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Success for ABMU bedsores scheme

By South Wales Evening Post  |  Posted: February 18, 2013

Hamish Laing

Comments (25)

HEALTH chiefs have revealed how hospitals in Swansea and Port Talbot are working to prevent bedsores.

Last week health board Abertawe Bro Morgannwg University Health Board (ABM) apologised to the family of a 77-year-old-man with dementia, who died four months after being admitted to Cefn Coed Hospital in 2009.

An ombudsman report into the man's death, referred to as Mr O, said the hospital failed to prevent bedsores (pressure ulcers) developing on the man.

But bosses at ABM say a nursing scheme has led to a significant reduction in the amount of patients suffering with them over the past four years. Now all inpatients must have a pressure assessment on admission to hospital and are given a score depending on the risk.

If the patient scores over 15, they are deemed at risk and are placed on a care programme, a SKIN bundle, which requires nursing intervention every two hours.

Since 2008, the health board has gone from a pressure sore incident rate of 13 per cent (typical of the NHS generally) to less than one per cent in 2012.

During last year, incidents were recorded at a rate of between four and eight a month on average, with only two in December. Hamish Laing, consultant plastic surgeon and ABM director of clinical strategy said: "This shows that it's possible to stop pressure ulcers happening by just applying, consistently for every patient, what we know is right.

"It demonstrates that it is realistic to have a zero tolerance approach to pressure ulcers in hospital."

The report found that Mr O was assessed as "at risk" of developing pressure sores, when he entered Cefn Coed.

But despite the risk the man was not reassessed until after he developed a "significant" pressure sore two months later.

In a statement a spokeswoman for the health board said: "Today, our hospitals have some of the lowest rates of pressure ulcers in the world.

"Pressure sores are not acceptable, and in almost all cases they are avoidable.

"Our clinicians have been determined to find ways to greatly reduce the risk of patients developing pressure ulcers."

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  • ButzChoquin  |  February 22 2013, 8:08PM

    Heres twomore: Health bosses and GPs spent 24 hours at four-star hotel funded by taxpayer as they drew up plans to cut budget by £18m 28 delegates enjoyed four-star luxury of the Marriott Hotel, in Worsley It is set in 200 acres of parkland with its own 18-hole golf course Taxpayers will foot the £4,060 bill for 'strategic development plan' event Bolton's Clinical Commissioning Group said hotel was 'best value offer' and Dental nurse, 30, died after 'serious failings' by paramedics who could have saved her had she gone to hospital Sarah Thomas, 30, was barely conscious when paramedics arrived They told her she was 'better off' at home rather than hospital Inquest ruled she would have survived had she received simple treatment These are just from todays papers. Do you get the message now? people are dying while this load of smugsters are twittering on about how they are within acceptable losses.

  • ButzChoquin  |  February 22 2013, 7:58PM

    Heres a nice headline for you: Woman, 42, bled to death after routine back op in hospital where staff had warned bosses about 'grave risks to patients' but don't worry Im sure this death was well within acceptable losses.

  • ButzChoquin  |  February 22 2013, 7:52PM

    Kasparov I would suggest you stop making silly remarks and listen to what Maxim is saying. The health service is in crisis. It was announced today that they have spent millions hushing up whistle blowers who are exposing the shameful mess the NHS is in. Tens of thousands of peopledie each year because of diseases picked up after they enter hospital through poor hygene. It is about time these people were dragged kicking and screaming inbto the spotlight and made to tell the truth.

  • kasparov44  |  February 22 2013, 10:14AM

    Well I for one am delighted that it's Maxmin's final word on the matter.

  • maxmin  |  February 22 2013, 8:49AM

    My final words on this matter. The difference between our points of view are alarming. The nurses and ex nurses who have commented on here are concerned about real, actual people. The ABM is only concerned with statistics, how many times have they smugly replied that their record on this matter is in line with others? To them people don't matter - it's only the figures that count. As long as they are not killing patients at a greater rate than anyone else their big fat bonuses are safe. OK if you think I am wrong and you are right here is a challenge for the person making these posts. Go and stand in front of the family of that poor man Mr O who died in such agony because of your incompetence and tell them everything is fine because his death was within the accepted levels. Please don't bother to reply.

  • maxmin  |  February 21 2013, 6:22PM

    Citizen spike I hope you never have to visit one of your elderly relatives in hospital who screams all the time because of the pain of having her skin being eaten away by bed sores.

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  • CitizenSpike  |  February 21 2013, 6:00PM

    Seems to me that Maxmin insists on being a pain whatever is said. Someone should turn off his oxygen.

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  • ABM_Health  |  February 21 2013, 5:17PM

    The section in Wikipedia on pressure ulcers which helps to sum up the international problem says this: "Each year, more than 2.5 million people in the United States develop pressure ulcers.[4] Within acute care in the United States, the incidence of bedsores is 0.4% to 38%; within long-term care, 2.2% to 23.9%; and in home care, 0% to 17%. There is the same wide variation in prevalence: 10% to 18% in acute care, 2.3% to 28% in long-term care, and 0% to 29% in home care. There is a much higher rate of bedsores in intensive care units because of immunocompromised individuals, with 8% to 40% of ICU patients developing bedsores.[5] However pressure ulcer prevalence is highly dependent on the methodology used to collect the data. Using the European Pressure Ulcer Advisory Panel (EPUAP) methodology there are similar figures for pressure ulcers in acute hospital patients. There are differences across countries, but in Europe (for example) using this methodology pressure ulcer prevalence was consistently high, from 8.3% (Italy) to 22.9% (Sweden).[6] A recent study in Jordan also showed a figure in this range.[7]" So preventing pressure ulcers from developing is a challenge for hospitals globally.

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  • maxmin  |  February 21 2013, 5:13PM

    Making silly comments like that shows the paucity of your argument. You are now saying that because others have bedsores it's ok for your patients. Hey why stop there, thousands of people in Africa die from diseases that we can cure, why not stop treating them, let them die,pocket the money and you can always claim you are well within average figures. I and everyone else would prefer if you didn't let them happen in the first place as well you know.

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  • ABM_Health  |  February 21 2013, 5:07PM

    Maxim, Please be aware that pressure ulcers have been a problem for a long time, and not only in Wales, or even the UK but in hospitals and care homes across the whole world. Look up pressure ulcers in Wikepedia: http://tinyurl.com/y3urr8v and you will see the international scale of the problem. I can only repeat once more, that our clinical staff have done something about it. Perhaps you would prefer it if they had been contented to stay 'average' on this issue and not done anything about it?

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