Pressure Injury Prevention

Cheryl Carver's picture
Worldwide Pressure Ulcer/Injury Prevention & Awareness Day

By Cheryl Carver, LPN, WCC, CWCA, DAPWCA, FACCWS

Worldwide Pressure Ulcer/Injury Prevention & Awareness Day is November 21st. This day is considered pretty much a holiday at my home. I have Stop Pressure Ulcer tee shirts, and I order a cake or STOP sign cookies every year from the bakery in memory of my mother. To some it might sound crazy, but my life was strongly impacted forever in 1996 after my mother passed away in my arms at only 47 years old because of complications of diabetes and what was called at that time "multiple decubitus." The image and smell will never leave my mind. It changed my life forever as a daughter, a caregiver, and later as a wound nurse. I needed more answers to heal my heart. How could my mother acquire such horrible wounds while at the hospital to get better? My mind was twirling nonstop with the 5Ws. Who, what, when, where, why? So, then it began. I wanted to learn everything I could. This ended up being sort of my therapy, which transitioned into my passion and purpose.

Heidi Cross's picture
End of Life Skin

By Heidi Cross, MSN, RN, FNP-BC, CWON

Ms. EB, a frail 82-year-old woman admitted to a long-term care facility, had a complex medical history that included diabetes, extensive heart disease, ischemic strokes with left-sided weakness and dysphagia, dementia, kidney disease, anemia, chronic Clostridium difficile infection, and obesity. Her condition was guarded at best on admission, and she had a feeding tube for nutrition secondary to dysphagia. Despite these challenges, she survived two years at the facility.

WoundSource Editors's picture
Risk Assessment Standardization

By the WoundSource Editors

The prevalence of pressure injuries among certain high-risk patient populations has made pressure injury risk assessment a standard of care. When utilized on a regular basis, standardized assessment tools, along with consistent documentation, increase accuracy of pressure injury risk assessment, subsequently improving patient outcomes. Conversely, inconsistent and non-standardized assessment and poor documentation can contribute to negative patient outcomes, denial of reimbursement, and possibly wound-related litigation.

Kelly Byrd-Jenkins's picture
Pressure Ulcer Reduction in Acute Care

by Kelly Byrd-Jenkins, CWS

It may come as no surprise to some, but pressure ulcers are among the only hospital-acquired conditions that have been on the rise in recent years. Other hospital-acquired conditions—such as adverse drug events, falls, and catheter-associated urinary tract infections—have decreased, according to a statement by the Agency for Healthcare Research and Quality in January of this year.

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Ivy Razmus's picture
Wheelchairs and Pressure Injuries

By Ivy Razmus, RN, PhD, CWOCN

People in wheelchairs are limited in their mobility, sensory perception, and activity. These limitations can lead to increased temperature and moisture on the areas that are in contact with the wheelchair surface. These risk factors place wheelchair users at a higher risk for pressure injuries. A pressure injury is localized damage to the skin and underlying soft tissue, usually over a bony prominence or related to a medical or other device. Pressure from medical devices against the skin may also cause pressure injury. Patients with spinal cord injury (SCI) and its associated comorbidities are among the highest-risk population for developing pressure injuries. The incidence of pressure ulcers in patients with SCI is 25%–66%.

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Temple University School of Podiatric Medicine's picture
Temple University School of Podiatric Medicine Journal Review Club

Article Title: Pressure Injury Progression and Factors Associated With Different End-Points in a Home Palliative Care Setting: A Retrospective Chart Review Study
Authors: Artico M, D’Angelo D, Piredda M, et al
Journal: J Pain Symptom Manage 2018;56(1):23-31
Reviewed by: Arden Harada, class of 2021, Temple University School of Podiatric Medicine

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Industry News's picture

McDonough, GA, June 23, 2019 – Encompass Group, LLC premiered its transformative new Airisana™ Therapeutic Support Surface in its exhibit booth at the WOCNext 2019 Conference in Nashville, Tennessee. Airisana™ is a unique, never-before-seen approach to pressure management therapy and microclimate. By combining all of the best practices devised to reduce health care-acquired pressure injuries into one surface and control unit, it replaces up to five other surface types.

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Heidi Cross's picture
Unavoidable Pressure Ulcers

By Heidi Cross, MSN, RN, FNP-BC, CWON

"At all times material hereto, defendant failed to develop an adequate care plan and properly monitor and supervise the care and treatment in order to prevent her from suffering the development and deterioration of bed sores."

Holly Hovan's picture
Braden Scale: Mobility

By Holly Hovan, MSN, RN-BC, APRN-CNS, CWOCN-AP

What is mobility? Typically, when we hear the word mobility, we think about our ability to move, with or without assistance. In a long-term care setting, we often hear the words, "mobility aids," which are typically pieces of medical equipment that are used to enhance mobility—wheelchairs, walkers, canes, power wheelchairs, crutches, and even guide dogs for those who are sight impaired. There are many intrinsic and extrinsic factors that impact one's mobility, which will be discussed in this blog.

Industry News's picture

By the National Pressure Ulcer Advisory Panel

Washington, DC. – April 18, 2019 – On April 9, 2019, Dr. William Padula, NPUAP Treasurer, and Dr. Janet Luddigan, NPUAP President, provided written testimony to the House Committee on Appropriations; Subcommittee on Labor, Health and Human Services, Education and Related Agencies to explore new payment models that could further increase innovation and incentivize the prevention or pressure injuries.

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