title: Reducing avoidable pressure ulcers in the community.
abstract: The elimination of avoidable pressure ulcers remains a challenge in healthcare provision, represents an increasing financial burden on resources and continues to affect patients' quality of life. Many pressure ulcers are deemed to be avoidable and there are several factors that can influence this, including the development of a care delivery system and a service delivery strategy that incorporate a comprehensive structure, a meticulous process and measurable outcomes. Nottingham CityCare developed a strategy to reduce avoidable pressure ulcers. The implementation of the strategy in an inner city community setting is discussed. The importance of eliminating pressure ulcers is explored, and the barriers to care delivery are reviewed, demonstrating how a new culture in clinical practice can ensure the elimination of avoidable pressure ulcers. The challenges within the implementation process are reflected on and the implementation of the SSKIN (Surface, Skin inspection, Keep your patient moving, Incontinence and moisture, Nutrition and hydration) phenomenon is reviewed in relation to care delivery, record-keeping and evaluation.
authors.affiliation: Tissue viability, Nottingham CityCare, Nottingham, England.
authors.forename: Alison
authors.initials: A
authors.lastname: Parnham
authors.forename: Sarah
authors.initials: S
authors.lastname: Pankhurst
authors.forename: Wendy
authors.initials: W
authors.lastname: Dabell
mesh_terms: D003154:Community Medicine / Q000379:methods*; D003695:Delivery of Health Care / Q000379:methods*; D006801:Humans; D003668:Pressure Ulcer / Q000451:nursing / Q000517:prevention & control*; D011788:Quality of Life; D018570:Risk Assessment; D006113:United Kingdom
keywords: Avoidable pressure ulcers; SSKIN Bundle; competencies; pressure ulcers; prevention strategies; risk assessment; tissue viability; wound care; wound management