Pressure Ulcer Prevention
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SO HERE ARE OUR RECOMMENDATIONS
It is no accident that so far we have devoted most of this section to repositioning, for of our early intervention recommendations, this care process is by far the most time consuming and the one most in need of improvement.
Our recommendations for prevention, presented on the next page, are drawn from a series of 11 quality indicators (QI) related to PU care for nursing home residents. Presented as a series of if/then statements, these QIs include three that outline an early intervention process for PU risk residents.
As you review them, keep in mind that these QIs are derived from but are not identical to the recommendations in best practice guidelines. Best practice guidelines, such as those available from the American Medical Directors Association and the Agency for Healthcare Quality and Research, "define optimal or ideal care in the context of complex decision-making" (5).
By contrast, our QIs, developed in conjunction with RAND, a Southern California think tank, "set a minimal standard for acceptable care-standards that, if not met, almost ensure that the care is of poor quality" (5). There should be no excuse for not implementing them.
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