[Method of documentation in decubitus. Decubitus protocol allows for more effective treatment].
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Biomedical subjects
Publications and source records attributed to K Ledwell-Sifner.
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To effectively prevent and manage pressure sores, healthcare professionals need an accurate assessment and precise communication of the status of skin and soft tissue. A study by French et al. (1983) found inconsistency in staff nurses' descriptions of pressure sores. Consistency in documentation was significantly improved immediately after a standardized teaching session, but these improvements were much less evident after 6 months. Based on these findings, a pressure sore flow sheet was developed at the authors' institution, the Rehabilitation Institute of Chicago, as a result of the study. The purpose of this form is to assist the nurse in conducting a more thorough, objective, and consistent evaluation of pressure sores. The form contains assessment parameters, key descriptor words, and a diagram with axes on which to draw the sore and label significant areas such as necrotic tissue. A grading key also is included on the form to ensure consistency in grading of pressure sores.