Christine Cabrera, RN; Scarlet Marie Ciubal, RN, MAN; Irene Lagarde, RN;
Janine Lapastora, RN; Aileen Magtubo, RN and Riel Pacino, RN
Decubitus ulcer prevention requires an interdisciplinary approach to care. Some parts of decubitus ulcer prevention care are highly routinized, but care must also be tailored to the specific risk profile of each patient. No individual clinician working alone, regardless of how talented, can prevent all decubitus ulcers from developing. Rather, decubitus ulcer prevention requires activities among many individuals, including the multiple disciplines and multiple teams involved in developing and implementing the care plan.
This study aimed to increase the compliance of staff nurses to prevention and management of decubitus ulcer from 65.51% to 100%; zero-in decubitus ulcer formation of long-staying patients and increase discharge rate in an improved condition of patients admitted with decubitus ulcers.
The Plan, Do, Study and Act (PDCA) cycle and Clinical Improvement Practice Program of Continuous Quality Improvement were used to achieve the objective. With this, both qualitative and quantitative approach were utilized in problem identification, establishment of key tasks, standard performance, measurements and targets of decubitus ulcer risk assessment, prevention and management, procedures, analysis, validation of causes, potential problem analysis, program formulation, implementation and evaluation.
After formulation of a Clinical Improvement Practice Program in decubitus ulcer prevention and management which involved: a. revision of hospital policy, procedure and guidelines with regards to decubitus prevention and management, b. formulation of a new decubitus ulcer risk assessment and management tool in collaboration with the medical team, c. training of nurses on recommended positioning techniques and orientation of nurses on how to use the formulated decubitus ulcer risk assessment and management tool, there is 100% compliance of nurses to decubitus ulcer prevention and management; incidence of decubitus ulcer decreased by 0% through the use of continuous assessment sheet and management tool; and 4 out of 6 admitted with pressure ulcer were discharged in an improved condition and the other 2 were on the stage of healing.