TEAM-UP for quality: a cluster randomized controlled trial protocol focused on preventing pressure ulcers through repositioning frequency and precipitating factors

BMC Geriatrics
Tracey L YapCathleen Colon-Emeric

Abstract

Pressure ulcers/injuries (PrUs), a critical concern for nursing homes (NH), are responsible for chronic wounds, amputations, septic infections, and premature deaths. PrUs occur most commonly in older adults and NH residence is a risk factor for their development, with at least one of every nine U.S. NH residents experiencing a PrU and many NHs having high incidence and prevalence rates, in some instances well over 20%. PrU direct treatment costs are greater than prevention costs, making prevention-focused protocols critical. Current PrU prevention protocols recommend repositioning residents at moderate, high, and severe risk every 2 h. The advent of visco-elastic (VE) high-density foam support-surfaces over the past decade may now make it possible to extend the repositioning interval to every 3 or 4 h without increasing PrU development. The TEAM-UP (Turn Everyone And Move for Ulcer Prevention) study aims to determine: 1) whether repositioning interval can be extended for NH residents without compromising PrU incidence and 2) how changes in medical severity interact with changes in risk level and repositioning schedule to predict PrU development. In this proposed cluster randomized study, 9 NHs will be randomly assigned to one o...Continue Reading

References

Aug 1, 1992·Journal of the American Geriatrics Society·N Bergstrom, B Braden
Jul 1, 1987·Nursing Research·N BergstromV Holman
Nov 21, 2001·Current Controlled Trials in Cardiovascular Medicine·Steven M Snapinn
Jan 22, 2003·Journal of the American Geriatrics Society·Debra SalibaDan Berlowitz
Nov 1, 1962·Virology·S COOPER, N D ZINDER
Feb 14, 2004·Journal of the American Geriatrics Society·Susan D HornAnne Coble Voss
Jul 22, 2004·Nursing Research·Barbara M Bates-JensenJohn F Schnelle
Sep 16, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Albert J BellgUNKNOWN Treatment Fidelity Workgroup of the NIH Behavior Change Consortium
Dec 8, 2004·International Journal of Nursing Studies·Tom DefloorMaria H F Grypdonck
Feb 17, 2005·Advances in Skin & Wound Care·Karen ZulkowskiUNKNOWN National Pressure Ulcer Advisory Panel
May 17, 2005·Journal of the American Medical Directors Association·Robert L AbelCarol McCauley
Sep 3, 2005·Journal of the American Geriatrics Society·Nancy Bergstrom
Sep 15, 2005·Advances in Skin & Wound Care·Matthew D RedelingsFrank Sorvillo
May 9, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Dwight McNeillCarolyn M Clancy
Oct 25, 2007·Medical Care·Susan D Horn, Julie Gassaway
May 13, 2008·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Eithne KeelaghanMona Baumgarten
May 17, 2008·Journal of the American Geriatrics Society·Kenneth S BoockvarJay Magaziner
Oct 23, 2008·Nihon rinsho. Japanese journal of clinical medicine·Hiroyuki Yoshikawa
Sep 29, 2011·Archives of Internal Medicine·Ba' PhamMurray Krahn
Mar 24, 2012·Advances in Skin & Wound Care·Andrea NiederhauserDan Berlowitz
Feb 5, 2013·International Journal of Nursing Studies·Susanne ColemanJane Nixon
Sep 21, 2013·Journal of the American Geriatrics Society·Nancy BergstromMichael Watkiss
Jun 26, 2014·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·David R Thomas
Sep 4, 2015·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Tracey L YapNancy Bergstrom

❮ Previous
Next ❯

Citations

Jun 3, 2020·The Cochrane Database of Systematic Reviews·Brigid M GillespieWendy P Chaboyer
May 15, 2019·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Tracey L YapKao Ly
Feb 25, 2021·Journal of Gerontological Nursing·Barbara M Bates-JensenHeather E McCreath
Feb 16, 2021·Advances in Skin & Wound Care·Tracey L YapCaroline E Fife

❮ Previous
Next ❯

Methods Mentioned

BETA
MDS

Software Mentioned

NVivo
PMS
PowerPoint
TEAM
MDS
VE
UP
GEESIZE

Related Concepts

Related Feeds

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.