RACIAL DIFFERENCES IN PRESSURE ULCER PREVALENCE IN NURSING HOMES

2005 ◽  
Vol 53 (6) ◽  
pp. 1077-1078 ◽  
Author(s):  
Kate L. Lapane ◽  
William Jesdale ◽  
Sally Zierler
2020 ◽  
Vol 29 (21-22) ◽  
pp. 4066-4075
Author(s):  
Lisa Hultin ◽  
Ann‐Christin Karlsson ◽  
Margareta Öhrvall ◽  
Susanne Coleman ◽  
Lena Gunningberg

2008 ◽  
Vol 56 (7) ◽  
pp. 1252-1258 ◽  
Author(s):  
Nancy Bergstrom ◽  
Randall Smout ◽  
Susan Horn ◽  
William Spector ◽  
Arthur Hartz ◽  
...  

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 885-885
Author(s):  
Cassandra Dictus ◽  
Youngmin Cho ◽  
Tamara Baker ◽  
Anna Beeber

Abstract Within nursing homes, residents commonly experience pain that unfortunately goes underrecognized and undertreated, having a dramatic negative impact on residents' quality of life. Nursing homes are becoming more racially and ethnically diverse, and there is concerning evidence documenting disparities in the quality of nursing home care. In other healthcare settings, people of diverse race groups often receive less optimal pain management, but the evidence regarding racial disparities has not been synthesized for nursing homes. Thus, the purpose of this review was to investigate what is known about racial disparities related to pain management (e.g. assessment, treatment, preferences) in US nursing homes. We completed a scoping literature review using PRISMA-ScR guidelines and searching PubMed, CINHAL, and Scopus for peer-reviewed, empirical studies. Most studies were older large retrospective cohort studies of administrative data documenting that White residents were more likely than residents of diverse race groups to have pain documented and treated. Only a few studies looked at possible reasons to explain the disparities; differences were not found to be related to nursing staff racial bias nor differences in pain-related diagnoses. However, there was evidence of racial differences in resident behavior and attitudes related to pain management. None of the studies examined systemic factors related to differences among nursing homes, which has been implicated in studies looking at other outcomes including COVID-19. More research is needed which examines the causal mechanisms behind the documented racial disparities in pain management so that gaps in care can be reduced.


2017 ◽  
Vol 73 ◽  
pp. 63-69 ◽  
Author(s):  
Anna Lechner ◽  
Nils Lahmann ◽  
Konrad Neumann ◽  
Ulrike Blume-Peytavi ◽  
Jan Kottner

Open Medicine ◽  
2006 ◽  
Vol 1 (3) ◽  
pp. 270-283 ◽  
Author(s):  
Nils Lahmann ◽  
Ruud Halfens ◽  
Theo Dassen

AbstractWhen conducting prevalence surveys pressure ulcers were found in participants clearly identified not to be at risk. This article determines and analyses persons in German hospitals and nursing homes who suffer from pressure ulcers but are not at risk. In the years 2002, 2003 and 2004 there were 7,097 nursing home residents and 23,966 hospital patients examined in annual pressure ulcer prevalence surveys. A risk assessment according to the Braden Scale was performed for each participant on the day of the survey. “Not at risk” participants were defined by Braden score cut-off > 20 points. There were 440 of 3,012 (14.6%) persons with pressure ulcer who were considered not to be at risk. In hospitals, 16.1% of all patients with pressure ulcers were not at risk, in nursing homes it was 8.2%. A high variance between medical specialties and individual institutions was found in the number of those not at risk but with pressure ulcer. In the group not at risk, persons with and without a pressure ulcer differed regarding activity and friction and shear in nursing homes. In hospitals those persons differed regarding age and all single items of the Braden scale apart from sensory perception. Pressure ulcers that are more severe, located at the hip or lower back or the origin of which is unknown are more likely to be considered to be at risk by the Braden risk assessment tool.The results may indicate insufficient abilities of the Braden scale for certain kind of pressure ulcer wounds.


2009 ◽  
Vol 65 (12) ◽  
pp. 2608-2620 ◽  
Author(s):  
Enid Wai-yung Kwong ◽  
Samantha Mei-che Pang ◽  
Gloria Halima Aboo ◽  
Susan Siu-ming Law

2000 ◽  
Vol 51 (10) ◽  
pp. 1259-1264 ◽  
Author(s):  
Daniel Weintraub ◽  
Allen Raskin ◽  
Paul E. Ruskin ◽  
Ann L. Gruber-Baldini ◽  
Sheryl Itkin Zimmerman ◽  
...  

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