Part 1: Pressure ulcer assessment - the development of Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE)

Nursing in Critical Care
Annette Richardson, Isabel Barrow

Abstract

Critically ill patients are at high risk of developing pressure ulcers resulting in serious untoward patient and health care system outcomes. Pressure ulcer prevention is therefore an important patient safety priority and establishing a structured approach to pressure ulcer risk assessment to identify patients at risk is a critical first step. The literature was searched using three electronic databases from 2000 to 2011 to identify papers reporting on pressure ulcer risk factors and assessment in adult critical care. The review and appraisal of papers were conducted by two critical care nurses. Papers underwent detailed review if they met inclusion criteria where they identified pressure ulcer assessment scores, scales or risk factors and related to adult critical care patients Seven papers were reviewed. No single assessment tool was sufficiently validated for critically ill patients and seven key critical care risk factors were identified. These risk factors were: mechanical ventilation, impaired circulation, dialysis, long surgery, low protein and too unstable to turn. The tool Critical Care Pressure Ulcer Assessment Tool made Easy (CALCULATE) was developed utilizing the risk factors from the literature and expert critical ...Continue Reading

References

Oct 10, 2002·Intensive Care Medicine·B Paul J A KellerChristian van der Werken
Apr 15, 2004·Age and Ageing·Gerry BennettJohn Posnett
Aug 24, 2006·JAMA : the Journal of the American Medical Association·Madhuri ReddyPaula A Rochon
Dec 17, 2008·Journal of Clinical Nursing·Nele NijsGreet Van Den Berghe
Jul 10, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·N RanjitV Padmanabhan
Apr 29, 2010·Journal of Advanced Nursing·InSook Cho, Maengseok Noh
May 27, 2010·Journal of Clinical Nursing·Toshiko KaitaniHiromi Sanada

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Citations

Jan 16, 2016·Nursing in Critical Care·Julie Scholes, John Albarran
Nov 3, 2016·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Peggy KalowesMelanie Li
May 6, 2020·Nursing in Critical Care·Ampornpan TheeranutPanita Limpawattana
Mar 20, 2015·Nursing in Critical Care·Annette Richardson, Christine Straughan
Apr 12, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Annette RichardsonIain J McCullagh

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