A regional specialty policy for pressure sores

Abstract

A survey of pressure sores in Mersey's geriatric units revealed almost universal access to high technology equipment but limited availability of specialist skills and knowledge. Many wounds were treated with toxic or inappropriate agents. Consequently a regional specialty policy for pressure sores, incorporating a tissue viability formulary, was introduced. A second audit investigated its effects.

The prevalence, grade, ages and anatomical sites affected were very similar in the two studies. Patients receiving a pressure sore risk assessment increased, from 157/170 (92%) to 186/187 (99.5%) (p <0.0005). Prior to the introduction of the policy 74/272 (27%) pressure sores had an unsuitable cleanser, cavity filler or dressing compared with 51/309 (16%) subsequently (p <0.005).

This regional specialty audit has improved the management of pressure sores in 10 units.

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