Kontakt 2019, 21(3):254-262 | DOI: 10.32725/kont.2019.034

The issue of documenting pressure ulcers: literary reviewNursing - Review article

Katarína Kačalová1,2,*, Katarína Žiaková1
1 Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, Department of Nursing, Martin, Slovak Republic
2 General Health Insurance Company, a. s., Health and Review Methodology Department, Bratislava, Slovak Republic

Objective: To find, analyze and compare clinical recommended practices, national recommendations, guidelines, nursing standards and assessment tools with a focus on documenting pressure ulcers.

Methodology: The selection of relevant sources was carried out in 2018 using search services and sources in electronic databases (Medline, ProQuest, PubMed), book publications, from professional societies, and professional journals. Out of 139 sources, 38 sources were selected and processed in three phases based on the ranking and exclusion criteria.

Results: By analyzing and comparing clinically recommended procedures, national recommendations, guidelines, nursing standards and assessment tools to document pressure ulcers, we have found that the most frequently reiterated requirement for pressure ulcers is: degree of pressure ulcer, its location, size, base, exudate and surroundings. The most observed items that tell us about documenting of the pressure ulcer healing process are found in the NPUAP, EPUAP, PPPIA consensus (GRADE), HSE, AAWC, and RNAO guidelines.

Conclusions: Pressure ulcer documenting is a problem addressed within national and international recommendations or guidelines. Their analysis and comparison revealed several worldwide unified documentation requirements, which are essential to multidisciplinary collaboration and decision-making on further treatment.

Keywords: Assessing and documenting pressure ulcers; Assessment tools for pressure ulcers classification; National guidelines for documenting pressure ulcers

Received: January 4, 2019; Accepted: April 26, 2019; Prepublished online: August 1, 2019; Published: September 18, 2019  Show citation

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Kačalová K, Žiaková K. The issue of documenting pressure ulcers: literary review. Kontakt. 2019;21(3):254-262. doi: 10.32725/kont.2019.034.
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