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Couple things. Understand risk. Protect the tissue by offloading. Don't just check a box. Prevention is something fundamental to the role of the professional registered nurse.
Florence Nightingale wrote, “It may seem a strange principle to enunciate that the very first requirement in a hospital is to do the sick no harm.” So if I am a true patient advocate, my goal is going to work to prevent harm. Manage the microclimate and shear every time, not just when it becomes a problem. Work on preventing it before it becomes a problem and understand that mobility is medicine and it also matters. And if they're not in bed and they're out of bed, less chance of getting a pressure injury.
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