1209

An Investigation of an Alternating Mattress Replacement with "24 Hour Active Care" for the Prevention of Pressure Ulcers in High Risk Patients in an Acute Care Setting

April R. Herndon, RN, BSN, CWOCN, Houston Healthcare, Wound, Ostomy & Continence Nurse, 1601 Watson Blvd., Warner Robins, GA 31093

Statement of Clinical Problem: The challenge of preventing pressure ulcers in acute care settings today is formidable. CWOCN's are often involved in making decisions on therapeutic equipment. Would the use of a product that has a powered alternating surface on both the bed and the chair that share the same portable, battery powered pump assist with meeting the goals for high risk patients?

Current Clinical Approach: For this study, the protocol includes a powered alternating pressure mattress and a powered alternating seat cushion for all patients who are at high risk of pressure ulcer development.

Patient Outcomes: Six patients were enrolled; three were considered bed bound and three patients that sit out in a chair for at least 2 hours per day. Patients were chosen who met the following criteria: Braden score indicating “high risk” (12 or below), no stage III or IV pressure ulcers, nutritionally stable, and nursed on designated products for at least 7 days.

Conclusion: Both the development of pressure ulcers and the cost-benefit will be reported in this poster presentation.


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