Abstract
Pressure ulcers remain an important and distressing problem in Dutch nursing homes. This study explores the patient outcome and economic effects of a 3-step prevention protocol on the development of pressure ulcers in patients at risk of PU, as introduced in 2004 in the AVOORD nursing homes in Etten-Leur/Zundert (The Netherlands), on the development of pressure ulcers in patients at risk of PU. The 3-step protocol involves: 1. Primary prevention for every resident on a visco-elastic foam mattress 2. Addition of a static air mattress when there are signs of a developing pressure ulcer category 1 3. If the signs of PU-development do not disappear or progression occurs toward Category 2, start with repositioning. CAPHRI School for Public Health and Primary Care
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