Key Changes for Improvement
Steps for preventing pressure ulcers:
- Conduct a pressure ulcer admission assessment for all patients.
- Reassess risk for all patients daily.
- Inspect skin daily.
- Manage moisture on skin.
- Minimize pressure, friction and shear:
- Turn/reposition patients every two hours.
- Use pressure-redistribution surfaces.
- Optimize nutrition and hydration.
- Maximize activity and mobility, reducing or eliminating friction and shear (Keast et al., 2006).
- Avoid skin massage.
- Barrier creams (NICE, 2014).
- Emerging therapies for prevention of pressure ulcers:
- Microclimate control.
- Prophylactic Dressings.
- Fabrics and Textiles.
- Electrical Stimulation of the Muscles for Prevention of Pressure Ulcers (National Pressure Ulcer Advisory Panel, et al., 2014).