.
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