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PREVENTION OF PRESSURE ULCER: AN INTERVENTION

Mehdi Hayat Khan, Sana Sehar Vincent, Tanzeel Ul Rahman, Ayazda Farhana

In the hospital, pressure ulcer is devastating outcomes of patient and family, especially in critical ill patient admitted in Intensive care unit (ICU). The formation of pressure ulcer in medical surgical patient reflects a gap between nursing practices and nursing responsibility to reposition the patient. The purpose of this Research was to implement the pressure ulcer toolkit and use of automated patient repositioned bed (APRB) for the patients of medical and surgical ICU patients over the period of ten weeks. A medical and surgical ICU of tertiary care hospital (Jinnah Hospital Lahore) of Punjab has showed an incidence of an increase pressure ulcer development over the last five years. In addition, Lewin’s theory is utilized to infuse a change in nursing practices to reposition high risk patient accordingly. This framework of study provides quality improvement of plan, do, study and act. Healthcare research and quality (HRQ) toolkit utilization for pressure ulcer prevention and use of APRB for every critical patient of medical surgical ICU, that was experiencing pressure ulcer five to six patient per month, result in zero over ten week’s intervention. HRQ toolkit and APRB for the prevention of pressure ulcer was successful in highly susceptible patient and was installed systematically of multiple units in an organization. Keywords: Prevention of pressure ulcer, automated patient reposition bed, nursing intervention for pressure ulcer, toolkit for pressure ulcer prevention, Intensive care unit.

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