Pressure Ulcer Prevention and Management Policy and Associated Guideline for Adults



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Pressure Ulcer Prevention and Management Policy and Associated Guideline for Adults





Version

4

Name of responsible (ratifying) committee

Nursing & Midwifery Group

Date ratified

09.05.2013

Document Manager (job title)

Tissue Viability Clinical Nurse Specialist

Date issued

11th September 2013

Review date

June 2015

Electronic location

Corporate Clinical Guideline

Related Procedural Documents




Key Words (to aid with searching)

Pressure ulcers, pressure ulcer prevention, grade of pressure ulcers, Braden, medical equipment, nutrition


CONTENTS


  1. Quick Reference Guide …………………………………………………………………...3

  2. Introduction ………………………………………………………………………………….4

  3. Purpose …………………………………………………………………………………………4

  4. Scope …………………………………………………………………………………………….4

  5. Definitions ……………………………………………………………………………………..4

  6. RESPONSIBLITIES..……………………………………………………………………………..5

  7. Process …………………………………………………………………………………………6

  8. Training REquirements ………………………………………………………………….12

  9. References and Associated Documentation ………………………………….13

  10. Monitoring compliance with, and the effectivenss of, procedural documents ………………………………………………………………………………………18


QUICK REFERENCE GUIDE
Key principles of pressure ulcer prevention and management include the following:

Structured Assessment

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Clinical Judgement


All patients to undergo daily assessment

Skin inspection for patients at risk

Use mirror to inspect heels




Implement pressure ulcer prevention strategies for at risk patients

Address nutritional needs and any moisture/incontinence




Prevention equipment including mattress, cushion, glide sheets, heel protectors

Repositioning and limited seating

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Patient and carer education



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