To help with our discussion this week we are holding an opinion poll - this can be found in the top right hand corner of this page.
Click the picture to download a printable PDF for notice boards.
If you would like to do some background reading prior to the discussion there are some interesting articles linked below:
The Management of Pressure Ulcers in Primary and Secondary Care - RCN
The Prevention and Treatment of Pressure Ulcers -National Institute for Health and Clinical Excellance
Pressure Ulcers Will Still Be Seen Until Basic Care Is Right - Nursing Times
The High Impact Actions For Nursing And Midwifery 4: Your Skin Matters - Nursing Times
Pressure Ulcer Tool Brings Incidence To Zero - Nursing Standard
An Introduction To The SKIN Bundle And It's Implementation - NHS Wales
Skin Assessments Of Patients At Risk Of Pressure Ulcers - Nursing Standard
Focus on Pressure Ulcers - Gerry Bolger
Adventures in Hourly Rounding - You Tube
Summary by Teresa Chinn RN
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Post Chat Summary
This discussion started off by asking if it was felt that pressure ulcers were indicative of good care ? It was clear that it is not always black and white and that sometimes pressure ulcers are unavoidable and so it was suggested that pressure ulcer prevalence is not always an indicator of good care as the root cause must be explored.
The NHS Wales initiative SKIN bundle was also mentioned and shared (a link to more info can be found above)
Early assessment in accordance with NICE guidelines was discussed and it was generally agreed that early and ongoing assessment played a key role in pressure ulcer prevention.
Some good and bad examples of care were shared- from using egg whites in the 1980’s to sacrosanct turning regimes in the 1970’s and examples of good practice within the private sector and recollection of grade 4 pressure ulcers.
Wider issues were also mentioned – staffing, staff morale and equipment all added to compounding the prevalence of pressure ulcers. Reducing the risk of pressure ulcers by using good basic nursing care was also discussed and intentional rounding was highlighted – a link to a you tube video mentioned during the chat can be found above.
Summary by Teresa Chinn RN
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Chat Transcript (reverse chronological order):
AgencyNurse @hannietaylor @AgencyNurse i think that if more senior nurses took that appraoch then we would have a different NHS #nurchat 8:55 PM
KevinHamUoP #nurchat also removing ted stockings to check sites 8:54 PM
AgencyNurse RT @KevinHamUoP: #nurchat staff education and leaving waterlow behind also helped - do you feel braden is better? #nurchat 8:47 PM
hannietaylor @p4fabs looking at the patients makes a big difference. Observation & Assessment, our basic skills :) #nurchat 8:44 PM
Gage91 RT @KevinHamUoP: #nurchat in the private sector where I previously worked we assessed and implemented pressure ulcer care immediately from admission 8:41 PM
NurChat @p4fabs good nursing prevents pu.Proliferation of 'press relieving aids' will not prevent pu. They are just conduits to good n care #NurChat 8:38 PM
NurChat RT @susiqa: I would assume many incidences have started off before admission, when the indivual is not in the care radar i.e. home alone #NurChat 8:22 PM
susiqa Has anyone worked with a regime that is really effective in the majority of cases? #NurChat 8:22 PM
PamNelmesFoH @AgencyNurse Well as the largest organ and our best protector I say skin should take its rightful place centre stage #nurchat 8:19 PM
NurChat RT @susiqa: when I trained back in the 70's we hardly ever saw patients with pressure sores on the wards 2 hr turning regimes were sacrosanct #NurChat 8:06 PM
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