An Evidence-Based Bundle t vidence-Based Bundle to Decrease Pr ease Pressure Injuries (PIs) in e Injuries (PIs) in Homecare

Abstract

Practice Problem: Pressure injuries are a significant problem in healthcare settings. The older adult patients in this home health agency have experienced an increased in incidences of pressure injuries which necessitates intervention. PICOT: The PICOT question that guided this project was" In older adults 65years and above with pressure injuries in the home healthcare setting(P), does a pressure injury care bundle(I), compared to the current practices of standard care of repositioning alone( C),reduce the incidence of pressure injuries( O ) in 10 weeks (T)?" Evidence: The evidence used to guide this evidence-based change project was from relevant health literature from databases including CINAHL, ProQuest, PubMed and Google Scholar on pressure injury care bundle implementation to reduce pressure injury on older adult patients in home care settings. Intervention: The Intervention used was the pressure injury care bundle consisting of the Braden scale tool for risk assessment, The Bates-Jasen Wound Assessment(BWAT) tool for skin assessment, nutrition, repositioning, hydration, proper support surfaces, and patients and caregivers involvement were used to reduced the incidence of pressure injury on older adults of the home health agency. The involvement of multidisciplinary clinicians of the home health care agency in implementing the pressure injury care bundle, as well as their feedback, monitoring, and documentation, was effective pressure injuries and reducing pressure injuries. Outcome: The intellectus statistics tool was used to analyzed the difference between standard care and the use of the Pressure injury care bundle. The findings revealed a 98% improvement in older adults' pressure injuries within 10 weeks of using pressure injury care bundle. Conclusion: The pressure injury care bundle achieved an improvement in the patients' pressure injuries and a reduction in patients' pressure incidence. The proportion of standard care was significantly lower than the proportion of pressure injury care bundle.