1. Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS
REDUCING
Hospital Acquired Pressure Ulcers among
SPINAL CORD INJURY PATIENTS
MARILOU MENDOZA, RN, Senior Wound and Stoma Care Specialist and Educator

2. Hospital Acquired Pressure Ulcers among SPINAL CORD INJURY PATIENTS
REDUCING
Hospital Acquired Pressure Ulcers
among
SPINAL CORD INJURY PATIENTS
HIGHLIGHTS
Identify common factors causing pressure ulcers among Spinal Cord Injury patients
Describe strategies in reducing Hospital Acquired Pressure Ulcers among spinal cord injury patients at Sultan Bin Abdulaziz Humanitarian City

3. POOR NUTRITIONAL STATUS
MOBILITY
(limitation in activity )
SENSATION
(impaired)
MOISTURE
(incontinence)
POOR NUTRITIONAL STATUS
PRESSURE ULCER
Pressure Ulcers Following Spinal Cord Injury

4. Yearly HAPU Monitoring (2010-2011)

5. SCI Units Pressure Ulcer Prevention Group
Hospital Acquired Pressure Ulcer Prevention Team
(Interdisciplinary members)
SCI Units Pressure Ulcer Prevention Group
(Education and Accreditation Manager, Service Manager, Charge Nurses, RNs, NAs )
STRATEGIES
LEADING THE TASK

6. STRATEGIES PRESSURE ULCERS DEVICES LACK OF EDUCATION (previous trauma)
DEVICES
(lack of assessment, tight application)
LACK OF EDUCATION
(previous trauma)
NON-COMPLIANCE
STRATEGIES
PRESSURE
ULCERS
IDENTIFYING
OUR
CHALLENGES
LACK OF CONTINUOUS PREVENTIVE MEASURES
UNDOCUMEN-TED /
UNREPORTED PRESSURE ULCERS

7. Goal: STRATEGIES Reduce HAPU incidence among SCI Units to 27%
Goal:
Reduce HAPU incidence among SCI Units to 27%
STRATEGIES
Sub goals:
To educate at least >80% of the staff with direct patient care (Nurses, Rehab staff, Physicians)by the end of 2012
Monthly unit acquired pressure ulcer incidence shall not exceed 27% of the total monthly HAPU
To reach 100 % documentation of the presence of pressure ulcers either hospital acquired or community acquired
SETTING OUR GOAL

8. APPLYING OUR PLANS TO ACTION
EDUCATION
RISK ASSESSMENT AND PROTOCOLS
SKIN INSPECTION
COMMUNICATION
QUARTERLY POINT PREVALENCE SURVEY
UNANNOUNCED UNIT ROUNDS
INDIVIDUALIZED UNIT PLANNING
STRATEGIES
APPLYING OUR PLANS TO ACTION

9. Result To be presented
RESULT
Education

10. SCI Monthly HAPU rate (2012)
Result To be presented
RESULT
SCI Monthly HAPU rate (2012)

11. Result To be presented
RESULT
Documentation
(CAPU/HAPU)

12. Result To be presented
RESULT
GOAL

13. Make Pressure Ulcer Education as mandatory for all healthcare providers.
Provide consistent education and close monitoring to all patients at risk not only with SCI patients.
Continuous awareness plan regarding identifying and prevention of pressure ulcers among healthcare providers, patient, family and caregiver.
Recommendations

14. Education plays a big role in prevention.
Pressure Ulcer Prevention requires participation from the different members of the Interdisciplinary Team.
Management/Organization‘s support is very essential to facilitate programs in HAPU prevention.
SUMMARY

15. The future belongs to those who believe
The future belongs to those
who believe
in the beauty of their dreams."
Thank you…
Q & A