Real-time Positioning Among Nursing Home Residents Living With Dementia: A Case Study.
Dementia contributes to the development of pressure injuries (PrIs).This study describes the real-time body positions of 2 nursing home (NH) residents, residing in the United States and living with dementia, to inform development of PrI prevention strategies tailored to individual risk profiles.As part of a larger study, eligible residents were fitted with a triaxial accelerometer sensor placed on the anterior chest to monitor body positions 24-hours daily through a 4-week monitoring period. The current study used an observational, prospective design during routine repositioning events for 2 residents. A convenience sample of 2 residents from a single NH wing who were considered moderately at risk for PrI development (Braden Scale score 13-14) with a Brief Interview for Mental Status score in the severely impaired range were selected based on nursing staff recommendation.Sensor data showed that both residents, although "chairfast" according to the Braden Scale, spent <5% in an upright position and the great majority of time reclining at an angle <50%. One (1) resident demonstrated a persistent side preference.Wearable sensors are not a long-term solution for protecting those with dementia from PrI formation but do provide a crude picture of overall body positions throughout the 24-hour day that may inform individualized PrI prevention strategies. Studies including large samples of NH residents living with dementia are warranted.
Duke Scholars
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Related Subject Headings
- Prospective Studies
- Patient Positioning
- Nursing Homes
- Middle Aged
- Male
- Humans
- Female
- Dementia
- Aged
- Activities of Daily Living
Citation
Published In
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Prospective Studies
- Patient Positioning
- Nursing Homes
- Middle Aged
- Male
- Humans
- Female
- Dementia
- Aged
- Activities of Daily Living