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A Single Long-Term Acute Care Hospital Experience with a Pressure Ulcer Prevention Program

Young, Daniel L. PT, DPT1; Borris-Hale, Cathy MHA, BSN, RN2; Falconio-West, Margaret BSN, RN, APN/CNS, CWOCN, DAPWCA3; Chakravarthy, Debashish PhD, FAPWCA3

Rehabilitation Nursing Journal: July 2015 - Volume 40 - Issue 4 - p 224–234
doi: 10.1002/rnj.178
Continuing Education

Purpose: The occurrence of pressure ulcers (PrUs) challenges care facilities. Few studies report PrU reduction efforts in long-term acute care (LTAC). This study described the PrU reduction efforts of a single, LTAC facility using the Medline Pressure Ulcer Prevention Program (mPUPP).

Design: This study was a quasi-experimental, quality improvement project, with pre- and postmeasurement design.

Methods: Outcomes were tracked for 24 months. The mPUPP was implemented in month 11. Education for caregivers was provided through an interactive web-based suite. In addition, all Patient Care Technicians attended a 4-week 1-hour inservice. New skin care products were implemented. The facility also implemented an algorithm for treatment of wounds.

Findings: There was a significant reduction in the mean monthly hospital-acquired PrU (nPrU) rate when preprogram is compared to postprogram.

Conclusions: Sustainable nPrU reduction can be achieved with mPUPP.

Clinical Relevance: LTAC hospitals could expect to reduce nPrU with education and incentive of caregivers.

1 Department of Physical Therapy, School of Allied Health Sciences, University of Nevada, Las Vegas, NV, USA

2 Specialty Hospital of Washington-Hadley, SW Washington, DC, USA

3 Medline Industries, Inc., Mundelein, IL, USA

Accepted 4 July 2014.


Daniel L. Young, Department of Physical Therapy, School of Allied Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway Box 453029, Las Vegas, NV 89154-3029.


Grant sponsor: Medline Industries Inc.

© 2015 Association of Rehabilitation Nurses.
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