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The findings of a qi project focused on improving patient outcomes for older adults in nursing homes with pressure ulcers or at risk for developing them. The study assessed healthcare worker practices, the effectiveness of educational programs, and the availability of resources for pressure ulcer prevention and treatment in long-term care facilities. Key areas of evaluation included healthcare worker observation, educational programs, and additional resources.
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QI project related to research project- Findings- cushions/mattresses, healthcare worker education, and proper skin care are all attributed to better patient outcomes for older adults in nursing homes with pressure ulcers/at risk for pressure ulcers Setting- long term care facility Project- evaluation of patient’s skin in long term care facilites that are at risk for developing pressure ulcers/already have them, evaluation of healthcare team members understanding of pressure ulcer prevention/treatment, assessment of staff adherence, resources available at faciltiy and resources that can be added to the implementation of educational + treatment options ?s included- Healthcare worker observation- how many times a day were patient’s who are incontinent have their bed linen changed/briefs changed, were they cleaned appropriately? Was skin barrier cream applied? Are they being assess/rotated every 2 hours? Educational program- teaching workers what signs to look for in the devleopment of a pressure ucler, early prevention including- skin barrier creams, cushions, ect. Teaching workers proper body alignments, use of pilliows for relief of bony areas. Complications that can result of untreated pressure ulcers Additional resources- special mattresses, wound care specialist, wound care resource nurse, policy guidelines, one specific type of paperwork for assessing skin and wounds Survey- how comfortable are the healthcare workers about their skills r/t treatment and prevention of pressure ulcers, were there better patient outcomes after the implementation of these programs, what other resources would be helpful?