The new podcast from the UNMC College of Nursing – Continuing Nursing Education department bringing you the latest on hot nursing topics!
Have you ever helped a patient, taken care of them properly and end up getting sued anyway? Join Dr. Joyce Black, of the UNMC College of Nursing, and malpractice attorney Kathryn Cheatle as they discuss the impact of lawsuits on nurses’ actions.
Joyce Black, Ph.D., professor, College of Nursing-Omaha Division, was awarded the National Pressure Ulcer Advisory Panel’s (NPUAP) President’s Recognition Award at its biennial conference earlier this month. The award is a significant achievement as it recognizes Dr. Black as a national expert in the wound care provider community.
Dr. Black is a certified wound care nurse and a Fellow with the American Academy of Nursing, inducted for her work in the field of pressure injuries. Her clinical practice has focused on orthopedics, critical care, burn care, respiratory diseases, wound care, and plastic surgery.
In addition to serving as an NPUAP director for many years, Dr. Black served as president in 2006 and 2007. She chaired NPUAP’s effort to define pressure injuries — ulcers — and mucous membranes in 2010. Dr. Black also identified the problem of deep tissue pressure injury while serving on the NPUAP board and clarified its definition in 2016.
She is widely published in the area of pressure injuries and assisted with the development of both the 2009 and 2014 International Clinical Practice Guidelines. She also served as co-chair of the Pressure Injury Staging Task Force. In 2015 she was the recipient of the Thomas Stewart Founder’s Award. The NPUAP President’s Recognition Award was created in 2013 and is presented to an individual who has made special contributions to NPUAP and to the field of pressure injury prevention and treatment.
NPUAP is having a pressure ulcer prevention webinar on March 30, 2016 from 1:00 – 2:00 PM ET
Presenters: Joyce Black, PhD, RN, CWCN, FAAN & Evan Call, MS, CSM (NRM)
Dr. Joyce Black, Associate Professor at the UNMC College of Nursing, and faculty contributor to Gero Nurse Prep, was recently recognized for both clinical and advocacy expertise.
- Compare and contrast the patient risk factors for pressure ulcer development that match support surface characteristics used for prevention
- Explain the benefits to use of a low air loss or microclimate management surface, an alternating pressure surface and a continuous low pressure surface for the treatment of pressure ulcers
- Describe how to determine if the support surface is working
- Describe how to develop an algorithm for the facility to use support surfaces
To register yourself for this live webinar please go to – http://www.npuap.org/events/live-webinar-using-devices-for-pressure-ulcer-prevention-treatment/
Pressure ulcers – commonly called bedsores — are a big problem in the United States. More than 2.5 million U.S. residents develop pressure ulcers every year, with about 60,000 people dying each year from pressure ulcer complications.
Today is International Stop Pressure Ulcer Day, a day dedicated to bringing awareness to the causes and ways to prevent pressure ulcers.
“This is not just a problem for patients and their families, but also health facilities,” said Joyce Black, Ph.D., associate professor in UNMC’s College of Nursing, who is recognized as a national expert in pressure ulcers. “The government won’t reimburse for Medicare and Medicaid expenses if patients get pressure sores.”
Pressure ulcers can develop in as little as three hours as a result of sitting or lying too long in the same position, she said. Those who are bedridden are most at risk, including those in hospitals and long term care facilities like nursing homes. It can happen in the home as well.
“Ulcers develop quickly depending on how hard the surface is that you’re on and how much fat padding a person has,” Dr. Black said. “Thin, frail individuals develop them more quickly.”
She said pressure ulcers
tissues when patients don’t move or continuously slide down in a chair. The blood in the area stops and the tissue dies. Most problems with ulcers occur on the buttocks, tailbone and the heel of the foot.
Tips on prevention and treatment
Dr. Black has these tips for preventing and treating minor pressure ulcers.
- Sit or lay in different position, walk if you can.
- Stay off the sore spot until the pain or red or purple color goes away.
- Put a pillow under the calf of the leg to keep the heel off of the bed.
- Don’t rub the skin. It may tear.
- Keep skin clean. The healthier you can keep skin the less chance of skin breakdown.
- Make sure diapers get changed.
- Turn individuals every three hours if they are on a good mattress. Every two hours if mattress is thin, frayed or worn.
- Cover wound with dressing or apply topical antibiotic to keep wound clean.
- Ask what the facility is doing to reduce or prevent bed sores and if you can help.
- Ask how they are turning your loved one to get them off their back (individual should be turned on their sides-family members can help).
- Ask what kind of mattress the patient is sleeping on. An old spring mattress with an inch padding is not adequate. Family may be well advised to go to a bedding store and get two inches of memory foam so there is more padding on the bed.
- Make sure the patient is eating a well-balanced meal (not junk food).
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