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In our third episode, Charley and Sam delve into the impact of Pressure Ulcers on the NHS. They explore effective strategies for dealing with pressure ulcers using the aSSKINg Framework and the National Wound Care Strategy. Tune in to discover how healthcare professionals can best prevent and treat patients with pressure ulcers. Making life easier_*This podcast is intended to support UK healthcare professionals with education. The information provided in this podcast is not a substitute for professional medical advice or treatment, and patients are encouraged to consult healthcare providers, including nurses, for any medical questions or concerns.Produced by Vibrant Sound Media
Episode 175 NPTEFF Pressure Ulcers
As part of preparation to transition to the Patient Safety Incident Response Framework (PSIRF), organisations are required to create a patient safety incident response policy and plan. In this podcast, we are joined by Jacqui Fletcher, Senior Clinical Advisor for Stop the Pressure Programme and National Wound Care Strategy, who we collaborated with to develop a guide to applying PSIRF principles in relation to planning how to respond to pressure ulcers. We discuss this guide as well wider tips for creating a patient safety incident response plan. The pressure ulcer resource is available here: https://future.nhs.uk/NHSps/view?objectId=151094917 Additional resources to support organisations to create a patient safety incident response policy and plan are also available: PSIRF planning workshop recording, slides and Q&A: Planning workshop - NHS Patient Safety - FutureNHS Collaboration: https://future.nhs.uk/NHSps/browseFolder?fid=42253872&done=FOLCreated PlatformPatient Safety Incident Response Plan template: https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-8.-Patient-safety-incident-response-plan-template-v1-FINAL.docx Patient Safety Incident Response Policy template: https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-7.-Patient-safety-incident-response-policy-template-v1-FINAL.docx Example PSIRPs from early adopters (note template has changed significantly): Example Patient Safety Incident Response Plans - NHS Patient Safety - FutureNHS Collaboration Platform: https://future.nhs.uk/NHSps/view?objectId=38159024
We welcome back Sylvie Hampton MA. BSc (Hons). DpSN, RGN. Tissue Viability Consultant Nurse and Director of Wound Care Consultancy Ltd. Sylvie has previously recorded Pressure Ulcers, part 1 and part 2, this recording completes the trio of podcasts.
Sylvie Hampton MA. BSc (Hons). DpSN, RGN. Tissue Viability Consultant Nurse and Director of Wound Care Consultancy Ltd. Sylvie is discussing pressure ulcers on feet. This is part 2 of 3.
Sylvie Hampton MA. BSc (Hons). DpSN, RGN. Tissue Viability Consultant Nurse and Director of Wound Care Consultancy Ltd. Sylvie is discussing “Pressure Ulcers” their development and assessment in the paler and darker skin. This is part 1 of 3 podcasts.
A rapid review of pressure ulcers for the plastic surgery learner. In this episode we review: Pressure ulcer pathophysiology Evaluation and management of the pressure ulcer patientFeedback is always appreciated. Comments, questions, suggestions, or corrections can be sent to jakemarksmd@gmail.comReferences: Ricci JA, Bayer LR, Orgill DP. Evidence-Based Medicine: The Evaluation and Treatment of Pressure Injuries. Plast Reconstr Surg. 2017;139(1):275e-286e. Bauer J, Phillips LG. MOC-PSSM CME article: Pressure sores. Plast Reconstr Surg. 2008;121(1 Suppl):1-10.
Pressure sores. Pressure ulcers. Bedsores. They are all the same thing. But how they are treated can mean the difference between life and death. In this episode, Ingrid Sidorov, RN, answers questions about how the types of support surfaces that are available to nursing home residents who develop these specific types of ulcers.
Pressure ulcers are a common killer in nursing homes. Causing infection and disease, these injuries are a painful scourge that needs to be reduced and eliminated. In this week's episode, we talk about the top ten things that you might not know about pressure ulcers.
Nursing homes may be liable for injuries and death resulting from pressure ulcers if the injury was avoidable. This means that the nursing home failed to either assess the resident correctly, develop a proper care plan, or revise the plan along the way. If a nursing home does not check all these boxes, then the resident may bring a lawsuit. In this week's episode, we take a deep dive into a nursing home pressure ulcer lawsuit.
The term “avoidable” is defined in the Federal regulations governing the operations of nursing homes. A pressure ulcer is avoidable when a nursing homes neglect to assess a resident's skin integrity, complete a care plan with personalized interventions based on that assessment, or update that care plan based on observation. Neither age, chronic illness, or non-compliance plays a factor. In this week's episode, we talk about a nursing home's obligation to residents to prevent pressure ulcers, and what it means to be avoidable or unavoidable.
This episode covers pressure ulcers!
Deep Dive into MDS 3.0 Quality Measures: Episode 002 - Pressure Ulcers
The development of a pressure ulcer significantly impacts the individual’s ability to participate in activities of daily living (ADL). The occupational therapist’s expertise can be used to identify causative factor(s) to skin breakdown, and to make recommendation(s) that protect the skin or promote wound healing while promoting participation in meaningful occupation.
Steve and Martha Discuss:1. What is a pressure ulcer or bedsore?“All bedsores are pressure ulcers but not all pressure ulcers are bedsores.”Many of these types of wounds develop from the inside out; the factors contributing to tissue breakdown go further than simply laying in the same position for too long.2. How serious can a bedsore be?A bedsore can become very serious if not treated properly and can lead to as serious of a health condition as sepsis or death.3. Do the senior and elderly come along with comorbidities which make them more susceptible to bedsores and pressure ulcers?Yes, usually there is more than one health or dietary issue contributing to the tissue breakdown, medications can also make someone more susceptible to getting bedsores or pressure ulcers. Some health issues that can make a senior more likely to get a bedsore are smoking, diabetes, thyroid issues, etc.4. In nursing home and assisted living facility settings is it a fair assumption to say you’ll see a lot of bedsores and/or pressure wounds?Yes, but it also has to be acknowledged that these populations are more susceptible to these types of wounds in the first place and possibly that these types of wounds are inevitable at some point in their stay/housing time.5. What would be protocols these facilities should have in place to deal with these issues?Utilize the staff members that you don’t usually use to provide overall healthcare such as the pharmacology doctor or the dieticians on staff for preventative care. Keeping track of nutrition plans and minor wounds as they occur will also help prevent major sores. Further, having protocols for when new patients enter to ensure they do not already have wounds that require care from the beginning.6. Are we taking for granted that nursing homes and facilities are doing everything they need to for wound care?We assume that doctors and nurses learn about wound care in school but they often do not and many of the treatments recommended now are very outdated.7. What can families and loved ones do to advocate or help if their loved one has a sore/wound that requires care?Ask for updates on wound care including pictures and reports when a loved one has such an issue, don’t be afraid to look at the wound yourself, and don’t be afraid to advocate and ask questions. Main TakeawaysPressure ulcers and bedsores are not simply from laying in the same position for too long; there are many other contributing factors to the breakdown of tissue and subsequent wounds.There are also many strategies to treat and prevent these types of wounds from developing for at risk individuals. Martha’s Kelso’s checklist “Comprehensive Alternative Risk Factor Form”https://mywoundcareplus.com/online-library Connect with Martha Kelso and Wound Care Plus:Twitter: https://twitter.com/mywoundcareplus Instagram: https://www.instagram.com/woundcareplus/ Facebook: https://www.facebook.com/woundcareplusllc/ Website: https://mywoundcareplus.com/ LinkedIn: https://www.linkedin.com/in/martha-r-kelso-5209741/ CONNECT WITH STEVE H. HEISLER:Website: www.injuredseniorhotline.com Facebook: https://www.facebook.com/attorneysteveheisler/ LinkedIn: https://www.linkedin.com/company/the-law-offices-of-steven-h.-heisler/about/Email: info@injuredseniorhotline.com Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.
With special guests Sharme Brodie, RN, CCDS, CCDS-O, CDI education specialist for ACDIS/HCPro in Middleton, Massachusetts, and Shannon McCall, RHIA, CPC, CCS, CCS-P, CPC-I, CCDS, CCDS-O, CEMC, CRC, director of coding and HIM for Simplify Compliance, ACDIS' parent company. In the news links: Sepsis likely to blame for 20% of worldwide deaths, study shows ACDIS update links: CDI for Outpatient Boot Camp Risk Adjustment Documentation and Coding Boot Camp Featured product: Today's featured ACDIS solution is the 2020 ACDIS Conference, which will take place May 5-8 at the Mirage hotel in Las Vegas. With six educational tracks, inspirational keynotes, and unparalleled networking, you won't want to miss our lucky 13th event. If you register by March 27, you'll get the early bird discount rate, so don't hesitate.
Pressure ulcers are one of the most common health problems in nursing homes. The Agency for Healthcare Research & Quality (AHRQ) project that over two million seniors will develop pressure ulcers annually. Not all pressure ulcers completely heal, and in fact, can lead to deadly complications. On this week's episode, nursing home abuse attorneys Rob Schenk and Will Smith welcome Martha Kelso @MarthaRKelso of @woundcareplus to discuss the diagnosis and comorbidities that prevent proper healing of pressure ulcers.
Download free study guides from Aureus Medical Staffing here: https://www.aureusmedical.com/nptestudycast.aspx
Dr. Levine is a practicing physician in New York City. He is Associate Professor of Geriatrics and Palliative care at the Icahn School of Medicine at Mount Sinai. He is board certified in Internal Medicine and Geriatric Medicine, is a Certified Medical Director and Certified Wound-care Specialist Physician. Starting off as a fellowship trained geriatrician in long-term care, he developed wound care expertise in outpatient and hospital settings, recently returning to the PALTC environment. He has been actively involved in AMDA’s educational efforts in promoting wound care skills among primary care practitioners. Dr. Levine’s is an alumnus of the National Pressure Advisory Panel (NPUAP), and speaks widely and writes on the topic of wound care in older patients. His publications include the wound care chapter in the Geriatric Review Syllabus published by the American Geriatrics Society, and co-authored a book, Pocket Guide to Pressure Ulcers, published by the New Jersey Hospital Association, that is currently the wound guide of choice in many PALTC facilities across America. Dr. Levine also currently serves as wound care consultant for The New Jewish Home In Manhattan and Advantage Wound Care. References: Mervis, J. S., et. al. "Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation.", Journal of the American Academy of Dermatology, Oct., 2019. J. M. Levine, AGSF, CMD et. al. “Reexamining the Literature on Terminal Ulcers, SCALE, Skin Failure, and Unavoidable Pressure Injuries", Advances in Skin and Wound Care, 2019. J. M. Levine, AGSF, CMD; E. A. AYELLO, PHD, RN, "Pocket Guide to Pressure Ulcers" 4th Edition. J. M. Levine, "Wound Care: What the Medical Director Needs to Know", Caring for the Ages, December, 2016. L. Q. Corbett, et. al. "What Do Patients Want? Patient Preference in Wound Care", Advances in Wound Care, Aug., 2014.
One recent study estimated that more than 2.5 million individuals in the US develop pressure ulcers each year. These injuries are even more acute in long-term care, causing catastrophic problems in our elderly population. In this week's episode, nursing home abuse lawyers Rob Schenk and Will Smith welcome guest Catherine Milne, advanced practical wound nurse and co-owner of Connecticut Clinical Nursing Associates, to talk about how long-term care facilities can help prevent pressure ulcers from occurring.
Although some bedsores cannot be avoided, most can and should be prevented before they start. Improper planning and care are the principle culprits to the development of bedsores. In this week's episode, nursing home abuse lawyers Rob Schenk and Will Smith welcome guest Margo Craig, RN from Sentry Legal @legalnurse5 to talk about common interventions that can help prevent the development of bedsores in nursing home residents.
While some pressure ulcers are unavoidable, many can be stopped before they start. As the old saying goes, an ounce of prevention is worth a pound of cure. In this week's episode, nursing home abuse lawyers Rob Schenk and Will Smith welcome guest Martha Kelso, RN from My Wound Care Plus @mywoundcareplus to talk about common interventions that can help prevent the development of pressure ulcers in nursing homes.
Download free study guides from Aureus Medical Staffing here: https://www.aureusmedical.com/nptestudycast.aspx
In this podcast, Laura Franco, VP/Director of Post-Acute Strategy and Jennifer Lamb, RN MBA, Mock Surveyor at Life Care Services discuss the new CMS F-tag, F686-Treatment and Services to Prevent and Heal Pressure Ulcers. This podcast is part of a 49 podcast series where Laura and Jennifer explore all 49 potential substantial care citations with the new F-tag numbering system.
Lynn Schallom is a research scientist at the Barnes-Jewish Hospital in St. Louis. She published a paper ‘Head of Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration, and Pressure Ulcers’ in the American Journal of Critical Care in January 2015. Head of Bed Elevation There is a conflict between the need to keep a patients head […] The post CCP Podcast 036: Head of Bed Elevation and Reflux. appeared first on Critical Care Practitioner.
Lynn Schallom is a research scientist at the Barnes-Jewish Hospital in St. Louis. She published a paper ‘Head of Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration, and Pressure Ulcers' in the American Journal of Critical Care in January 2015. Head of Bed Elevation There is a conflict between the need to keep a patients head […]
Pressure ulcers are skin injuries caused by prolonged pressure. Commonly known as bedsores, these abrasions result from staying in one position for too long. They often appear on body parts where the skin is close to the flesh, like ankles, hips, heels and the tailbone.Eight months ago, Lourdes hospitals began using a unique monitoring device called the Leaf Patient Monitoring System with a goal of reducing the incidence of pressure ulcers, sometimes called bed sores, that occur at hospitals.Since that time, Lourdes has had a hospital-wide average of 90 percent patient-turn (repositioning of the patient) compliance, among the best of the hospitals working with Leaf Healthcare. Maria Brennan, DNP, RN, discusses how to prevent pressure ulcers, improve patient comfort and reduce hospital stays exacerbated by this condition.
Pressure ulcers are among the most common ulcers that occur in hospitals, nursing homes and in those who have limited mobility. They are associated with increased risk of infection, pain, and even death. Many of these ulcers are preventable (not all) and it is important to understand the risks factors for these ulcers and what preventive measures can be implemented by patients and caregivers to minimize their risk. Treatment of these ulcers requires a very broad holistic approach to care that is patient centered and consistent with goals of care. Listen in as Dr. Kim Petrone explains that it's important for the patient and caregiver to understand their nutritional status, their offloading plan, their dressings, and benchmarks for healing. Advanced treatment modalities such as Electrical stimulation and negative pressure wound therapy can also be used to treat recalcitrant ulcers.
This episode - pressure areas and ulcers in older adults. Presented by: Dr Iain Wilkinson (Consultant Geriatrician East Surrey Hospital), and Dr Jo Preston (Consultant Geriatrician St George's Hospital). A BigFings Media Production - www.bigfings.com
People with spinal cord injury and other conditions that limit movement are at great risk for pressure ulcer development. Many risk factors predispose people with spinal cord injury to the development of these wounds; factors include impaired sensation, mobility, spasms and respiratory issues. At Shepherd Center, nurse Cathy Koerner and her colleagues have implemented a comprehensive program to prevent these ulcers among patients while they are in the hospital and after they discharge. Today, Cathy will share some pressure ulcer prevention strategies, which include scheduled turning and repositioning in beds and wheelchairs; management of bowel and bladder issues; proper support surfaces; and regular checks of the skin.
In this episode Dr. Chester Ho discusses pressure ulcers and their causes, costs, prevention and management. After listening to this episode, listeners will be able to: Recognize that pressure ulcers are common and under-recognized as a patient safety issue. Pressure ulcers are largely preventable and are indicative of patient quality of care. Pressure ulcers are expensive to treat and cause great discomfort to patients, decreasing quality of life. Email comments and feedback to w21cedu@ucalgary.ca
A 2002 article regarding the incidence and prevalence of pressure ulcers in children reported from survey data that the incidence of pressure ulcers in children was less than 0.3 percent. In 2011, we know this not to be the case. …Read More »
Intalere welcomes Myra Varnado, BS, CDE, CWOCN, Manager, Hyperbarics and Wound Ostomy Clinical Services, LSU Health System in a quality and patient safety discussion featuring the treatment of pressure ulcers including the important issues to consider regarding pressure ulcer treatment, dressing considerations, specialty equipment and current regulatory issues related to pressure ulcers.
Intalere welcomes Myra Varnado, BS, CDE, CWOCN, Manager, Hyperbarics and Wound Ostomy Clinical Services, LSU Health System in a quality and patient safety discussion featuring the staging of pressure ulcers including the stages used to identify tissue destruction in pressures, limitations to the staging process, and discussion on the concept of back staging.
Intalere welcomes Myra Varnado in a quality and patient safety discussion featuring the initiatives and steps taken at LSU to reduce pressure ulcers.
Guest: David Thomas, MD, CMD Host: Eric Tangalos, MD How common are pressure ulcers in hospitals, nursing homes and other long-term care facilities? What clinical situations put patients at risk for developing pressure ulcers, and how are these wounds diagnosed? Dr. David Thomas, professor of internal medicine and geriatric medicine at Saint Louis University Health Sciences Center, joins host Dr. Eric Tangalos to review strategies for managing pressure ulcers.