Pressure Ulcers in the ICU Patient: an Update on Prevention and Treatment

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• 作者：Anna E. Krupp ; Jill Monfre
• 关键词：Pressure ulcer ; Prevention ; Treatment ; Intensive care ; ICU
• 刊名：Current Infectious Disease Reports
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：17
• 期：3
• 全文大小：182 KB
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• 刊物主题：Infectious Diseases;
• 出版者：Springer US
• ISSN：1534-3146

文摘

The occurrence of hospital-acquired pressure ulcers (HAPU) is a recognized metric of quality of care by the Centers for Medicare and Medicaid Services (CMS) and the Agency for Healthcare Research and Quality. Pressure ulcer (PU) prevention and treatment have become a priority for many facilities as the reimbursement for hospital-acquired PUs has been significantly restricted by regulations implemented by CMS in 2008. Intensive care unit (ICU) patients are at higher risk for PU development due to comorbidities and life-saving treatment modalities in this environment. PU occurrence in ICUs ranges from 8.8 to 23?%. The literature was reviewed for recent advances in PU prevention and treatment in ICU patients. Advancements include risk assessment, education, turning schedules, providing staff with feedback from audits, lift teams, review of linen, consensus statement regarding unavoidable PU, treatment modalities, and an assessment of the knowledge providers have of PU prevention and treatment.