• 2020 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2020 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    April 14-18, 2020, Honolulu, HI.

    Earn up to 18 CNE hours.


    Find out more about it and REGISTER today!

  • 2019 Senior Report Senior Report: Older Americans have more options for home care, but still struggling.

    The United Health Foundation has released results of a sweeping new study benchmarking the health of older adults. The America's Health Rankings® Senior Report was created in partnership with GAPNA to improve the health of America's seniors.

    The data will help advanced practice nurses and other providers deliver quality care.

    Find out about it!

  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

    Find out about it!

  • FREE continuing education credit is available for the following session:

    "Dementia Management Update"

    (session captured at the GAPNA 2018 Annual Conference)

    For September/October 2019 - Get Your Free CNE Now!

Bowel Incontinence and Other Clinical Factors Predict the Development of Pressure Ulcers

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.

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