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Clinical Nursing Research
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*Cancer
*Pressure Sores
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Preventing Pressure Sores in Oncology Patients

Karin Olson

Cross Cancer Institute, Alberta

Linda Tkachuk

Cross Cancer Institute, Alberta

John Hanson

Alberta Cancer Board

This project addresses staff nurses' concerns about the development of hospital-acquired pressure sores in cancer patients. The Braden Scale and the National Pressure Sore Advisory Panel Staging System were pilot tested. The incidence of hospital-acquired pressure sores was 8% and a mean Braden score of 16 was sufficiently sensitive (82%) and specific (84%) for use with our patient population. Eighty-two percent (9/11) of the patients with a score of 16 on the Braden Scale developed a pressure sore that day. The model of pressure sore development constructed by Braden and Bergstrom (1987) was used to guide the development of a pressure sore prevention protocol. The pilot test of this protocol over 6 months showed no decline in the incidence of hospital-acquired pressure sores and a reduction in the sensitivity and specificity of the Braden Scale. Possible explanations for this finding and revisions to the protocol are suggested.

Clinical Nursing Research, Vol. 7, No. 2, 207-224 (1998)
DOI: 10.1177/105477389800700208
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