Pressure Ulcers Summit 2016: Updates and Speaker News
Today's summit brings together tissue viability, wound care leads and senior nurses to discuss the important issue of eliminating avoidable pressure ulcers in practice. The conference covers implementing the national stop the pressure campaign and monitoring progress against the 2015 National NICE Quality Standard for Pressure Ulcers. Pressure Ulcers were announced as a key priority area for the new patient safety collaboratives and pressure ulcer prevention is a key NHS Outcomes Framework Improvement Area.
Presentations from the day included:
Susan Bowler, Professional Advisor, NHS England
Stop the Pressure: Moving Forward
- stop the pressure: national update
- pressure ulcers and the 6C’s: moving forward
- maintaining and demonstrating competence and skills for revalidation
Susan Bowler Full Presentation Click Here
Susan's recent work has involved reviewing the economic opportunities associated with pressure ulcer reduction. Today she made the following remarks;
"Pressure ulcers are costly and the harm is avoidable
6000 pressure ulcers are newly acquired in hospital each month (HSICIC)
The campaign for pressure ulcer prevention spread across England in 2010 and drove 'Stop the Pressure' with the aim to eliminate grade 2 and 3 pressure ulcers by Dec 2012
Senior staff were made to look more closely at pressure ulcers and create awareness of this campaign
A communication campaign introduced a number of tools created for stop the pressure including an interactive game to help get the Stop the Pressure messages across to teams
Has it made a difference? There has been a reduction in acute settings. What the graph doesn’t show is that there is a massive fall at the beginning of the campaign - but between April to August some data was not inputted and submitted
In the Netherlands they carried out an audit study and colleagues from the midlands went across to see what they can implement, this has been so successful and will be expanding this to 70 homes this year
These graphs do benchmark in other countries and the UK is doing ok compared to others
Recent work in community settings and care homes has been successful and is happening across England.
There will be a relaunch on stop the pressure day in November, to see if we drive the cost benefit of pressure ulcers further.
Proposed next steps - agree national definitions so less confusing and measurable"
Professor Jackie Stephen-Haynes, Professor & Consultant Nurse in Tissue Viability, Worcestershire Health and Care NHS Trust & Chair, Wound Care Alliance UK
Reducing ‘old’ pressure ulcers and community acquired pressure ulcers
- reducing the overall prevalence of pressure ulcers, included the inherited ones
- how can we prevent pressure ulcers in vulnerable people whilst in their own home?
- what about those people who are not known to any nursing services
- working with care homes and the community to eliminate pressure ulcers
- reducing the number of patients admitted with pressure ulcers
Professor Jackie Stephen-Haynes Full Presentation Click Here
Professor Jackie Stephen-Haynes Abstract:
Professor Jackie Stephen-Haynes presentation considers;
How to reduce the overall prevalence of pressure ulcers, including the pressure ulcers that are inherited and those that are admitted into hospitals.
The importance of pressure ulcer prevention in the community and the care home setting and practical frameworks will be highlighted.
How the NHS England definitions and their interpretation influence care delivery and audit
Introduce the moisture or pressure tool – an aid to differentiation.
The impact of pressure ulcers on individuals, organization and finances
Delegates are reminded that they may become a member of the wound care alliance for free until 2018.
Tina Chambers, Immediate Past Chair, Tissue Viability Society, Tissue Viability Consultant Educator and Advisor, Tina Chambers Ltd
EXTENDED SESSION: International Guidelines on Pressure Ulcers Pressure ulcer grading, reporting including unstageable pressure ulcers and understanding what is avoidable
- international definitions and guidelines
- pressure ulcer reporting: ensuring consistency
- pressure ulcer assessment
- beyond risk assessment and grading: ensuring action!
- implementing the new guidance around unstageable pressure ulcers: project outcomes
- is it really unavoidable? What is and what isn’t
- what if the patient refuses care? how to manage the patient who refuses pressure
Tina Chambers Full Presentation Click Here
In her presentation Tina discussed;
The definition of pressure ulcer has changed since 2014, we must have standard definitions so everyone understands.
All the talk about grading….. does it stop one pressure ulcer? No the key question is - what is a pressure ulcer?
Visit the Tissue Viablity Society https://tvs.org.uk/
Future events of interest:
Eliminating Heel Pressure Ulcers
Pressure Ulcers Summit
Implementing the NICE Guidance & updated Quality Standard on Diabetic Foot Problems: Prevention and Management
16 September 2016