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Asian Pacific Journal of Nursing

Volume 10, Issue 2, 2023
Mcmed International
Asian Pacific Journal of Nursing
Issn
XXX-XXXX (Print), 2349 – 0683 (Online)
Frequency
bi-annual
Email
editorapjn@mcmed.us
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Abstract
Title
PRESSURE ULCER - ZERO TOLERANCE
Author
Usha Banerjee*, Jiji Dias, Mariamma, Hemalata, RinzinWangmo, N.Rathina
Email
Usha Banerjee*, Jiji Dias, Mariamma, Hemalata, Rin
keyword
HAPU [Hospital Acquired Pressure Ulcer], CAPU [Community Acquired Pressure Ulcer], Braden scale [Braden Pressure Ulcer Risk Assessment], (IAD).Incontinence-associated dermatitis, DAPU [Device associated Pressure Ulcer], MARSI [Medical adhesive related s
Abstract
Hospital-acquired pressure ulcers (HAPUs) are a national concern due to patient morbidity, treatment cost, and reimbursement issues. Indraprastha Apollo Hospital is a quaternary care hospital with a complex set up covering various super specialties. It includes legible number of (200) critical care beds. Our aim is to provide healthcare of international standards to the common people. One of our major challenges is dealing with bed bound patients who are prone to develop HAPU due to poor skin integrity. Patients are elderly, critically ill, unable to do activities of daily living [ADL] and have various co-morbid conditions or are hooked to life support systems, this make them vulnerable to skin injury secondary to limited movements. Project was aimed to reduce the cost of healthcare, planning in prevention of HAPU by monitoring vulnerable patients, for skin assessment at the time of admission with Braden scale, and use of light liquid paraffin, position clock [innovative idea] and deffereciate CAPU, DAPU, MARSI, and IAD and escalate manifold once HAPU develops. Apollo is committed to excellent care in all the health disciplinary including prevention of HAPU. This system has assisted in addressing HAPU tracing, prevention, compliance with regulatory mandates and achieved ZERO TOLERANCE TO HAPU.
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