Preventive care for individuals with deep pressure ulcers in Sweden living at home: A cross‐sectional study

Abstract

Abstract Background and Aims Several factors exist regarding the risk for, healing and prevention of pressure ulcers (PUs). A mobile PU team with an individualized holistic approach adapted to the home or outpatient clinic setting could be beneficial for the prevention, and management of PUs. Aims To describe the mobile PU team's interventions among individuals who had deep PUs and were living at home. Another aim was to describe the patients' perceptions of the quality of the care and having a deep PU. Methods A quantitative study with a cross‐sectional design. At an outpatient clinic, a mobile PU team was established to perform and follow up PU prevention interventions and advanced wound care treatment at home and at the outpatient clinic. All adult patients with existing deep category four PUs remitted to the outpatient clinic were asked to participate, and 16 out of 24 individuals consented. Instruments used for data collection were “Quality from the Patient's Perspective,” “Wound‐Quality of Life,” “Modified Norton Scale,” and a study developed protocol for the mobile team's PU interventions. Results The patients chose home visits 20 times and outpatient clinic visits 89 times. In total, 8–13 interventions per participant were performed by the mobile team. The results show that having PUs affected the participants' perceptions of care and general well‐being. The PUs did not heal completely but they did improve, six patients underwent flap surgery. Conclusion When organizing care regarding patient safety for patients with deep PUs, it is important to consider the patient's perspective and well‐being and to involve patients in their care plans. Home care is perhaps not the only way of caring; other aspects, in addition to telemedicine, could be an option.

Keywords

• home care
• intervention
• outpatient clinic
• pressure ulcers
• prevention