Are there specific characteristics that can alert you to your surgical patients’ increased risk of developing a pressure ulcer? Tschannen and colleagues investigated the characteristics associated with development of pressure ulcers in surgical patients including age, sex, body mass index (BMI), Braden Scale score on admission, history of diabetes, risk for mortality, number of operations, maximum time in the operating room, total time in the operating room, and use of vasopressors.

It might not surprise you that several of the following characteristics increased the pressure ulcer risk, although the amount of the effect might be surprising:

—William Donnelly,rn,bs,pmba,ccrn

See Article, pp 116–125

How many nurses are frustrated when taking care of a patient on an insulin drip for tight glycemic control? This frustration may result from challenges when dealing with glucose variability or with episodes of hypoglycemia, both of which can be time...

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