Pressure injuries: prevention and management

Résumé fourni par la source

Pressure injuries are localised damage to the skin and underlying tissues that usually develop over bony prominences. They are a common yet often preventable condition seen most often in high-risk populations such as older people and those with physical impairments. In clinical development and validation studies, the Pressure Ulcer Status for Healing tool adequately assesses pressure injury status and is sensitive to change over time. Risk factors for the development of pressure injuries include being bed- or chair-bound, being unable to reposition without assistance, difficulty with ambulation, history of stroke, faecal incontinence, low body weight, lymphopenia, difficulty with independent feeding, impaired nutritional intake, nonblanchable erythema of intact skin, and dry sacral skin. Commonly used pressure injury risk-assessment tools include the Norton, Braden, and Waterlow scales. Managing the underlying contributing factors when treating pressure injuries is likely more important than topical or adjunctive therapies.

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