压力性溃疡(PU)对健康经济和患者都是一种负担。尽管有关风险管理的国家和国际准则,整个英格兰的发病率和患病率仍然很高。及早发现PU的风险至关重要,并且需要使用有效的风险评估工具以及相关风险因素的临床判断和管理。有必要实施预防战略。介绍压力性溃疡的护理包,例如皮肤,SSKIN和最近的一个SSKINg,旨在指导临床医生并减少护理变化。本文对遵守准则的证据进行了审查,框架,初级和二级护理环境中的路径或护理捆绑。本文着重于进行文献综述,以告知随后在英格兰东南部的社区NHS基金会信托中对aSSKINg框架的合规性进行临床审核。
Pressure ulcers (PUs) represent a burden to the health economy and patients alike. Despite national and international guidelines regarding the management of risk, the incidence and prevalence across England remains high. Detecting early the risk of PUs is paramount, and requires using a valid risk assessment tool alongside clinical judgement and management of associated risk factors. There is a need to implement prevention strategies. Introducing care bundles for pressure ulcers, for example SKIN, SSKIN and most recently
aSSKINg, is designed to guide clinicians and reduce variations in care. This article presents a review of the evidence on compliance with guidelines, frameworks, pathways or care bundles within primary and secondary care settings. This article focuses on the literature review that was conducted to inform a subsequent clinical audit of compliance with the
aSSKINg framework in a Community NHS Foundation Trust in the South East of England.