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P-79 Implementing a tissue injury prevention and management tool in a children’s hospice
  1. Patricia Clarkson1,
  2. Zoe Pilborough1,
  3. Jackie Cooke1 and
  4. Katie Warburton2
  1. 1Derian House Children’s Hospice, Preston, UK
  2. 2UCLAN, Preston, UK


Aims The National Institute for Health and Care Excellence recommend that a skin assessment is carried out for all neonates, children and young people at risk of developing a pressure ulcer.

The Braden Scale for Predicting Pressure Ulcer Risk, is a tool developed for the purpose of helping health professionals, especially nurses, assess a patient‘s risk of developing a pressure ulcer, with the Braden Q Scale being reviewed as an appropriate tool in children’s nursing (Noonan, Quigley & Curley, 2011).

‘The Pink Pack’ a tool, based on the Braden Q and Braden Scales, was developed for use in the children’s hospice to ensure that all children and young people were assessed and care was implemented to prevent or manage tissue injury.

Methods The tool was implemented as a compulsory part of children’s and young people’s care plans following staff awareness training and staff room reminders. An audit was carried out to assess the usage of the tool for children and young people admitted to the children’s hospice within a three-month period. Notes were selected at random.

Results (or, in the case of on-going studies, progress to date or interim findings). An interim audit was conducted to assess the adoption and accurate completion of the tool. 22 care plans were reviewed, 100% had the Braden scale score sheet completed, 55% had this completed on admission, 55% had a treatment plan completed, 90% had an appropriate action plan, 33% of children requiring a turning chart had one, the evaluation of care was completed on every shift during a child’s admission in 33% of cases.

Conclusions Further training and a repeat audit have been arranged to ensure all children and young people have a Braden scale assessment on admission which will result in an action plan where appropriate and daily evaluation of care.

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