Decubitus Ulcers in Neurosurgery Ward

Implications of Adult Diapers

Presented by:- Anu Susan Mathew Sister Grade II JPNATC,AIIMS

Guided by :-Dr.Deepak Agrawal Consultant of Neurosurgery JPNATC,AIIMS

INTRODUCTION

FACTORS AFFECTING DECUBITUS

ULCER DEVELOPMENT

Pressure

Friction and shearing

Nutrition and hydration

Skin moisture

Mental status and age

Main Focus

Skin moisture Due to diapers

Diapers

Advantages

Easy

Comfortable

Disadvantages

Made of PlasticAllergyLoss of aeration

Cause perspiration

Medium for bacterial growth

Ignore to change

PROBLEM STATMENT

AIMS AND OBJECTIVES

Assess the incidence of decubitus ulcers

in Neurosurgery ward

Attempt to find the causative factors

MATERIALS AND METHODS

Retrospective, cross sectional study

Clients admitted in Neurosurgery ward, JPN Apex Trauma Center

At a given point of time(23 Sep 2009)

Total no. of patients evaluated : 28

All clients were having ripple beds

and DVT prophylaxis pumps

RESULTS

No. of clients had preexisting decubitus ulcers from ICU: 2(33.33%)

MOST COMMON SITES

Sacral : 6(100%)

Occipital : 3(50%)

Due to hard collar : 2(66.67%)

Bilateral ankles : 2(33.33%)

Due to skin traction: 2(100%)

COMMON SITES

Sacral

Bilateral ankles

Occipital

Common

The major cause of development

of SACRAL decubitus ulcers was the indiscriminate use of adult diapers

in the majority of the patients

(66.67%)

CONCLUSIONS

Require

Sensitization of staff

More aggressive management

FOLLOW UP

Following this study we have stopped using adult diapers routinely in the neurosurgery ward & ICU

Use of adult diapers is strictly monitered.

Thank You