The latest James Lind Alliance Pressure Ulcer Partnership (JLAPUP) newsletter contains important news. On the 28th March 2013 patients, carers and health professionals came together at the JLAPUP final priority setting meeting and chose the top 12 pressure ulcer prevention and treatment questions. They are:
1. How effective is repositioning in the prevention of pressure ulcers?
2. How effective at preventing pressure ulcers is involving patients, family and lay carers in patient care?
3. Does the education of health and social care staff on prevention lead to a reduction in the incidence of pressure ulcers and, if so, which are the most effective education programmes?
4. What is the relative effectiveness of the different types of pressure relieving beds, mattresses, overlays, heel protectors and cushions in preventing pressure ulcers?
5. What impact do different service models have on the incidence of pressure ulcers including staffing levels, continuity of care and the current organisation of nursing care in hospitals?
6. What are the best service models to ensure that patients with pressure ulcers receive the best treatment outcomes?
7. For wheelchair users sitting on a pressure ulcer, how effective is bed rest in promoting pressure ulcer healing?
8. How effective are wound dressings in the promotion of pressure ulcer healing?
9. Does regular turning of patients in bed promote healing of pressure ulcers?
10. Does improving diet and hydration promote pressure ulcer healing?
11. How effective are surgical operations to close pressure ulcers?
12 How effective are topical skin care products and skin care regimes at preventing pressure ulcers?
JLAPUP presented the Top 12 at the Tissue Viability Society’s conference on 17th and 18th April 2013 and have met with Dr Tom Kenny at the NIHR Evaluation, Trials and studies Coordinating Centre about commissioning research. But more needs to be done to spread the word about the Top 12. To find out how these research questions were agreed upon and a more detailed explanation of what each question involves go to www.jlapressureulcerpartnership.co.uk where you will also find information about how you too can get involved.