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Macau Periodical Index (澳門期刊論文索引)
- Author
- Kuoc, Im Meng; Sham Mau Kwong
- Title
- An audit of the prevention and management of pressure sores in patients with advanced cancer
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2007年9月, Vol.7, No.3, pp. 164-167
- Link
- https://www.ssm.gov.mo/docs//2210/2210_5a8a30467cb7467f9d28d719e18bae54_000.pdf
- Keyword
- Medical audit；Pressure sores；Pain；Odours
- Abstract
- Objective: This audit was undertaken to evaluate the outcome of prevention and management of pressure sores in the Hospice and Palliative Care Center (HPC) of Kiang Wu Hospital before and after the issue of clinical guidelines. Methods: Records of patients admitted from 15 April 2005 to 15 August 2005 were reviewed (Phase I). Their Braden scores, bedsore grades and improvement, and demopgraphic data were recorded. Guidelines for prevention and management of bedsores were promulgated among palliative care team members. Educational programs on bedsore preventions and management were conducted. A prospective audit was then conducted between 15 September 2005 and 15 January 2006 (Phase II) on the prevention and management of bedsores in patients admitted during this period, and the data collected compared with those in Phase I. Results: In Phase I, 76 patients were reviewed. In Phase II, 88 patients were studied. In Phase I, before the issue of guidelines and implementation of education programs, 17.1% of patients developed bedsores during their stay in HPC. In Phase II, although the mean length of stay was longer, fewer patients (11.4%) developed bedsores during their stay in HPC. In Phase I, 42.9% of patients with bedsores had their bedsores was found in 60.9% of patients. Conclusions: This audit project revealed that our strategy for prevention and management of bedsores, with promulgation of guidelines and implementation of education programs, was effective. Education programs for the prevention of bedsores should be continued, and further audits conducted, to achieve an even higher standard of prevention and management of bedsores in future. Paragraph Headings: 1. Introduction 1.1. Prevention of bedsores 1.2. Management (Nursing care) 1.3. Management (Symptom control measures) 2. Methods 3. Results 4. Discussion 5. Conclusion Tables: 1. Outcome of Bedsores Figures: 1. Summary of Guidelines for Prevention & Management of Bedsore in HPC