Improving risk assessment and prevention of pressure injuries during the implementation of a best practice clinical guideline.

Objective: To evaluate the indicators of quality of care in pressure injuries (PI) before and after 6 months of the implementation of the Good Clinical Practice Guideline of the Registered Nurses' Association of Ontario in the geriatric unit of the Hospital Universitari Santa Maria de Lleida.

Method: Longitudinal descriptive observational study throughout the implementation of the Good Clinical Practice Guideline (GCP) "Risk Assessment and Pressure Injury Prevention" carried out by the Ontario Nurses' Professional Association. The main variables - incidence and category of nosocomial pressure injuries, risk assessment of PI during the first 24hours of admission and risk level according to the EMINA scale, continuous assessment according to the risk of PI and special surface for pressure management recorded in the care plan - were extracted from the electronic medical records for subsequent descriptive analysis and hypothesis contrasting for comparison of proportions.

[Adherence to physical activity recommendations in a hypertensive primary care population].

Objective: To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors.

Methods: A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire.

Evaluation of psychological outcomes following the intervention 'teaching group': study on predialysis patients.

Goals: Aims of the study were to evaluate the effects of the intervention 'Group education' (NIC 5604) on patients' coping, fear control, anxiety and the association between demographic and clinical variables with the outcomes.

Materials And Methods: We studied all predialysis patients treated, at Lleida University Hospital, from 1 January 2007 till 31 March 2008, who received the total intervention for six months.

Results: There were 41 patients, 33 male and 8 female.

Blood pressure measurement.

Blood pressure measurement is the basis for the diagnosis, management, treatment, epidemiology and research of hypertension and the decisions affecting these aspects of hypertension will be influenced by the accuracy of measurement. Although blood pressure measurement is one of the most common clinical techniques, there are some factors affecting it, such as blood pressure variability or blood pressure measuring devices. Blood pressure can be measured in different ways: Clinic blood pressure measurement is taken in physician's office.

Blood pressure and cardiovascular complications in diabetic dialysis patients.

Diabetic nephropathy is one of the most frequent causes of renal failure. Diabetes increases the cardiovascular risk by 2-4 times that of the general population; hypertension increases this risk. Diabetes is a factor that shortens the survival of renal patients.