Breakdown in a localized area of skin or underlying tissue, primarily caused by prolonged pressure and/or shear
Usually over a bony prominence where the skin is in proximity with the ...
Risk factors
Nutritional assessment
Pain assessment
Date of ulcer diagnosis
Treatment course
Full skin examination on initial contact and repeatedly throughout visits
Assess lo...
Comprehensive initial assessment of the patient
Pressure reduction/redistribution (2)[A]
Nutritional support (e.g., protein-containing supplements) (3)[B]
Wound assessment and...
Wound assessment: Regularly assess the pressure ulcer for progress and changes.
Wound measurement: Periodically measure the ulcer's dimensions to track healing and...
Pieper B, ed. Pressure Ulcers: Prevalence, Incidence, and Implications for the Future. Washington, DC: NPUAP; 2012.
Qaseem A, Humphrey LL, Forciea MA,...
Create assessment and prevention protocols for all patients.
Identify risk factors, reduce/redistribute pressure, maximize nutrition, regular skin checks, and assess and treat wounds ap...
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FIGURE 9-3 Pressure ulcer staging. (A) Stage I, erythema; (B) Stage II, breakdown of the dermis; (C) Stage III, full thickness skin breakdown; (D) Stage IV, bone, muscle, and supporting tissue involved.
FIGURE 9-3 Pressure ulcer staging. (A) Stage I, erythema; (B) Stage II, breakdown of the dermis; (C) Stage III, full thickness skin break...