Höhergradiger Dekubitus

Standard

Höhergradiger Dekubitus : Risikofaktoren und Pflegebedingungen in der letzten Lebensphase. / Heinemann, A; Leutenegger, M; Cordes, O; Matschke, J; Hartung, C; Püschel, K; Meier-Baumgartner, H P.

in: Z GERONTOL GERIATR, Jahrgang 34, Nr. 6, 01.12.2001, S. 509-16.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Heinemann, A, Leutenegger, M, Cordes, O, Matschke, J, Hartung, C, Püschel, K & Meier-Baumgartner, HP 2001, 'Höhergradiger Dekubitus: Risikofaktoren und Pflegebedingungen in der letzten Lebensphase', Z GERONTOL GERIATR, Jg. 34, Nr. 6, S. 509-16.

APA

Heinemann, A., Leutenegger, M., Cordes, O., Matschke, J., Hartung, C., Püschel, K., & Meier-Baumgartner, H. P. (2001). Höhergradiger Dekubitus: Risikofaktoren und Pflegebedingungen in der letzten Lebensphase. Z GERONTOL GERIATR, 34(6), 509-16.

Vancouver

Bibtex

@article{b5ab3a86c5ee4c21ae29f25d8bf2e87f,
title = "H{\"o}hergradiger Dekubitus: Risikofaktoren und Pflegebedingungen in der letzten Lebensphase",
abstract = "UNLABELLED: We present an analysis of the risk factors, the origin and the nursing and medical practice of 140 deaths with high-grade pressure sores which had been detected by post-mortem examination before cremation.METHODS: All available nursing and medical records from nursing homes and hospitals were screened; in addition, relatives and head nurses were interviewed. The data sources were screened for individual risk factors, information about pressure sore prevention and treatment activities by nursing staff and general practitioners. Moreover, the utilization of pressure relieving devices for patients before and after development of the final decubitus was analyzed.RESULTS: More than 50% of the pressure ulcers had been incident in nursing homes. The mean duration of the disease was 307 days (median duration 123 days); the maximum duration ranged up to about 6 years. As far as it could be judged from the nursing records, there was a shortfall of nursing quality in terms of prevention efforts which appeared to be frequently inadequate in relation to the risk profile of the residents. Standardized pressure sore record files were missing in most of the cases. General practitioners were not involved in the treatment in 20% of all cases; some of them prescribed an obsolete wound management. In this study 52% of the patients had been classified into the maximum grade within the three-stage German nursing care insurance scheme. In cases of private care information about utilization of financial support and of professional help should be enforced.DISCUSSION: Being an indicator of nursing quality, shortfalls of prevention measures should be combatted by a broad pattern of quality management strategies which could be adapted from the clinical sector.",
keywords = "Adult, Aged, Aged, 80 and over, Family Practice, Female, Homes for the Aged, Humans, Male, Middle Aged, Nursing Homes, Nursing Staff, Hospital, Patient Care Team, Pressure Ulcer, Risk Factors, Terminal Care",
author = "A Heinemann and M Leutenegger and O Cordes and J Matschke and C Hartung and K P{\"u}schel and Meier-Baumgartner, {H P}",
year = "2001",
month = dec,
day = "1",
language = "Deutsch",
volume = "34",
pages = "509--16",
journal = "Z GERONTOL GERIATR",
issn = "0948-6704",
publisher = "D. Steinkopff-Verlag",
number = "6",

}

RIS

TY - JOUR

T1 - Höhergradiger Dekubitus

T2 - Risikofaktoren und Pflegebedingungen in der letzten Lebensphase

AU - Heinemann, A

AU - Leutenegger, M

AU - Cordes, O

AU - Matschke, J

AU - Hartung, C

AU - Püschel, K

AU - Meier-Baumgartner, H P

PY - 2001/12/1

Y1 - 2001/12/1

N2 - UNLABELLED: We present an analysis of the risk factors, the origin and the nursing and medical practice of 140 deaths with high-grade pressure sores which had been detected by post-mortem examination before cremation.METHODS: All available nursing and medical records from nursing homes and hospitals were screened; in addition, relatives and head nurses were interviewed. The data sources were screened for individual risk factors, information about pressure sore prevention and treatment activities by nursing staff and general practitioners. Moreover, the utilization of pressure relieving devices for patients before and after development of the final decubitus was analyzed.RESULTS: More than 50% of the pressure ulcers had been incident in nursing homes. The mean duration of the disease was 307 days (median duration 123 days); the maximum duration ranged up to about 6 years. As far as it could be judged from the nursing records, there was a shortfall of nursing quality in terms of prevention efforts which appeared to be frequently inadequate in relation to the risk profile of the residents. Standardized pressure sore record files were missing in most of the cases. General practitioners were not involved in the treatment in 20% of all cases; some of them prescribed an obsolete wound management. In this study 52% of the patients had been classified into the maximum grade within the three-stage German nursing care insurance scheme. In cases of private care information about utilization of financial support and of professional help should be enforced.DISCUSSION: Being an indicator of nursing quality, shortfalls of prevention measures should be combatted by a broad pattern of quality management strategies which could be adapted from the clinical sector.

AB - UNLABELLED: We present an analysis of the risk factors, the origin and the nursing and medical practice of 140 deaths with high-grade pressure sores which had been detected by post-mortem examination before cremation.METHODS: All available nursing and medical records from nursing homes and hospitals were screened; in addition, relatives and head nurses were interviewed. The data sources were screened for individual risk factors, information about pressure sore prevention and treatment activities by nursing staff and general practitioners. Moreover, the utilization of pressure relieving devices for patients before and after development of the final decubitus was analyzed.RESULTS: More than 50% of the pressure ulcers had been incident in nursing homes. The mean duration of the disease was 307 days (median duration 123 days); the maximum duration ranged up to about 6 years. As far as it could be judged from the nursing records, there was a shortfall of nursing quality in terms of prevention efforts which appeared to be frequently inadequate in relation to the risk profile of the residents. Standardized pressure sore record files were missing in most of the cases. General practitioners were not involved in the treatment in 20% of all cases; some of them prescribed an obsolete wound management. In this study 52% of the patients had been classified into the maximum grade within the three-stage German nursing care insurance scheme. In cases of private care information about utilization of financial support and of professional help should be enforced.DISCUSSION: Being an indicator of nursing quality, shortfalls of prevention measures should be combatted by a broad pattern of quality management strategies which could be adapted from the clinical sector.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Family Practice

KW - Female

KW - Homes for the Aged

KW - Humans

KW - Male

KW - Middle Aged

KW - Nursing Homes

KW - Nursing Staff, Hospital

KW - Patient Care Team

KW - Pressure Ulcer

KW - Risk Factors

KW - Terminal Care

M3 - SCORING: Zeitschriftenaufsatz

C2 - 11828893

VL - 34

SP - 509

EP - 516

JO - Z GERONTOL GERIATR

JF - Z GERONTOL GERIATR

SN - 0948-6704

IS - 6

ER -