Real-time Positioning Among Nursing Home Residents Living With Dementia: A Case Study.
Wound Manag Prev
; 66(7): 16-22, 2020 07.
Article
en En
| MEDLINE
| ID: mdl-32614327
ABSTRACT
Dementia contributes to the development of pressure injuries (PrIs). PURPOSE:
This study describes the real-time body positions of 2 nursing home (NH) residents, residing in the United States and living with dementia, to inform development of PrI prevention strategies tailored to individual risk profiles.METHODS:
As part of a larger study, eligible residents were fitted with a triaxial accelerometer sensor placed on the anterior chest to monitor body positions 24-hours daily through a 4-week monitoring period. The current study used an observational, prospective design during routine repositioning events for 2 residents. A convenience sample of 2 residents from a single NH wing who were considered moderately at risk for PrI development (Braden Scale score 13-14) with a Brief Interview for Mental Status score in the severely impaired range were selected based on nursing staff recommendation.RESULTS:
Sensor data showed that both residents, although "chairfast" according to the Braden Scale, spent <5% in an upright position and the great majority of time reclining at an angle <50%. One (1) resident demonstrated a persistent side preference.CONCLUSIONS:
Wearable sensors are not a long-term solution for protecting those with dementia from PrI formation but do provide a crude picture of overall body positions throughout the 24-hour day that may inform individualized PrI prevention strategies. Studies including large samples of NH residents living with dementia are warranted.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Demencia
/
Posicionamiento del Paciente
/
Casas de Salud
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Wound Manag Prev
Año:
2020
Tipo del documento:
Article