Limited Record Review- Pressure Ulcers

By I A on Tue, 11/01/2022 - 20:53
LTCSP Initial Pool Care Areas Tabs

  • Did the resident develop a pressure ulcer in the facility that has not healed?  

  • Did the resident have a pressure ulcer that worsened and hasn’t improved recently?  

  • Does the resident currently have a pressure ulcer that became infected in the facility?  

 

Note: Exclude Stage 1 pressure ulcers.  

  • Comprehensive Risk Assessment:

    • Utilize validated risk assessment tools, such as the Braden Scale, to identify residents at risk upon admission and periodically thereafter (e.g., weekly for the first four weeks, then quarterly or with any significant change in condition) .

  • Skin Inspections:

    • Conduct thorough skin assessments regularly, focusing on bony prominences and areas under medical devices. Ensure assessments are done in well-lit conditions to detect any early signs of pressure injuries .

  • Care Planning:

    • Develop individualized care plans based on the risk assessment outcomes. Plans should include interventions to mitigate identified risk factors such as impaired mobility, incontinence, or poor nutrition .

  • Pressure Redistribution:

    • Implement regular repositioning schedules to relieve pressure on vulnerable areas. Use pressure-relieving devices like special mattresses and cushions .

  • Nutrition and Hydration:

    • Ensure residents receive adequate nutrition and hydration, as malnutrition and dehydration can increase the risk of pressure ulcers. Consult dietitians for specialized dietary plans .

  • Moisture Management:

    • Address incontinence and excessive moisture with appropriate products and skin care routines to maintain skin integrity and reduce the risk of maceration .

  • Education and Training:

    • Provide ongoing education and training for staff on the prevention, identification, and management of pressure ulcers. Ensure staff are knowledgeable about the facility’s protocols and current best practices .

  • Use of Appropriate Dressings:

    • Select dressings based on the specific characteristics of the pressure ulcer, the treatment goals, and the manufacturer’s recommendations. Regularly reassess wound characteristics to ensure the chosen treatments remain appropriate .

  • Monitoring and Documentation:

    • Keep detailed records of all assessments, care plans, and interventions. Document any changes in the resident’s condition or the status of pressure ulcers meticulously .

No Issues/NA 

 

Further Investigation  

 

MDS Discrepancy 

LTCSP Initial Pool Care Areas Tabs

LTCSP Initial Pool Care Areas Tabs

  • Did the resident develop a pressure ulcer in the facility that has not healed?  

  • Did the resident have a pressure ulcer that worsened and hasn’t improved recently?  

  • Does the resident currently have a pressure ulcer that became infected in the facility?  

 

Note: Exclude Stage 1 pressure ulcers.  

  • Comprehensive Risk Assessment:

    • Utilize validated risk assessment tools, such as the Braden Scale, to identify residents at risk upon admission and periodically thereafter (e.g., weekly for the first four weeks, then quarterly or with any significant change in condition) .

  • Skin Inspections:

    • Conduct thorough skin assessments regularly, focusing on bony prominences and areas under medical devices. Ensure assessments are done in well-lit conditions to detect any early signs of pressure injuries .

  • Care Planning:

    • Develop individualized care plans based on the risk assessment outcomes. Plans should include interventions to mitigate identified risk factors such as impaired mobility, incontinence, or poor nutrition .

  • Pressure Redistribution:

    • Implement regular repositioning schedules to relieve pressure on vulnerable areas. Use pressure-relieving devices like special mattresses and cushions .

  • Nutrition and Hydration:

    • Ensure residents receive adequate nutrition and hydration, as malnutrition and dehydration can increase the risk of pressure ulcers. Consult dietitians for specialized dietary plans .

  • Moisture Management:

    • Address incontinence and excessive moisture with appropriate products and skin care routines to maintain skin integrity and reduce the risk of maceration .

  • Education and Training:

    • Provide ongoing education and training for staff on the prevention, identification, and management of pressure ulcers. Ensure staff are knowledgeable about the facility’s protocols and current best practices .

  • Use of Appropriate Dressings:

    • Select dressings based on the specific characteristics of the pressure ulcer, the treatment goals, and the manufacturer’s recommendations. Regularly reassess wound characteristics to ensure the chosen treatments remain appropriate .

  • Monitoring and Documentation:

    • Keep detailed records of all assessments, care plans, and interventions. Document any changes in the resident’s condition or the status of pressure ulcers meticulously .

No Issues/NA 

 

Further Investigation  

 

MDS Discrepancy 

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