| Abstrakt: |
Objectives: Hospice care patients often have multiple comorbidities and organ failure with poor physiological condition, impaired tissue perfusion and physical function, which increases their risk of pressure injuries (PIs). The Objectives: were to investigate patient comorbidities and their associations with PIs; prevalence and incidence of PIs; and the stage, location, duration and outcome of PIs managed. Method: A retrospective descriptive study was conducted and data was obtained from the electronic records of patients admitted to a Perth metropolitan community hospice care service between 1st January 2019 to 31st December 2019. The number and stage of PIs for those with a cancer diagnosis as compared to a non-cancer end of life diagnosis was determined, as was the prevalence and outcomes of PIs managed. Results: The hospice service cared for approximately 2,727 patients with a mean 26% prevalence rate and 17% incidence rate for PIs. There was no statistical difference in the prevalence (24% -26.5%) or incidence (16% - 18%) rates across the three metropolitan care teams. Stage II accounted for 48% of the pressure injuries followed by Stage I (32%. The sacrum was the most common site for a PI and 61% of the patients died with the PI, while 11% were transferred to a hospital or inpatient hospice service and 28% healed. A cancer diagnosis was found to be associated with Stage I and II PIs while Stage III and IV PIs were associated with non-cancer chronic conditions. Conclusion: Hospice patients are at increased risk of PIs and therefore, require a targeted prevention plan. [ABSTRACT FROM AUTHOR] |
