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    Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial

    Access Status
    Fulltext not available
    Authors
    Santamaria, Nick
    Carville, Keryln
    Prentice, Jenny
    Ellis, Isabelle
    Ellis, T.
    Lewin, Gill
    Newall, Nelly
    Haslehurst, Paula
    Bremner, A.
    Date
    2009
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Santamaria, N. and Carville, K. and Prentice, J. and Ellis, I. and Ellis, T. and Lewin, G. and Newall, N. et al. 2009. Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial. Wound Practice and Research. 17 (1): pp. 12-22.
    Source Title
    Wound Practice and Research
    Additional URLs
    http://www.awma.com.au/journal/1701_03.pdf
    ISSN
    1323-2495
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/12783
    Collection
    • Curtin Research Publications
    Abstract

    Pressure ulcers are a significant iatrogenic cause of morbidity and mortality in the aged care population, with prevalence reported to be as high as 43% in some aged care facilities. The PRIME trial was a 15-month pre- and post-intervention study designed to investigate the effectiveness of an integrated pressure ulcer management system consisting of pressure ulcer risk assessment tools, Australian Wound Management Association (AWMA) guidelines, digital imaging and clinical education in reducing pressure ulcer prevalence in residential aged care facilities. A total of 1228 residents from 23 residential aged care facilities were enrolled in this Commonwealth-funded study. The findings suggest that the PRIME intervention significantly reduced pressure ulcer prevalence risk by 52% (p<0.001) and highlighted the association between cachexia, Braden sub-scales for activity, nutrition, friction/shear and pressure ulcer risk. The study also demonstrated that following the PRIME intervention, the use of appropriate pressure ulcer risk reducing equipment was significantly increased. Overall, the results suggest that an integrated approach combining the elements of the PRIME intervention is effective in reducing pressure ulcer prevalence in the frail elderly population in residential aged care facilities.

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