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Keywords
Pressure injuries, oncology unit, evidence-based practice
Disciplines
Nursing
Description
Pressure injuries (PIs) are unfortunately a common finding on oncology units. Pressure redistribution is essential in pressure injury prevention and control strategies, which include the use of support surfaces. In this evidence-based practice (EBP) project, we have highlighted current best evidence on the use of equipment to prevent new or existing pressure injuries. Implementation includes having Stryker Isotour pumps readily available on the unit instead of having to consult the wound care team to order the pump for a patient. PIs are associated with an estimated excess mortality rate of 72 deaths per 1,000 and excess cost of $18,000/case (Kahn & Jonusas, 2019). Systemic support surfaces such as foam mattresses, gel foam mattresses, and alternating pressure-reducing mattresses are key to the prevention of pressure injuries (Huang et al., 2023). The pressure relief performance and comfort of mattresses have an extreme effect on the quality of life (Ren et al., 2023). A suitable mattress or chair option can aid in reducing pressure and shear. However, even with these technologies, people still need to be moved. (Zeng et al., 2023). A study using a new breathable silk-like, 3-layer ventilating mattress sheet that allowed for patients to self-reposition in bed found that it led to a decrease in PIs (Van Leen et al, 2022). Another study found no difference in PI prevalence when comparing manual repositioning to a specialty mattress (DeMellow et al., 2023). Hospital-acquired PIs (HAPIs) have a serious effect on patient outcomes and systemic support surfaces coupled with repositioning can reduce the incidences of HAPIs. This EBP project evaluated the effectiveness of Stryker IsoTour pumps versus Hill-Rom beds in preventing PIs on an oncology unit.
Publication Date
5-6-2024
Recommended Citation
Arriaga A, Makuch E, Reynolds-Tharp M, Meyer L, Bell J, Gierak G et al Making stryker isotour pumps nurse driven. Presented at Corewell Health William Beaumont University Hospital; 2024 May 6-12; Royal Oak, MI.
Comments
Nurses Week at Corewell Health William Beaumont University Hospital, Royal Oak, MI, May 6-12, 2024.