The Who What and Why s of Pressure Ulcers atom Alliance Healthcare Quality Summit

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "The Who What and Why s of Pressure Ulcers atom Alliance Healthcare Quality Summit"

Transcription

1 The Who, What and Why s of Pressure Ulcers Harriet Jones Medical Director Wound Management Services Clinic April 14, 2015 The Who What and Why s of Pressure Ulcers atom Alliance Healthcare Quality Summit April 14, 2015 Harriet Jones, MD, FAPWCA Associate Professor of Medicine Medical Director Wound Management Services University of MS Medical Center 1

2 Objectives Appreciate the impact of Pressure Ulcers (PrUs) Healthcare Dollars/Mortality/Morbidity Become more familiar with PrUs Characteristics of/mechanisms of development Better understand Staging System of PrU Help equip organizations to develop and/or improve institutional PrU programs Association Advancement of Wound Care (AAWC) American Professional Wound Care Association (APWCA) Pr-U Definition Localized injury to the skin and/or underlying tissue usually over a bony prominence as a result of pressure or pressure in combination w/shear and/or friction. 2

3 Types of Wounds not PrUs Skin tears Arterial ulcers Venous ulcers Neuropathic ulcers Diabe=c Foot ulcers How Many. Overall prevalence 10-38% in acute care facilities New PrU cases million people per year 7% new PrU in acute care patients 3

4 4/8/15 Burden Annual cost $11 billion Cost per PrU $500 to $70k Stage IV PrU cost including related complications $130k for a single hospitalization Financial burden * now shifted to the patient and the hospital; *stage 3 & 4 ulcers now never event Classification System National Pressure Ulcer Advisory Panel (NPUAP) System used by CMS for LTC facilities Based on the type of tissue affected or seen in the wound bed rather than the depth of the wound in centimeters 4

5 NPUAP Staging System: based on extent of?ssue loss Stage 1 intact skin with nonblanchable redness of a localized area usually over a bony prominence Stage 2 involve partial thickness skin loss; presenting as a shallow open ulcer w/a red pink wound bed w/out slough Stage 3 - Full thickness tissue loss; subcutaneous fat may be visible but bone and tendon/muscle are not exposed Stage 4 can extend into muscle and/or supporting structures (fascia/tendon/joint) Unstageable -one that cannot be accurately assessed b/c the FT tissue loss in which the base of the ulcer is covered by slough and/or eschar in wound bed Suspected DTI defined by purple or maroon localized area of discolored intact skin or blood filled blister due to damage of underlying soft tissue from pressure and/or shear Pr U Prevention Consists of both risk assessment applica=on of preven=ve measures and interven=ons 5

6 Using the AAWC Pressure Ulcer (PU) Guidelines to Manage Pressure Ulcers 3 Steps to manage a PU pa=ent: Assess and document pa=ent, skin & PU Prevent PU with care plan focused on reducing risk Treat pa=ent and PU to heal and prevent recurrence See Website for guideline details, references, implementa=on tools, pa=ent brochure and evidence Instrument to Evaluate PrU Risk Braden Scale Based on 6 subscales measuring 2 etiologic factors in PrU development Intensity and duration of pressure Sensory perception; activity; mobility Tissue tolerance for pressure Nutrition; moisture; friction/shear Subscales scored 1-4; Friction/sheer 1-3 Possible score 6-23 Lower scores indicate greater risk for PrU development 6

7 Known Associations for PrU Development Obesity vs Normal weight BMI > 30kg/m2 Physiological changes in skin affected by dysfunction of Barrier function Sebaceous glands; sebum production Sweat glands Lymphatics Collagen structure and function Subcutaneous fat Weight of pannus Increased skin:skin contact Torsion; gravity; larger in motion mass AAWC For guideline details, references, implementa=on tools, pa=ent brochure and evidence please see: - Assess and document patient s skin - Prevent pressure ulcers (PU) as feasible focusing on those at risk of developing a PU - Treat patient and PU to heal as feasible 7

8 Recommendations Document pressure ulcer progress weekly using reliable, valid measures: - length x width to estimate area - partial- or full-thickness depth assessment Address all patient PU risk factors identified limited mobility, activity, cognition, sensation Manage skin moisture Here is what we did at UMMC HAC Reduc=on Oversight CommiRee Looked at data from the CMS HAC Reduc=on Program Launched variety of performance improvement teams for HAC Teams led by nurse manager and physician champion PU, Falls with Injury, Iatrogenic, PTX Teams challenged with reducing occurrences by 50% from prior fiscal year Teams review best prac=ce, current UMMC prac=ce, and barriers to change Report generated and presented to the HAC Oversight CommiRee - > to Quality Board Organiza=onal wide HAC informa=on tracked by DIS Report can be filtered by numerous possible variables including Unit, date, HAC, Payor, Limita=on dependent on input New CMO has requested more real =me clinical data input Source: UMMC HAC oversight commiree 8

9 4/8/15 Source: UMMC HAC oversight commiree Source: UMMC HAC oversight commiree 9

10 Source: UMMC HAC oversight commiree Source: UMMC HAC oversight commiree 10

11 Source: UMMC HAC oversight commiree Source: UMMC HAC oversight commiree 11

12 Thank You For more information contact your state s QIN-QIO representative: 23 This material was presented on behalf of atom Alliance, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO), coordinated by Qsource for Tennessee, Kentucky, Indiana, Mississippi and Alabama under a contract with the Centers for Medicare & Medicaid Services (CMS), a federal agency of the U.S. Department of Health and Human Services. Content does not necessarily reflect CMS policy. 15.SS.MS D 12

Wound and Skin Assessment. Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center

Wound and Skin Assessment. Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center Wound and Skin Assessment Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center Skin The largest Organ Weighs between 6 and 8 pounds Covers over 20 square feet Thickness

More information

Pressure Ulcers Assessing and Staging. Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010

Pressure Ulcers Assessing and Staging. Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010 Pressure Ulcers Assessing and Staging Anne Pirzadeh RN CWOCN University of Colorado Hospital June 2010 Never Events: Pressure Ulcers Pressure Ulcer Codes: MD documentation of pressure ulcers determines

More information

Pressure Ulcer Passport

Pressure Ulcer Passport Pressure Ulcer Passport Information for patients This is a record of the treatment you are receiving for your pressure ulcer injury. Please bring it with you to all your healthcare appointments. This will

More information

7/11/2011. Pressure Ulcers. Moisture-NOT Pressure. Wounds NOT Caused by Pressure

7/11/2011. Pressure Ulcers. Moisture-NOT Pressure. Wounds NOT Caused by Pressure Assessment and Documentation of Pressure Ulcers Jeri Ann Lundgren, RN, BSN, PHN, CWS, CWCN Pathway Health Services July 19, 2011 Training Objectives Describe etiologies of pressure ulcers Discuss how to

More information

Position Statement: Pressure Ulcer Staging

Position Statement: Pressure Ulcer Staging Position Statement: Pressure Ulcer Staging Statement of Position The Wound, Ostomy and Continence Nurses (WOCN) Society supports the use of the National Pressure Ulcer Advisory Panel Staging System (NPUAP).

More information

Pressure Ulcers in Neonatal Patients. Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care

Pressure Ulcers in Neonatal Patients. Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care Pressure Ulcers in Neonatal Patients Rene Amaya, MD Pediatric Specialists of Houston Infectious Disease/Wound Care Objectives Review skin anatomy and understand why neonatal skin is at increased risk for

More information

Pressure Ulcers: Assessment & Treatment. E. Williams, MD, Assistant Professor, University of Toronto

Pressure Ulcers: Assessment & Treatment. E. Williams, MD, Assistant Professor, University of Toronto Pressure Ulcers: Assessment & Treatment Learning Objectives Understand physician responsibilities for assessment and management Accurately stage and describe pressure ulcers Prescribe topical treatments

More information

Pressure Ulcers/Altered Skin Integrity. Key Points

Pressure Ulcers/Altered Skin Integrity. Key Points v2 Pressure Ulcers/Altered Skin Integrity Key Points Pressure ulcers are regions of localized damage to the skin and underlying tissues that usually develop over bony prominences such as the sacrum or

More information

WOCN Society Position Statement: Pressure Ulcer Staging

WOCN Society Position Statement: Pressure Ulcer Staging WOCN Society Position Statement: Pressure Ulcer Staging Originated By: Wound Committee Date Completed: 1996 Reviewed/Revised: July 2006 Revised: August 2007 Reviewed/Revised: April 2011 Definition of Pressure

More information

Skin & Wound Care Prevention & Treatment. By Candy Houk, RN Skin & Wound Program Manager

Skin & Wound Care Prevention & Treatment. By Candy Houk, RN Skin & Wound Program Manager Skin & Wound Care Prevention & Treatment By Candy Houk, RN Skin & Wound Program Manager OBJECTIVES Classify Stage 1 and 2 pressure ulcers Recognize suspected Stage 3, 4, DTI, and unstageable pressure ulcers

More information

4/8/2016. Pressure Ulcers & Pressure Ulcer Prevention. Objectives

4/8/2016. Pressure Ulcers & Pressure Ulcer Prevention. Objectives Pressure Ulcers & Pressure Ulcer Prevention Second Annual Wound Care Conference April 14 & 15, 2016 Deena Patek RN BSN WCC OMS Clinic Coordinator Wound & Ostomy Services Sisters of Charity of Leavenworth

More information

Pressure Ulcers Risk Management and Treatment

Pressure Ulcers Risk Management and Treatment Pressure Ulcers Risk Management and Treatment Objectives State reasons why individuals initiate lawsuits. Define strategies to reduce the risk of litigation. Determine appropriate treatment for the patient.

More information

Heel Pressure Ulcer Protocol:

Heel Pressure Ulcer Protocol: 1316 Sherman Avenue Evanston, Illinois 60201 800.254.5438 www.heelift.com Heel Pressure Ulcer Protocol: A Critical Task For Your Facility A White Paper presented by DM Systems, Inc. Heel Pressure Ulcers

More information

OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers

OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers OASIS-C Integument Assessment: Not for Wimps! Part I: Pressure Ulcers Presented by: Rhonda Will, RN, BS, COS-C, HCS-D Assistant Director, OASIS Competency Institute 243 King Street, Suite 246 Northampton,

More information

Wound Classification Name That Wound Sheridan, WY June 8 th 2013

Wound Classification Name That Wound Sheridan, WY June 8 th 2013 Initial Wound Care Consult Sheridan, WY June 8 th, 2013 History Physical Examination Detailed examination of the wound Photographs Cultures Procedures TCOM ABI Debridement Management Decisions A Detailed

More information

F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE)

F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE) F. PRINCIPLES OF TREATMENT BASED ON ETIOLOGY (TREAT THE CAUSE) F.3. PRESSURE ULCER (PU) 3.1. PU Background and Extent of Etiology (from the SWCCAC Wound Management Program March 2011) A pressure ulcer

More information

Diabetic Foot Ulcers and Pressure Ulcers. Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences

Diabetic Foot Ulcers and Pressure Ulcers. Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences Diabetic Foot Ulcers and Pressure Ulcers Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences Lecture Objectives Identify risk factors Initiate appropriate

More information

STUDENT ORIENTATION SKIN & WOUND & DOCUMENTATION

STUDENT ORIENTATION SKIN & WOUND & DOCUMENTATION STUDENT ORIENTATION SKIN & WOUND & DOCUMENTATION Revised October 2013, by Yvette Barnes Objectives Pressure Ulcer (PU) prevention (6 minutes) Early Identification (6 minutes) Management of Wounds (6 minutes)

More information

Saving Face Strategies to avoid skin breakdown during NIV. Hospital Respiratory Care Education Department August 02, 2011

Saving Face Strategies to avoid skin breakdown during NIV. Hospital Respiratory Care Education Department August 02, 2011 Saving Face Strategies to avoid skin breakdown during NIV Hospital Respiratory Care Education Department August 02, 2011 Focal areas NIV Complications Patient Assessment Wound Reduction Education Department,

More information

Pressure Injury Prevention and Management Policy

Pressure Injury Prevention and Management Policy Pressure Injury Prevention and Management Policy Owner (initiating the document): Dr Amanda Ling Contact name and number: Rachel Dennis (Ph: 9222 2197) Version: 1.5 Approved by: Professor Bryant Stokes,

More information

MAKING SENSE WITH CODING WOUNDS. BARBARA S. LIST, BSN,RN,CWOCN

MAKING SENSE WITH CODING WOUNDS. BARBARA S. LIST, BSN,RN,CWOCN MAKING SENSE WITH CODING WOUNDS BARBARA S. LIST, BSN,RN,CWOCN Blist@phs.org TERROR 2 TYPES OF WOUNDS ARTERIAL PRESURE ULCERS VENOUS DIABETIC SURGICAL TRAUMA ATYPICAL 3 ARTERIAL ULCERS Causes Atherosclerosis

More information

REGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE. Documentation Checklist Local Coverage Determination (LCD)

REGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE. Documentation Checklist Local Coverage Determination (LCD) REGION D MEDICARE GROUP 2 PRESSURE REDUCING SUPPORT SUFACE Documentation Checklist Local Coverage Determination (LCD) Disclaimer: The ROHO Group gathered these documents from various sources as an educational

More information

Appendix G: Skin and Wound Care Program Training Presentation. Educational Resource for Clinical Staff Release Date: November 26, 2010

Appendix G: Skin and Wound Care Program Training Presentation. Educational Resource for Clinical Staff Release Date: November 26, 2010 Appendix G: Skin and Wound Care Program Training Presentation Educational Resource for Clinical Staff Release Date: November 26, 2010 Outline Training Objectives Skin Care Management Skin Care Assessment

More information

SECTION M: SKIN CONDITIONS. M0100: Determination of Pressure Ulcer Risk. Item Rationale Health-related Quality of Life.

SECTION M: SKIN CONDITIONS. M0100: Determination of Pressure Ulcer Risk. Item Rationale Health-related Quality of Life. SECTION M: SKIN CONDITIONS Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers. This section also notes other skin ulcers, wounds, or lesions, and documents

More information

PRA Disclosure Statement

PRA Disclosure Statement PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB

More information

SECTION M: SKIN CONDITIONS. M0100: Determination of Pressure Ulcer Risk. Item Rationale Health-related Quality of Life.

SECTION M: SKIN CONDITIONS. M0100: Determination of Pressure Ulcer Risk. Item Rationale Health-related Quality of Life. SECTION M: SKIN CONDITIONS Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers. This section also notes other skin ulcers, wounds, or lesions, and documents

More information

WOUND OSTOMY CONTINENCE NURSES SOCIETY GUIDANCE ON OASIS-C INTEGUMENTARY ITEMS

WOUND OSTOMY CONTINENCE NURSES SOCIETY GUIDANCE ON OASIS-C INTEGUMENTARY ITEMS Wound Ostomy Continence Nurses Society Guidance on OASIS-C Integumentary Items WOCN OASIS Taskforce Members: Ben Peirce (Chairperson), RN, BA, CWOCN, COS-C Dianne Mackey, BSN, RN, PHN, CWOCN Laurie McNichol,

More information

Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians

Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary Items: Best Practice for Clinicians Acknowledgments Wound, Ostomy and Continence Nurses Society s Guidance on OASIS-C1 Integumentary

More information

Section M. Skin Conditions. Objectives. Major Changes to Section M 1. Major Changes to Section M 2. Organizational Assessment

Section M. Skin Conditions. Objectives. Major Changes to Section M 1. Major Changes to Section M 2. Organizational Assessment Objectives Section M Skin Conditions Review key components of pressure ulcer risk assessment. Discuss the new pressure ulcer staging. Describe how to measure pressure ulcers. Discuss importance of interdisciplinary

More information

Topical Oxygen Wound Therapy (MEDICAID)

Topical Oxygen Wound Therapy (MEDICAID) Topical Oxygen Wound Therapy (MEDICAID) Last Review Date: September 11, 2015 Number: MG.MM.DM.15C6v2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or

More information

PRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT

PRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT PRESSURE ULCER GUIDELINES FOR TOPICAL TREATMENT The following are suggested guidelines for treatment of pressure ulcers using products from Swiss-American Products, Inc. and are intended to supplement

More information

Pressure Injury Prevention and Management

Pressure Injury Prevention and Management Policy Professional Leadership, Education and Research Branch ACT Health Pressure Injury Prevention and Management Policy Statement This policy provides for a comprehensive, coordinated and systematic

More information

Pressure Ulcers by the Numbers: Does Staging Predict Progression?

Pressure Ulcers by the Numbers: Does Staging Predict Progression? Pressure Ulcers by the Numbers: Does Staging Predict Progression? Aamir Siddiqui, MD, FACS Division of Plastic Surgery Henry Ford Hospital Detroit MI Faculty Disclosure Aamir Siddiqui MD Dr. Siddiqui has

More information

Common Pathology Diagnoses: ICD-9 to ICD-10 Mapping

Common Pathology Diagnoses: ICD-9 to ICD-10 Mapping PERFORMANCE THAT MATTERS NUMBER OF CODES 14,000 69,000 ICD-9 DIAGNOSIS CODES ICD-10 DIAGNOSIS CODES CODE STRUCTURE ICD-9-CM CODE FORMAT ICD-10-CM CODE FORMAT X X X X X X X X X X X X CATEGORY ETIOLOGY,

More information

Beverlin Allen, PhD, RN, MSN, ARNP

Beverlin Allen, PhD, RN, MSN, ARNP Pressure Ulcers & Nutritional Deficits in Elderly Long-Term Care Patients: Effects of a Comprehensive Nutritional Protocol on Pressure Ulcer Healing, Length of Hospital Stay & Health Care Charges Beverlin

More information

5/6/2015. Wound Care for the Critical Care Patient DISCLOSURES

5/6/2015. Wound Care for the Critical Care Patient DISCLOSURES Wound Care for the Critical Care Patient Critical Care Conference May 2015 DISCLOSURES None WALT DISNEY AROUND HERE We don t look backwards FOR VERY LONG We keep moving forward, Opening up new doors and

More information

QUICK GUIDE PRESSURE ULCER PREVENTION FOR HEALTHCARE PROFESSIONALS.

QUICK GUIDE PRESSURE ULCER PREVENTION FOR HEALTHCARE PROFESSIONALS. QUICK GUIDE PRESSURE ULCER PREVENTION FOR HEALTHCARE PROFESSIONALS www.thinkpressurecare.co.uk This booklet has been produced by Invacare for healthcare professionals working with individuals at risk of

More information

HCPCS AMERIGEL HYDROGEL DRESSINGS CODING GUIDANCE FOR:

HCPCS AMERIGEL HYDROGEL DRESSINGS CODING GUIDANCE FOR: HCPCS CODING GUIDANCE FOR: AMERIGEL HYDROGEL DRESSINGS FORM 1500 MUST HAVE THE FOLLOWING: APPROPRIATE HCPCS CODE APPROPRIATE A MODIFIER ACCURATE POS = 12 The Centers for Medicare and Medicaid Services

More information

Identifying Hard to Detect Pressure Ulcers in Individuals

Identifying Hard to Detect Pressure Ulcers in Individuals Identifying Hard to Detect Pressure Ulcers in Individuals with Dark Skin Tones Sheila Carter, MSN, RN FNP BC, CWON, CFCN Pam Damron, MSN, RN, CWON Patricia Moore, RN, ASN, CWCN Jennifer Vandiver, RN, BSN,

More information

Objectives- Participants will:

Objectives- Participants will: Pressure Ulcer Staging Elizabeth A. Ayello PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Clinical Editor, Advances in Skin and Wound Care Faculty, Excelsior College School of Nursing Co-Director and Course

More information

Sample. Pressure Sores Prevention & Awareness. Copyright Notice. This booklet remains the intellectual property of Redcrier Publications L td

Sample. Pressure Sores Prevention & Awareness. Copyright Notice. This booklet remains the intellectual property of Redcrier Publications L td First Name: Surname Name: Company: Date: Pressure Sores Prevention & Awareness Please complete the above, in the blocks provided, as clearly as possible. Completing the details in full will ensure that

More information

CLPNA Pressure Ulcers ecourse: Module 3 Quiz II page 1

CLPNA Pressure Ulcers ecourse: Module 3 Quiz II page 1 CLPNA Pressure Ulcers ecourse: Module 3 Quiz II 1. Healthcare organizations should have procedures in place to identify at risk patients and residents as soon as possible after they enter their facility.

More information

Unraveling the Pressure Ulcer and Wound Care Sections of OASIS-C

Unraveling the Pressure Ulcer and Wound Care Sections of OASIS-C Special Feature Unraveling the Pressure Ulcer and Wound Care Sections of OASIS-C by Clay E. Collins, RN, BSN, CWOCN, CFCN, CWS It s finally here! The long-awaited OASIS-C data collection tool for home

More information

Skilled Nursing Policy and Procedure

Skilled Nursing Policy and Procedure Skilled Nursing Policy and Procedure Subject/Title: References: Wound Management Guidance to Surveyors for Long Term Care Facilities, Centers for Medicare and Medicaid Services (CMS), August 17, 2007 Report

More information

Corridor Consult Pressure Ulcers: What Clinicians Need to Know

Corridor Consult Pressure Ulcers: What Clinicians Need to Know Corridor Consult William T Wake, MD, FAAFP Introduction Pressure ulcer treatment is one of many aspects of patient care in which nursing care interfaces directly with clinician-provided medical services.

More information

Wound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates

Wound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates C HAPTER 9 Wound Healing Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates As the above quote suggests, conduct regular and systematic wound assessments, and seize

More information

Protection and treatment of pressure ulcers. A Coloplast Wound Care quick guide

Protection and treatment of pressure ulcers. A Coloplast Wound Care quick guide Protection and treatment of pressure ulcers A Coloplast Wound Care quick guide Table of content Foreword... 3 Introduction to pressure ulcers... 4 Good clinical practice... 5 Pressure ulcer guide... 6

More information

FUNCTIONS OF THE SKIN

FUNCTIONS OF THE SKIN FUNCTIONS OF THE SKIN Skin is the largest organ of the body. The average adult has 18 square feet of skin which account for 16% of the total body weight. Skin acts as a physical barrier for you to the

More information

Corporate Medical Policy Pressure Reducing Support Surfaces

Corporate Medical Policy Pressure Reducing Support Surfaces Corporate Medical Policy Pressure Reducing Support Surfaces File Name: Origination: Last CAP Review: Next CAP Review: Last Review: pressure_reducing_support_surfaces 7/2006 9/2015 9/2016 9/2015 Description

More information

Pressure Ulcers- The Extent of the Problem and Clinical Challenges. Keith Harding

Pressure Ulcers- The Extent of the Problem and Clinical Challenges. Keith Harding Pressure Ulcers- The Extent of the Problem and Clinical Challenges Keith Harding Head of Department of Dermatology & Wound Healing Director of Innovation & Engagement School of Medicine Clinical Director

More information

7/30/2012. Increased incidence of chronic diseases due

7/30/2012. Increased incidence of chronic diseases due Dianne Rudolph, DNP, GNP bc, CWOCN Discuss management of wound care in older adults with focus on lower extremity ulcers Identify key aspects of prevention Explain basic principles of wound management

More information

Preventing Pressure Ulcers in Patients with Orthopaedic Conditions

Preventing Pressure Ulcers in Patients with Orthopaedic Conditions Preventing Pressure Ulcers in Patients with Orthopaedic Conditions Joyce Pittman PhD, ANP-BC, FNP-BC, CWOCN jpittma3@iuhealth.org CONFLICT OF INTEREST I hereby certify that, to the best of my knowledge,

More information

Pressure Ulcer Prevention and Assessment. Pressure Ulcers now termed Pressure Injuries. Pressure Injuries

Pressure Ulcer Prevention and Assessment. Pressure Ulcers now termed Pressure Injuries. Pressure Injuries Pressure Ulcer Prevention and Assessment Patricia Howell RN, BSN Clinical Support Manager Pressure Ulcers now termed Pressure Injuries Pressure Injury: A pressure injury is localized damage to the skin

More information

Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s):

Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Use Use this protocol for a sampled resident having,

More information

APPLICATION OF DRY DRESSING

APPLICATION OF DRY DRESSING G-100 APPLICATION OF DRY DRESSING PURPOSE To aid in the management of a wound with minimal drainage. To protect the wound from injury, prevent introduction of bacteria, reduce discomfort, and assist with

More information

NPUAP PRESSURE ULCER ROOT CAUSE ANALYSIS (RCA) TEMPLATE

NPUAP PRESSURE ULCER ROOT CAUSE ANALYSIS (RCA) TEMPLATE Purpose: The development of a facility acquired pressure ulcer brings with it both a financial impact to an institution and a performance or quality of care impact that may be reportable to state or government

More information

Reducing Hospital. of Pressure Damage. Spread the Learning and celebrate the successes

Reducing Hospital. of Pressure Damage. Spread the Learning and celebrate the successes Reducing Hospital Acquired Pressure Ulcers Prevention & Management of Pressure Damage Spread the Learning and celebrate the successes Prevalence & Cost Prevalence ranges from 10% to 18% in the UK (Clark

More information

Report by Pat Tyrrell, Lead Nurse, Argyll & Bute CHP on behalf of Heidi May, Board Nurse Director

Report by Pat Tyrrell, Lead Nurse, Argyll & Bute CHP on behalf of Heidi May, Board Nurse Director Highland NHS Board 4 October 2011 Item 4.6(b) TISSUE VIABILITY PRESSURE ULCER PREVENTION Report by Pat Tyrrell, Lead Nurse, Argyll & Bute CHP on behalf of Heidi May, Board Nurse Director The Board is asked

More information

NPUAP PRESSURE ULCER ROOT CAUSE ANALYSIS (RCA) TEMPLATE National Pressure Ulcer Advisory Panel March 2014

NPUAP PRESSURE ULCER ROOT CAUSE ANALYSIS (RCA) TEMPLATE National Pressure Ulcer Advisory Panel March 2014 Purpose: The development of a facility acquired pressure ulcer brings with it both a financial impact to an institution and a performance or quality of care impact that may be reportable to state or government

More information

Prevention of Pressure Ulcers and Incontinence Care Education for Nursing Assistants

Prevention of Pressure Ulcers and Incontinence Care Education for Nursing Assistants Prevention of Pressure Ulcers and Incontinence Care Education for Nursing Assistants Jeri Lundgren, RN, BSN, PHN, CWS, CWCN Director of Wound & Continence Services August 24, 2010 1:30-2:30 PM CST Prevention

More information

Lower Extremity Arterial Disease (LEAD)

Lower Extremity Arterial Disease (LEAD) Lower Extremity Arterial Disease (LEAD) Lower Extremity Arterial Disease (LEAD) Lower extremity arterial disease May also be referred to as: Peripheral vascular disease (PVD) Peripheral arterial obstructive

More information

Tissue Viability. Course Sample

Tissue Viability.  Course Sample Tissue Viability http://www.ncctrainingresources.co.uk/product/skin-lesions-and-breakdown/ Course Sample Certificate in Tissue Viability PROGRAMME Student Name:.. Company:... Tutor/Mentor:. Start Date:..

More information

Wound Care: The Basics

Wound Care: The Basics Wound Care: The Basics Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP University of Virginia May, 2010 What Type of Wound is it? How long has it been there? Acute-generally

More information

Pressure Ulcers Among Nursing Home Residents: United States, 2004

Pressure Ulcers Among Nursing Home Residents: United States, 2004 Pressure Ulcers Among Nursing Home Residents: United States, 2004 Eunice Park-Lee, Ph.D., and Christine Caffrey, Ph.D., Division of Health Care Statistics Key findings Data from the National Nursing Home

More information

Wound Care Pearls Kellie Dowell, RN, CWCN, CWS

Wound Care Pearls Kellie Dowell, RN, CWCN, CWS Wound Care Pearls 2013 Kellie Dowell, RN, CWCN, CWS Functions of the Skin Thermoregulation Protection Sensation Water retention Synthesis of Vitamin D Expression of Emotion The Skin Overview Largest organ

More information

Electrical Stimulation and Electromagnetic Therapy for Wound Healing

Electrical Stimulation and Electromagnetic Therapy for Wound Healing Harmony Behavioral Health, Inc. Harmony Behavioral Health of Florida, Inc. Harmony Health Plan of Illinois, Inc. HealthEase of Florida, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance

More information

9/20/2013. Webinar Guidelines. September 26, 2013 12-1:00 pm ET. 1 hour presentation by Dr. Elizabeth Ayello including a discussion period at the end.

9/20/2013. Webinar Guidelines. September 26, 2013 12-1:00 pm ET. 1 hour presentation by Dr. Elizabeth Ayello including a discussion period at the end. Medicaid Redesign Team Gold STAMP Project Webinar Staging, Measuring and Documenting Pressure Ulcers September 26, 2013 12-1:00 pm ET This project is funded through a Memorandum of Understanding with the

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 13 COMPRESSION THERAPY FOR VENOUS DISORDERS AND VENOUS ULCERATION Original authors: Gregory L. Moneta and Hugo Partsch Abstracted by Teresa L. Carman Introduction: The first treatment used for

More information

Pressure Ulcers: Facility Assessment Checklists

Pressure Ulcers: Facility Assessment Checklists Pressure Ulcers: Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to managing pressure ulcers in the facility, in

More information

Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal

Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal Carol Rauen RN BC, MS, PCCN, CCRN, CEN Integumentary IV infiltration Pressure ulcers Wounds Infectious Surgical Trauma

More information

Skin/Wound Referral Resource

Skin/Wound Referral Resource Skin/Wound Referral Resource This resource was designed by the University of Michigan Health System Multidisciplinary Pressure Ulcer Prevention Committee for nursing and physician use. This document s

More information

Pressure Ulcer Reporting and Investigation. All Wales Guidance

Pressure Ulcer Reporting and Investigation. All Wales Guidance Pressure Ulcer Reporting and Investigation All Wales Guidance 2014 1 Guideline Development This All Wales Guideline for Pressure Ulcer Reporting and Investigation has been developed by: Julie Evans Jane

More information

Risk assessment is the first step in planning pressure ulcer prevention strategies

Risk assessment is the first step in planning pressure ulcer prevention strategies Pressure Ulcer Risk Assessment Introduction Risk assessment is the first step in planning pressure ulcer prevention strategies (Moore and Cowman, 2014). The purpose of this assessment is to identify those

More information

NHS Safety Thermometer: Annual Publication, Patient Harms and Harm Free Care. England April March 2014, Official Statistics

NHS Safety Thermometer: Annual Publication, Patient Harms and Harm Free Care. England April March 2014, Official Statistics NHS Safety Thermometer: Annual Publication, Patient Harms and Harm Free Care England April 2012- March 2014, Official Statistics Published 15 July 2014 NHS Safety Thermometer Annual Publication: Patient

More information

Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89

Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 Pressure ulcers Quality standard Published: 11 June 2015 nice.org.uk/guidance/qs89 NICE 2015. All rights reserved. Contents Introduction... 6 Why this quality standard is needed... 6 How this quality standard

More information

Heel Pressure Ulcers: 2014

Heel Pressure Ulcers: 2014 Heel Pressure Ulcers: 2014 International Pressure Ulcer Prevention & Treatment Guidelines Diane Langemo, PhD, RN, FAAN Objectives Discuss heel anatomy & physiology as it contributes to pressure ulcer development

More information

Multiple sclerosis information

Multiple sclerosis information Multiple sclerosis information for health and social care professionals MS: an overview Diagnosis Types of MS Prognosis Clinical measures A multidisciplinary approach to MS care Self-management Relapse

More information

Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers

Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers S46 Product focus Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers Abstract Pressure ulcers, a key quality of care indicator, cause emotional distress to the patient,

More information

Protocol for Determining Neglect in the Development of a Pressure Ulcer

Protocol for Determining Neglect in the Development of a Pressure Ulcer Protocol for Determining Neglect in the Development of a Pressure Ulcer Date of Implementation: October 2012 Date of Review: October 2014 National and Regional Context: This protocol is supported by the

More information

PRESSURE SORES INTRODUCTION OBJECTIVES. When the student has finished this module, he/she will be able to: WHAT IS A PRESSURE SORE?

PRESSURE SORES INTRODUCTION OBJECTIVES. When the student has finished this module, he/she will be able to: WHAT IS A PRESSURE SORE? PRESSURE SORES INTRODUCTION Pressure sores (also known as bed sores, decubitus ulcers, or pressure ulcers) are open wounds in the skin that are caused by immobility. People who cannot move perhaps because

More information

Pressure Ulcers in the ICU Incidence, Risk Factors & Prevention

Pressure Ulcers in the ICU Incidence, Risk Factors & Prevention Congress of the Critical Care Society of South Africa Sun City, 10-12 July 2015 Pressure Ulcers in the ICU Incidence, Risk Factors & Prevention Stijn BLOT Dept. of Internal Medicine Faculty of Medicine

More information

Fax or completed survey to Michelle Memmi at or no later than September xx, 2008.

Fax or  completed survey to Michelle Memmi at or no later than September xx, 2008. THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA Hospital Baseline Self Assessment Survey for Pressure Ulcer Prevention and Early Stage Pressure Ulcer Treatment The Pennsylvania Pressure Ulcer Partnership

More information

Pressure Ulcer Prevention Prevention Is The Cure

Pressure Ulcer Prevention Prevention Is The Cure The new name for Central Essex Community Service Pressure Ulcer Prevention Prevention Is The Cure Lorraine Grothier Clinical Nurse Specialist Tissue Viability Is Prevention Important? An estimated 4-20%

More information

BEST PRACTICES RESEARCH

BEST PRACTICES RESEARCH Frost & Sullivan 2015 1 We Accelerate Growth Contents Background and Company Performance... 3 Industry Challenges... 3 New Product Attributes and Customer Impact... 3 Conclusion... 6 Significance of New

More information

Skin Tear Resource Kit

Skin Tear Resource Kit Skin Tear Resource Kit 136473_Broch.indd 1 10/16/13 8:55 PM Skin Tear: A Clinical Problem An Often Painful But Largely Preventable Health Care Issue Skin tears affect all ages and continue to be a common

More information

Family of Nasal Cannulas. From Westmed, Inc for educational purposes only

Family of Nasal Cannulas. From Westmed, Inc for educational purposes only Family of Nasal Cannulas Westmed manufactures an extensive line of nasal cannulas made of a proprietary elastomeric medical polymer which is called Comfort Soft Plus. Westmed was the originator and first-to-market

More information

Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION. Statement of LICENSURE Violations

Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION. Statement of LICENSURE Violations (X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: (X3) SURVEY D NAME OF PROVER OR SUPPLIER (X4) SUMMARY REGULATORY OR LSC ENTIFYING INFORMATION) PROVER'S PLAN OF CORRECTION Final Observations Statement of

More information

4 Tissue Maturation: Epithelialization

4 Tissue Maturation: Epithelialization Treatment of Sores Figure 1. Wound Healing Process Wound Blood Clot Blood Blood Vessel Fat Tissue The wound in the skin exposes deep tissue layers to the air. Scab Scab Exudate Granulation Tissue 3 Blood

More information

Pressure ulcers. Information for patients and carers. Prevention and treatment

Pressure ulcers. Information for patients and carers. Prevention and treatment Pressure ulcers Information for patients and carers Prevention and treatment What is a pressure ulcer? A pressure ulcer is damage that occurs to the skin and underlying tissue that may become an open wound.

More information

Understand nurse aide skills needed to promote skin integrity.

Understand nurse aide skills needed to promote skin integrity. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aide s role in providing residents hygiene, grooming, and skin care. Indicator Understand nurse aide skills needed to promote skin

More information

PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS

PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS PERFORMANCE MEASURE TECHNICAL SPECIFICATIONS 1. Rate of Emergency Department Visits The number of visits experienced by PACE participants to acute care hospital Emergency Departments, urgent care clinics,

More information

WOUND MANAGEMENT PROTOCOLS WOUND CLEANSING: REMOVING WOUND DEBRIS FROM WOUND BASE

WOUND MANAGEMENT PROTOCOLS WOUND CLEANSING: REMOVING WOUND DEBRIS FROM WOUND BASE WOUND MANAGEMENT PROTOCOLS PURPOSE: Provide nursing personnel with simple guidance regarding appropriate dressing selection in the absence of wound specialist expertise Identify appropriate interventions

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

More information

Wound & Pressure Ulcer Management for Medical Directors

Wound & Pressure Ulcer Management for Medical Directors Wound & Pressure Ulcer Management for Medical Directors Leading the Interdisciplinary Team Objectives 1. To educate the Medical Director on proper diagnosis and staging of pressure ulcers 2. To review

More information

Pressure ulcers prevention and treatment

Pressure ulcers prevention and treatment Pressure ulcers prevention and treatment A Coloplast quick guide Biatain the simple choice Table of Contents Pressure ulcers prevention and treatment Pressure ulcers prevention and treatment... 3 What

More information

In the Know's Inservice Club presents A Personal Care Module: Preventing Pressure Sores

In the Know's Inservice Club presents A Personal Care Module: Preventing Pressure Sores In the Know's Inservice Club presents A Personal Care Module: Preventing Pressure Sores We hope you enjoy this Inservice, prepared especially for nursing assistants like you. You work very hard, and we

More information

Management of Incontinence Associated Dermatitis

Management of Incontinence Associated Dermatitis Management of Incontinence Associated Dermatitis Mary Montague MSN RN ACNS-BC CWOCN April 12, 2013 Objectives Define Moisture-Associated Skin Damage Define Incontinence-Associated Dermatitis Differentiate

More information

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and payment resource for the physical therapist

Coding and Payment Guide for the Physical Therapist. An essential coding, billing, and payment resource for the physical therapist Coding and Payment Guide for the Physical Therapist An essential coding, billing, and payment resource for the physical therapist 2013 Contents Introduction...1 Coding Systems... 1 Claim Forms... 3 Contents

More information

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS Template: Regional Foot Programs should develop a list of available health professionals in the following

More information

OASIS-C to OASIS-C1 Crosswalk Guide

OASIS-C to OASIS-C1 Crosswalk Guide OASIS-C to OASIS-C1 Crosswalk Guide Developed by Strategic Healthcare Programs www.shpdata.com Includes ICD-9 Coding errors mean returned claims, delayed payments, and hours of re-work and the coming transition

More information