Risk Assessment and Prevention of Pressure Ulcers
Authors: William V. Padula, C. Tod Brindle, Mary Beth F. Makic
Journal: Annals of Internal Medicine (2015)

Letters20 October 2015Risk Assessment and Prevention of Pressure UlcersWilliam V. Padula, PhD, MS, MSc, C. Tod Brindle, RN, MSN, CWOCN, and Mary Beth F. Makic, PhD, RNWilliam V. Padula, PhD, MS, MScFrom Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Virginia Commonwealth University Health System, Richmond, Virginia; and University of Colorado, Aurora, Colorado.Search for more papers by this author, C. Tod Brindle, RN, MSN, CWOCNFrom Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Virginia Commonwealth University Health System, Richmond, Virginia; and University of Colorado, Aurora, Colorado.Search for more papers by this author, and Mary Beth F. Makic, PhD, RNFrom Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Virginia Commonwealth University Health System, Richmond, Virginia; and University of Colorado, Aurora, Colorado.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5147 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Qaseem and colleagues (1) effectively summarize the strength of evidence supporting pressure ulcer prevention, which is only weak to moderate in most cases. We agree with their recommendation that clinicians should assess all hospitalized patients to identify those at risk for pressure ulcers. How this first step is implemented is important in order to initiate other components of evidence-based practices as indicated by the Wound, Ostomy and Continence Nurses Society, as well as the National Pressure Ulcer Advisory Panel (NPUAP), European Pressure Ulcer Advisory Panel, and Pan Pacific Pressure Injury Alliance in the 2014 international guidelines for ...References1. Qaseem A, Mir TP, Starkey M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2015;162:359-69. [PMID: 25732278] doi:10.7326/M14-1567 LinkGoogle Scholar2. National Pressure Ulcer Advisory Panel; European Pressure Ulcer Advisory Panel; Pan Pacific Pressure Injury Alliance; Emily Haesler, eds. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Perth, Australia: Cambridge Media; 2014. Google Scholar3. Ratliff CR, Tomaselli N. WOCN update on evidence-based guideline for pressure ulcers. J Wound Ostomy Continence Nurs. 2010;37:459-60. [PMID: 20838310] doi:10.1097/WON.0b013e3181f17cae CrossrefMedlineGoogle Scholar4. García-Fernández FP, Pancorbo-Hidalgo PL, Agreda JJ. Predictive capacity of risk assessment scales and clinical judgment for pressure ulcers: a meta-analysis. J Wound Ostomy Continence Nurs. 2014;41:24-34. [PMID: 24280770] doi:10.1097/01.WON.0000438014.90734.a2 CrossrefMedlineGoogle Scholar5. Padula WV, Mishra MK, Makic MB, Valuck RJ. A framework of quality improvement interventions to implement evidence-based practices for pressure ulcer prevention. Adv Skin Wound Care. 2014;27:280-4. [PMID: 24836619] doi:10.1097/01.ASW.0000450703.87099.5b CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Virginia Commonwealth University Health System, Richmond, Virginia; and University of Colorado, Aurora, Colorado.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L15-0422. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRisk Assessment and Prevention of Pressure Ulcers: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Tanveer P. Mir , Melissa Starkey , Thomas D. Denberg , and Risk Assessment and Prevention of Pressure Ulcers Todd J. Kowalski , Michelle L. Tilson , and Sonya A. Brickner Risk Assessment and Prevention of Pressure Ulcers Mary Ann Forciea , Linda L. Humphrey , and Amir Qaseem Risk Assessment and Prevention of Pressure Ulcers Mary Ann Forciea , Linda L. Humphrey , and Amir Qaseem Risk Assessment and Prevention of Pressure Ulcers Todd J. Kowalski , Michelle L. Tilson , and Sonya A. Brickner Metrics Cited byA novel bamboo sheet chair and its influence on sitting comfortUsing clinical data to predict high-cost performance coding issues associated with pressure ulcers: a multilevel cohort model 20 October 2015Volume 163, Issue 8Page: 645KeywordsDisclosureEvidence based medicinePressure ulcersQuality improvementRisk assessmentsTreatment guidelines ePublished: 20 October 2015 Issue Published: 20 October 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...