The elderly are vulnerable to pressure ulcers, particularly when they have limited mobility and cannot ambulate.
Identifying which patients are most at risk for pressure ulcers is an important part of prevention. In this study, researchers determined a set of factors that raise the risk of developing pressure ulcers in older home care patients.
The cumulative incidence of new pressure ulcers was 1.3%. Among the 71 patients who developed an ulcer, there was a higher prevalence of a cancer diagnosis, diabetes, and longer time in home health care.
The two top predictors of developing a new ulcer were bowel incontinence and patient inability to transfer self. Other factors included needing assistance with grooming and dressing, dependence in toileting, being bedfast or chairfast, and already having a pressure ulcer at the start of home health care.
For more info, see Bergquist-Beringer, S., & Gajewski, B.J. (2011). Outcome and assessment information set data that predict pressure ulcer development in older adult home health patients. Advances in Skin & Wound Care, 24(9), 404-414.