Pressure Risk Assessment Tool

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Pressure ulceration has been considered a major health problem not only in the UK but worldwide. Several studies and trials were conducted in order to identify the most effective measure in pressure ulcer care. A number of policies and guidelines that underpin clinical practice highlighted the importance of pressure ulcer prevention (Department of Health, 2011). According to NICE guidance (2014), all patients are potentially at risk of developing pressure ulcers and has made recommendations on prevention, which includes risk assessment and some preventive measures like repositioning and use of pressure-redistributing devices. However, these recommendations can only be made available to the patients with the help of the multidisciplinary team…show more content…
Since there is a difference between the outpatient and inpatient setting, an adapted tool can be developed to identify at-risk patients in the outpatient department and start implementing appropriate pressure ulcer prevention plan. A study conducted by Andersen et al (1982) showed that using a simple scoring system to identify patients at risk of developing pressure ulcers could be useful and effective. They designed the Andersen Pressure Risk Assessment tool, which is much simpler and can be done in lesser time than the Waterlow Assessment Tool. Similarly, Faulkner et al (2015) designed the Exeter Pressure Risk Assessment (EPRAT) as their risk assessment tool in the emergency department in their effort to be proactive in pressure ulcer prevention. The results of this initiative have been positive both for the members of staff and the patients themselves. But in order for us nurses to take this role effectively, regular training and further education in pressure ulcer care and management are needed. I agree with Beldon (2014) who finds that simply providing education is not enough and recommended practical training for this to be effective. Unfortunately, pressure area care is not seen as a priority in our department and as a consequence of this, the majority of our staff have not had recent training or update…show more content…
While others learn from face to face approach like what we do in outpatients, others find peer support helpful. Here in peer support, a patient who had a pressure ulcer teaches another patient about preventive measures and learn from them through their own experiences. This can be appreciated in models like the leg clubs for leg ulcers which can be adapted for pressure ulcers. Lindsay (2004) concluded that leg clubs have proven to be beneficial for patients and carers and provide an effective gathering for health promotion and education. Some even take advantage of an advanced technology like using the Internet and E-learning opportunities. The document in 2001 ‘ Working Together, Learning Together: a Framework for Lifelong Learning’ provided an outline of the nation’s vision for e-learning in the NHS and shown commitment to developing awareness on e-learning and its expanded use. A program conducted by Reiss et al (2003) showed that computer-based health education could be promising in providing information that helps the patients and their carers understand and manage their health issues. However, both these modes of providing patient education have its pros and cons. Models such as leg clubs provide social interaction, empathy and peer support which plays a vital part in helping patients manage their health issues effectively while E-learning provides a
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