Risk Assessment and Prevention of Pressure Ulcers | Nursing Best Practice Guidelines

Risk Assessment and Prevention of Pressure Ulcers

Pre-reading

Definition of Terms
Background

Practice Reference – Evidence Informed Recommendations

Interventions Recommendation
Discharge and Transfer of Care Arrangement
Assessment Recommendations
Planning Recommendations

At Point of Care

Timelines for When Pressure Ulcer Can Develop in Specific Clinical Setting
Seven Zones of Entrapment
Minimizing Risk of Entrapment
Management of Patient with Nutritional Risk and Pressure Ulcer Risk
Skin Assessment
Clinical Signs and Symptoms of Dehydration
Force Management
Seating Assessment
Nutrition/Hydration-Related Blood Work
Pressure Redistributing Surface
Risk and Related Interventions
International NPUAP-EPUAP Pressure Ulcer Classification System

Sample Tools

Braden Scale for Predicting Pressure Sore Risk
Additional Tools for Pressure Ulcer Assessment
Support Selection Tool
Individual Braden Subscale Intervention Checklist
InterRAI Pressure Ulcer Risk Scale

Client’s and Families’ Education

Educational Resources
Health Education Fact Sheet