EBP Sharing.pptx - Pressure Ulcer Incidence in Patients...

Pressure Ulcer Incidence in
Patients Wearing Nasal-Oral
Versus Full-Face Noninvasive
Name

PICO Question
Does the use of full-
face non-invasive
ventilation mask
reduce the future risk
of pressure ulcer
compared with the use
of the traditional nasal-
oral mask?

Fact 1
 Hospital acquired pressure
ulcers (HAPU) affect more
than 2.5 million patients in
the U.S., resulting in
significant patient harm
including pain, expensive
treatments, increased length
of stay, and premature
mortality
.
(Health Research &
Educational Trust,2017).

Fact 2

Full-face mask use the principle of
redistribution of pressure to larger
area whereas the nasal-oral mask
put continuous pressure in one
area. The research showed only
2% who used full-face mask
developed pressure ulcer
compared to 20% developed
pressure sore who used nasal-oral
mask (Schallom et al., 2015).

Fact 3
Clinical Practice
Guidelines from National
Pressure Ulcer Advisory
Panel (NPUAP)
1. Consider older adults with
medical devices to be at risk
for pressure ulcers.
2. Ensure that medical
devices are correctly sized
and fit appropriately to avoid
excessive pressure.
3. Consider using a
prophylactic dressing for
preventing medical device
related pressure ulcers.

Fact 4

Through the work of the American
hospital association (AHA)/ Health
Research & Educational Trust
(HRET) Hospital Engagement
Network (HEN), from 2015 to
2016, more than 1,400 AHA/HRET
HEN 2.0 hospitals reduced
pressure ulcers/injuries by 20
percent. This equates to 1,122
harms prevented and $19,078,000
in cost savings

(HRET, 2017).

MY
Recommendation
Hospitals need to follow the guidelines and
provide all the staff proper in-service education.
Nurses should not rely on any equipment, Proper
assessment and nursing interventions should be
applied to prevent pressure ulcer

References

Health Research & Educational Trust (2017). Hospital Improvement Innovation
Network: Pressure Ulcers. Retrieved from -
hiin.org/topics/pressure-ulcers.shtml

Health Research & Educational Trust. (2017). Preventing hospital acquired pressure
ulcers/injuries. Retrieved from
-ulcers-injuries-hapu-change-package.pdf
 National Pressure Ulcer Advisory Panel., European Pressure Ulcer Advisory Panel.,
and Pan Pacific Pressure Injury Alliance. (2014). Prevention and treatment of
pressure ulcers: Quick reference guide. Retrieved from
TAL-NPUAP-EPUAP-PPPIA-Jan2016.pdf
 Schallom, M., Cracchiolo, L., Falker, A., Foster, J., Hager, J., Morehouse, T., Watts, P.,
Weems, L., & Kollef, M. (2015). Pressure ulcer incidence in patients wearing nasal-
oral versus full-face noninvasive ventilation masks. American Journal of Critical
Care, 24 (4), 349-355. doi: 10.4037/ajcc2015386