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Pressure Ulcers

Pressure Ulcers is a topic covered in the Pocket ICU Management.

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Anesthesia Central

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First Things First

  • Patients should have a patient risk and skin assessment completed on admission and documented in the medical record.
  • Assess risk for skin breakdown using a consistent, validated tool, such as the Braden or Norton scale, every time it is done.
  • The patient risk assessment must include several components: mobility, incontinence, sensory deficiency, presence of friction and shear forces, and nutritional status and should be incorporated into the admission process.
  • Other risk factors for pressure ulcers include presence of pressure ulcers on admission, advanced age, body weight, sensory deficiency, comorbid conditions, glycemic control, low blood pressure, circulatory abnormalities, dehydration, long operative cases and the use of vasopressors.
  • Critically ill patients have risk factors and conditions that do not fit with existing risk assessment tools and can hamper early identification and offer possible rationale for increased incidence of breakdown.
  • Patients that are identified as being at risk require early interventions to prevent pressure ulcers
  • These interventions should include minimizing pressure with the appropriate bed surface, mobilization, nutrition, managing moisture and paying special attention to at-risk areas.

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Last updated: April 29, 2010

Citation

"Pressure Ulcers." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534056/all/Pressure_Ulcers.
Pressure Ulcers. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534056/all/Pressure_Ulcers. Accessed April 22, 2019.
Pressure Ulcers. (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534056/all/Pressure_Ulcers
Pressure Ulcers [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 April 22]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534056/all/Pressure_Ulcers.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Pressure Ulcers ID - 534056 Y1 - 2010/04/29/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534056/all/Pressure_Ulcers PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -