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Pressure ulcers in palliative care: development of a hospice pressure ulcer risk assessment scale.

Henoch, Ingela, 1956 (author)
Gothenburg University,Göteborgs universitet,Institutionen för omvårdnad,Institute of Nursing
Gustafsson, Marianne, 1945 (author)
Gothenburg University,Göteborgs universitet,Institutionen för omvårdnad,Institute of Nursing
 (creator_code:org_t)
2003
2003
English.
In: International journal of palliative nursing. - 1357-6321. ; 9:11, s. 474-84
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The aim of this study was to construct a pressure ulcer risk assessment scale appropriate for palliative care patients. Risk assessments were performed using the modified Norton scale and nine newly constructed scales, consisting of the modified Norton scale with various changes. Data were collected from 98 patients in a Swedish hospice between April 1999 and September 2000. Pressure ulcer occurrence was registered weekly in the patient record. Increasing age, male gender, physical inactivity, immobility, decreasing food and fluid intake, incontinence, poor general physical condition and lean body constitution were shown to be significant risk factors for development of pressure ulcers in terminally ill cancer patients. After further testing of the data, one scale was found to be superior in identifying patients at risk, with higher validity than the modified Norton scale. The assessment items in this new scale, The Hospice Pressure Ulcer Risk Assessment Scale (in Swedish: Hospice Riskbedöming Trycksår, (HoRT)), are physical activity, mobility and age.

Keyword

Adult
Age Distribution
Age Factors
Aged
Aged
80 and over
Female
Geriatric Assessment
Humans
Male
Middle Aged
Nursing Assessment
methods
standards
Nursing Evaluation Research
Palliative Care
Pressure Ulcer
epidemiology
etiology
nursing
Risk Assessment
methods
standards
Risk Factors
Sensitivity and Specificity
Sweden
epidemiology

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art (subject category)

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