A Prudent Pressure Ulcer Prevention Approach within Care Homes through a Co-production relationship between Direct Healthcare Services and Welsh Wound Innovation Centre
Aim: To establish whether a 5-phased structured approach including audit, education and deployment of a new hybrid mattress has an impact on the overall care received by residents in 4 care home settings across South Wales.
Method: The project was split into 5 phases listed below:-
Phase 1: Audit
•Determine the current prevalence of pressure ulcers, by skin inspection.
•Determine the risk status of the patients using a recognised risk assessment tool (Waterlow score 2007).
•Review the equipment including its appropriateness use and overall condition of the equipment.
•Identify the level of staff knowledge in relation to pressure ulcer prevention
•Identify staff attitudes to pressure ulcer prevention using a validated questionnaire
Phase 2: Education
•An education programme was delivered to all registered and non-registered carers including:-
•Identification of patients at risk, Management and documentation of risk
•Categorising skin damage and differential diagnosis
Use of pressure ulcer prevention equipment (The Dyna-Form Static Air HZ mattress
Phase 3: Deployment of new equipment and support
•Replacement of existing mattresses with Dyna-Form Static HZ mattress
Phase 4: Re-audit 3 months after deployment of Dyna-Form Static HZ mattress
•Re-check of current risk status
•Skin inspection of all residents on the new mattress
•Knowledge and attitudes of carers post education programme
Phase 5: Development of an e-learning digital platform
Results :-This is part of an ongoing project . One nursing home has completed the first four phases of the project. The tables below display the baseline and re-audit demographics of the residents and the results of the mattress check at the baseline audit
•Prevalence of pressure ulcers was low
•Equipment and mattress checks to be reviewed at each home
•Education well received at all homes
•High attendance at teaching sessions
•High return of knowledge and attitude questionnaires
•No pressure damage recorded for any patients on the Dyna-Form Static HZ mattress on patients upon the re-audit
•No Dyna-Form Static HZ mattresses failed the re-audit