Gadd Molly M
Molly M. Gadd, DNP, RN, CWOCN, ACNP-BC, Carespring Healthcare Management, Fort Thomas, Kentucky.
J Wound Ostomy Continence Nurs. 2014 Jan-Feb;41(1):86-9. doi: 10.1097/01.WON.0000438017.83110.6c.
Hospital-acquired pressure ulcer incidence rates continue to rise in the United States in the acute care setting despite efforts to extinguish them, and pressure ulcers are a nursing-sensitive quality indicator. The Braden Scale for Predicting Pressure Sore Risk instrument has been shown to be a valid and reliable instrument for assessing pressure ulcer risk.
This case study represented 1 patient out of a chart audit that reviewed 20 patients with confirmed hospital-acquired pressure ulcers. The goal of the audit was to determine whether these ulcers might be avoided if preventive interventions based on Braden subscale scores versus the cumulative score were implemented.
This case study describes a patient who, deemed at low risk for pressure ulcer development based on cumulative Braden Scale, may have benefited from interventions based on the subscale scores of sensory perception, activity, and mobility. Further research is needed to determine whether interventions based on subscales may be effective for preventing pressure ulcers when compared to a protocol based exclusively on the cumulative score.
尽管美国在急性护理环境中已努力消除医院获得性压疮，但该类压疮的发病率仍在持续上升，且压疮是护理敏感质量指标。预测压疮风险的Braden量表已被证明是评估压疮风险的有效且可靠的工具。
本病例研究是从对20例确诊为医院获得性压疮患者的病历审核中选取的1例患者。审核的目的是确定如果实施基于Braden子量表评分与累积评分的预防干预措施，这些溃疡是否可以避免。
本病例研究描述了一名患者，根据Braden量表累积评分被认为发生压疮的风险较低，但基于感觉、活动和移动性子量表评分的干预措施可能对其有益。与仅基于累积评分的方案相比，基于子量表的干预措施预防压疮是否有效，还需要进一步研究。
