1 / 15

Pressure Ulcers

Pressure Ulcers. Care and Prevention. Lori Baker, RN, BSN. Pressure Ulcers What is it? Preventable? Primary focus… Regular assessment…. Pressure Ulcers Risk factors Age-related skin changes Immobility Incontinence Skin friction/shearing Vascular disorders Obesity . Pressure Ulcers

kadeem
Download Presentation

Pressure Ulcers

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pressure Ulcers Care and Prevention Lori Baker, RN, BSN

  2. Pressure Ulcers • What is it? • Preventable? • Primary focus… • Regular assessment…

  3. Pressure Ulcers • Risk factors • Age-related skin changes • Immobility • Incontinence • Skin friction/shearing • Vascular disorders • Obesity

  4. Pressure Ulcers • Added factors • Inadequate hydration/nutrition • Anemia • Fever • Impaired circulation • Edema • Sensory deficits • Low diastolic blood pressure (DBP)

  5. Pressure Ulcers • More added factors • Impaired cognitive function • Neurological disorders • Chronic diseases • Sedation

  6. Pressure Ulcers • Diagnostic Procedures/Nursing Interventions • C&S • CBC • Blood cultures • Serum Albumin

  7. Pressure Ulcers • Therapeutic Procedures/Nursing Interventions • Wound Vacuum-assisted Closure (wound VAC) • Hyperbaric oxygen therapy • Surgical debridement

  8. Pressure Ulcers • Data collection • S/S • Staging • Assess/Monitor • Skin integrity • Moisture • Incontinence • Nutrition/hydration • Mobility

  9. Pressure Ulcers • NANDA • Acute pain/Chronic pain • Impaired skin integrity • Impaired tissue integrity • Ineffective peripheral tissue perfusion

  10. Pressure Ulcers • Staging • Stage I • Epidermal • Color • Blanching • Reversible? • Interventions

  11. Pressure Ulcers • Staging • Stage II • Layers • The lesion • Edema/Pain • Healing time • Interventions • Moisture • Natural healing • Nutrition/hydration • Analgesics

  12. Pressure Ulcers • Staging • Stage III • Layers • Lesions • Slough/Necrosis • Healing time • Interventions • Clean/Debride • Nutrition/Hydration • Analgesics • Antimicrobials

  13. Pressure Ulcers • Staging • Stage IV • Layers • Lesion • Infection • Healing time • Interventions • Dressing changes • Skin grafts • Nutrition/Hydration • Analgesics?? • antimicrobials

  14. Prevention • Clean, dry, wrinkle-free • Pressure-reducing surfaces • Inspection • Incontinence care • Barrier creams • Care when bathing • Reposition • HOB • Prevent sliding

  15. Prevention (continued) • Lift, don’t pull • Protect heels • Ambulate • ROM • Hydration (as well as nutrition)

More Related