The Development of a Pressure Ulcer Risk-Assessment Scale for Perioperative Patients

Abstract The high incidence of pressure ulcer development in patients in the perioperative setting indicates the need for improved risk assessment and the use of preventive measures. A clinical nurse specialist used Dever's Epidemiological Model as the theoretical framework to develop a periope...

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Bibliographic Details
Published in:AORN journal 2010-09, Vol.92 (3), p.272-287
Main Author: Munro, Cassendra A.
Format: Article
Language:English
Subjects:
Anesthesia & Perioperative Care
Delivery of Health Care
Disease prevention
Environment
Humans
Life Style
Measurement techniques
Nursing
Perianesthesia
Perioperative Nursing
perioperative risk factors
pressure ulcer
Pressure Ulcer - epidemiology
Pressure Ulcer - nursing
Risk Assessment
Risk factors
risk-assessment scale
Surgery
Surveys and Questionnaires
Ulcers
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Summary:Abstract The high incidence of pressure ulcer development in patients in the perioperative setting indicates the need for improved risk assessment and the use of preventive measures. A clinical nurse specialist used Dever's Epidemiological Model as the theoretical framework to develop a perioperative pressure ulcer risk-assessment scale. The risk factors for the scale were based on findings from a review of the literature. The scale, along with a demographic questionnaire and an evaluation form, was distributed to 12 nurses and three anesthesiologists to obtain expert opinion to further the design of the scale. Twelve participants returned the forms. Only four of the participants had previous experience with a pressure ulcer risk-assessment scale. The results indicated that diabetes should be included as a risk factor category and that preexisting skin ulcerations, breakdowns, and conditions should be addressed within the scale. The participants unanimously agreed that moisture is an important factor to assess. Validation of each risk factor is essential to improve the reliability of the scale before its implementation.
ISSN:0001-2092
1878-0369
DOI:10.1016/j.aorn.2009.09.035