Authors (including presenting author) :
Ng MW(1), Chan PY(1), Wong N(1), Tsoi YK(1)
Affiliation :
(1)Department of Medicine, Haven of Hope Hospital
Introduction :
IAD is a significant health challenge among geriatric patients and a well-recognized risk factor for pressure injury development. Apart from causing patients discomfort, it can also be difficult and time-consuming to treat. Nurses & health care assistances thus play a key role in preventing and treating IAD to promote healthy skin and reduce injury among patients.
Objectives :
1) To reduce IAD incidence of in-patient through early screening and strategic intervention and prevent progression to PI
2) To improve clinical knowledge of staff about IAD prevention strategies and IAD care
Methodology :
A comprehensive program was conducted from August to December 2024. Staff empowerment through Educational Lecture was delivered to nurses and PCAs to emphasize the IAD Care and prevention strategies. PCAs and nurses were engaged to perform skin checks during napkin rounds, early screening by physical examination and Norton Score was performed to all incontinence patients. Intervention will be applied once the risks of IAD are identified and cases will be reviewed every week. “IAD Care” bed panel sign and IAD care box at bedside to indicate that the patient is under IAD care, and the corresponding IAD prevention products designated to the patient. An IAD cue card was located on the PCAs’ diaper trolley as a reminder to perform skin check, apply cream during napkin rounds and report potential IAD cases to nurses. Proper documentation of IAD care plan and the next review date were well documented on CMS nursing notes. Patient’s family was engaged to deliver proper IAD care to potential IAD cases.
Result & Outcome :
The enhanced preventive measures significantly reduced the incidence rate of newly developed IAD from 5.2 to 2.3 per 1000 patient bed-days. On the other hand, PCAs showed improved knowledge of IAD care through the Quiz. 92% of the PCAs identified the common body parts of IAD correctly. 100% of the PCAs identified the indication for using IAD products in IAD care. Staff’s awareness increased towards IAD care and prevention, 71% Nurses expressed more confidence in IAD care in the future.
