RISK FACTORS OF PRESSURE ULCER IN ELDERLY NON-OPERATIVE FEMUR FRACTURE PATIENT

Main Article Content

Umair Ahmed
Ayesha fatima sohail
Amna Fayaz

Abstract

Background: Pressure ulcers are skin and tissue alterations that develop in a specific area because of friction and shared force. They may also happen when both things happen at the same time. All damage caused by continuous pressure on a body surface, such as a hard bed surface, wheelchair sitting, or an improperly fitted lower limb prosthesis, results in increased pressure on the body's bone structures. Individuals over the age of 65 with a non-operative femur fracture should have their risk factors treated to avoid getting a pressure ulcer.
Objective: The goal of this research is to find out what causes pressure ulcers in elderly people who have a non-operative femur fracture.
Methods and components: In this example, a case control study was carried out utilizing questionnaires developed by the respondents. The information was gathered at the Chaudhry Muhammad Akram Teaching & Research Hospital in Lahore, the Jinnah Hospital in Lahore, the Sheikh Zayed Hospital in Lahore, and the Mayo Hospital in Lahore. The study was carried out three months after the summary was approved. A non-probability sampling approach was used to acquire the data. The sample size was determined using "Rao soft," with a total sample size of 113.
Results: According to one research, 65% of 138 patients experienced faecal incontinence; 27% spent more than two weeks in the hospital; 39% had wet skin owing to urine incontinence; 55% were impacted by mattress pressure; 46% had poor nutrition; and 50% had trouble shifting positions. Shear force and frict were also shown to be important factors. Pressure ulcers are common in elderly people who have fractured femurs. Individuals who have faecal incontinence, stay in an intensive care unit for more than two weeks, have moist skin owing to urine incontinence, have items pushing on the bone, are malnourished, or have friction acting on their body are all at risk of acquiring one.
Conclusion: Patients with femoral fractures are more likely to develop a pressure ulcer if they have faecal incontinence, spend more than two weeks in the intensive care unit, have moist skin due to urine incontinence, the mattress puts pressure on bony prominences, the patient is malnourished, and the friction is greater than 1.00.

Article Details

How to Cite
Ahmed, U., Ayesha fatima sohail, & Amna Fayaz. (2021). RISK FACTORS OF PRESSURE ULCER IN ELDERLY NON-OPERATIVE FEMUR FRACTURE PATIENT. Journal of Health and Rehabilitation Research, 1(1), 18–23. Retrieved from https://jhrlmc.com/index.php/home/article/view/6
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References

Adegoke B, Odole A, Akindele L, Akinpelu A. Pressure ulcer prevalence among hospitalised adults in university hospitals in South-west Nigeria. Wound Practice & Research: Journal of the Australian Wound Management Association. 2013;21(3):128-34.

Allman RM, Laprade CA, Noel LB, WALKER JM, Moorer CA, DEAR MR, et al. Pressure sores among hospitalized patients. Annals of internal medicine. 1986;105(3):337-42.

Asiyanbi G, Adekola O, Desalu I. A retrospective study of pressure ulcers in critically ill patients in a Sub-Saharan Tertiary Centre. African Journal of Anaesthesia and Intensive Care. 2014;14(2).

Assefa T, Mamo F, Shiferaw D. Prevalence of bed sore and its associated factors among patients admitted at Jimma University Medical Center. Jimma Zone, Southwestern Ethiopia. 2017.

Baumgarten M, Margolis D, Berlin JA, Strom BL, Garino J, Kagan SH, et al. Risk factors for pressure ulcers among elderly hip fracture patients. Wound repair and regeneration. 2003;11(2):96-103.

Bereded DT, Salih MH, Abebe AE. Prevalence and risk factors of pressure ulcer in hospitalized adult patients; a single center study from Ethiopia. BMC research notes. 2018;11(1):1-6.

Brocklehurst J. Vitamin C depletion and pressure sores. BMJ: British Medical Journal. 1992;305(6866):1433.

Chung M-L, Widdel M, Kirchhoff J, Sellin J, Jelali M, Geiser F, et al. Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis. International journal of environmental research and public health. 2022;19(2):761.

Gallagher P, Barry P, Hartigan I, McCluskey P, O'Connor K, O'Connor M. Prevalence of pressure ulcers in three university teaching hospitals in Ireland. Journal of tissue viability. 2008;17(4):103-9.

Ghali H, Rejeb B, Chelly S, Cheikh AB, Khefacha S, Latiri H. Incidence and risk factors of pressure ulcers in a Tunisian University Hospital. Rev Epidemiol Sante Publique. 2018;66(Supl 5):S340.

Goode HF, Burns E, Walker BE. Vitamin C depletion and pressure sores in elderly patients with femoral neck fracture. Bmj. 1992;305(6859):925-7.

Hofman A, Geelkerken R, Wille J, Hamming J, Breslau P, Hermans J. Pressure sores and pressure-decreasing mattresses: controlled clinical trial. The Lancet. 1994;343(8897):568-71.

Houwing RH. Pressure Ulcer or Decubitus: clinical and etiological aspects: Utrecht University; 2007.

Kottner J, Black J, Call E, Gefen A, Santamaria N. Microclimate: a critical review in the context of pressure ulcer prevention. Clinical Biomechanics. 2018;59:62-70.

Lindgren M, Unosson M, Krantz AM, Ek AC. Pressure ulcer risk factors in patients undergoing surgery. Journal of advanced nursing. 2005;50(6):605-12.

Melleiro MM, Tronchin DMR, Baptista CMC, Braga AT, Paulino A, Kurcgant P. Indicadores de prevalência de úlcera por pressão e incidência de queda de paciente em hospitais de ensino do município de São Paulo. Revista da Escola de Enfermagem da USP. 2015;49:55-9.

Pokorná A, Benešová K, Jarkovský Jí, Mužík J, Beeckman D. Pressure injuries in inpatient care facilities in the Czech Republic. Journal of Wound, Ostomy and Continence Nursing. 2017;44(4):331-5.

Primiano M, Friend M, McClure C, Nardi S, Fix L, Schafer M, et al. Pressure ulcer prevalence and risk factors during prolonged surgical procedures. AORN journal. 2011;94(6):555-66.

Primiano M, Friend M, McClure C, Nardi S, Fix L, Schafer M, et al. Plain Language Summary. AORN Journal. 2011;6(94):555-66.

Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z. Pressure ulcer and nutrition. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine. 2018;22(4):283.

Shi C, Dumville JC, Cullum N. Support surfaces for pressure ulcer prevention: a network meta-analysis. PloS one. 2018;13(2):e0192707.

Stotts NA. Risk of pressure ulcer development in surgical patients: a review of the literature. Advances in Skin & Wound Care. 1999;12(3):127-36.

Versluysen M. Pressure sores in elderly patients. The epidemiology related to hip operations. Bone & Joint Journal. 1985;67(1):10-3.

Versluysen M. How elderly patients with femoral fracture develop pressure sores in hospital. Br Med J (Clin Res Ed). 1986;292(6531):1311-3.

Wilson H, Moore Z, Avsar P, Moda Vitoriano Budri A, O’Connor T, Nugent L, et al. Exploring the Role of Pain as an Early Indicator for Individuals at Risk of Pressure Ulcer Development: A Systematic Review. Worldviews on Evidence‐Based Nursing. 2021;18(4):299-307.