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- W2039418974 abstract "A one day prevalence monitor noted that 35 of 285 patients (12%) had pressure ulcers (PU). 54% of patients with PUs had a serum albumin (alb) measured; of these 89% had a serum alb <3.0 g/dl. Our objective was to quantify the relationship between alb & PU as noted above. A three month study identified 59 patients with PUs; 80% had a serum albumin drawn & 85% of these were <3.5 g/dl. Compared to a hospitalized control group, the mean age of patients with PU was 68 years & 64 in the control group; length of stay (LOS) was 32 days & 12 days, respectively. Weight loss was greater & serum albumin levels were lower than in the control group. Our continuous quality improve opportunities were: 1) Nurses evaluate each patient's risk for skin breakdown daily using the Braden scale. If the Braden scale is 16 or less the Risk for Skin Breakdown Protocol is followed. A dietary consult is requested as part of this protocol when weight loss is >5 kg over 6 months or serum alb <3.2 g/dl & total protein <5.1 g/dl. If the patient has a PU then the Impaired Integrity Protocol is followed which includes a dietary consult. The % of PU patients receiving a dietary consult is being measured as a component of the Dietetics Quality Assessment Plan. 2) Dietitians assess each patient with PU including protein/calorie goals & 3 day calorie count. If goals are not met, then aggressive nutrition intervention is recommended. 3) Meetings have been held with two physician groups requesting them to order a serum alb on their patients with PU & to encourage implementing the RDs recommendations. Physicians, RNs & RDs all have different roles & it is essential that they work together in the prevention & treatment of patients with PUs." @default.
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- W2039418974 date "1994-09-01" @default.
- W2039418974 modified "2023-09-26" @default.
- W2039418974 title "Continuous quality improvement: Patients with pressure ulcers in an acute care teaching hospital" @default.
- W2039418974 doi "https://doi.org/10.1016/0002-8223(94)91823-6" @default.
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