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Pressure ulcer prevention strategies
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Prevention of Pressure Ulcers Pressure ulcer is a common geriatric syndrome seeing in patients suffering from acute and chronic illness. Pressure ulcers can be acquired while in the hospital, long term care facilities or in the home. Personal definition of Pressure ulcer is an injury to the skin and underlying tissue due unrelieved pressure and other factors, including by not exclusive to decreased tissue perfusion, excess moisture, and shear and friction. Pressure Ulcer Prevention in Hospital Pressure Ulcer is localized injury to skin and underlying tissue over bony prominence due to pressure or combination of shear and friction. Pressure ulcer not only extends hospital stay but also causes serious complication for example; pain, delay in functional recovery, serious infection, sepsis and mortality. Pressure ulcer is preventable but the problem is rising in health care facilities.
Are Your Patients Feeling The Pressure?
Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult. To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness.
Implementing an evidence-based best practice system for pressure ulcer prevention and management can reduce the potential for pressure ulcer development in nursing home residents and promote healing of existing pressure ulcers. Each resident should be assessed for pressure ulcer risk on admission and receive an in-depth assessment of any existing pressure ulcers. The assessment process drives the development of individualized interventions and goals to prevent or heal pressure ulcers. The care plan should include the specific steps necessary to meet those goals and the guidelines for reassessment to evaluate the effectiveness of the care provided and to prompt changes in treatment as needed. The use of any particular intervention should be based on the strength of the evidence provided by existing clinical trials or literature reviews.