ݺߣ

ݺߣShare a Scribd company logo

Pressure ulcers

•
•
E
Enfyc.blogspot.com

This document discusses the categorization and management of pressure ulcers in adults. It defines the four stages of pressure ulcers from non-blanchable erythema (Stage 1) to full thickness tissue loss with exposed bone, tendon or muscle (Stage 4). It then reviews the use of different dressings for pressure ulcers, including hydrocolloid dressings for non-infected Stage 1-3 ulcers, alginate dressings for exudating ulcers, and silver-impregnated dressings for infected or heavily colonized ulcers. It stresses the importance of being aware that all patients are at risk of developing pressure ulcers.

1 of 16
Raquel Muñoz. Primary Care nurse CS Son Serra-La Vileta. Palma de Mallorca June 2015 PRESSURE ULCER Staging and management in adults
Outline O Categorisation O Dressings O Hydrocolloid O Alginate O Foam O Silver-Impregnated
Pressure ulcers O Pressure ulcers are caused when an area of skin are damaged as a result of being placed under pressure.
Pressure ulcers prevalence *Pancorbo-Hidalgo Pedro et al. Pressure ulcers epidemiology in Spain in 2013: results from the 4th National Prevalence Survey.
Category/Stage 1 O Intact skin with non-blanchable erythema of a localized area usually over a bony prominence
Category/Stage 2 O Partial thickness skin loss or blister. O Partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed
Category/Stage 3 O Full thickness skin loss (fat visible) O Subcutaneous fat may be visible but bone, tendon or muscle are not exposed.
Category/Stage 4 O Full thickness tissue loss with exposed bone, tendon or muscle. O Often include undermining and tunnelling
Categorisation
Hydrocolloid Dressings O On non-infected pressure ulcers. (Strength of Evidence = B) O On shallow Stage III pressure ulcers. (B) O To protect body areas at risk of friction injury . (C) O On non-exudating ulcers (B)
Alginate Dressings O For the treatment of moderately and heavily exudating ulcers. (B) O In infected pressure ulcers when there is proper concurrent treatment of infection. (C)
Foam Dressings O On exudative Category/Stage II and shallow Category/Stage III pressure ulcers. (B) O On painful pressure ulcers. (C) O On body areas and pressure ulcers at risk of shear injury. (B)
Silver-Impregnated Dressings O For pressure ulcers that are infected or heavily colonized. (B) O For ulcers at high risk of infection (B)
OBe aware that all patients are potentially at risk of developing a pressure ulcer
Literature review O NICE. Prevention and management of pressure ulcers. 2014. Available in: guidance.nice.org.uk/cg179 O European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. 2009 O Guideline of Prevention and management of pressure ulcers. 2007. Servicio de Salud de las Islas Baleares. O Grupo Nacional para el Estudio y Asesoramiento en Ulceras por Presión y Heridas Crónicas (GNEAUPP). Directrices Generales sobre Tratamiento de las Úlceras por Presión. Logroño. CURRENTLY IN UPDATE O Pancorbo-Hidalgo Pedro L., García-Fernández Francisco P., Torra i Bou Joan-Enric, Verdú Soriano José, Soldevilla-Agreda J. Javier. Epidemiología de las úlceras por presión en España en 2013: 4.º Estudio Nacional de Prevalencia. Gerokomos . 2014 ; 25(4): 162-170.
Pressure ulcers

More Related Content

Pressure ulcers

  • 1. Raquel Muñoz. Primary Care nurse CS Son Serra-La Vileta. Palma de Mallorca June 2015 PRESSURE ULCER Staging and management in adults
  • 2. Outline O Categorisation O Dressings O Hydrocolloid O Alginate O Foam O Silver-Impregnated
  • 3. Pressure ulcers O Pressure ulcers are caused when an area of skin are damaged as a result of being placed under pressure.
  • 4. Pressure ulcers prevalence *Pancorbo-Hidalgo Pedro et al. Pressure ulcers epidemiology in Spain in 2013: results from the 4th National Prevalence Survey.
  • 5. Category/Stage 1 O Intact skin with non-blanchable erythema of a localized area usually over a bony prominence
  • 6. Category/Stage 2 O Partial thickness skin loss or blister. O Partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed
  • 7. Category/Stage 3 O Full thickness skin loss (fat visible) O Subcutaneous fat may be visible but bone, tendon or muscle are not exposed.
  • 8. Category/Stage 4 O Full thickness tissue loss with exposed bone, tendon or muscle. O Often include undermining and tunnelling
  • 10. Hydrocolloid Dressings O On non-infected pressure ulcers. (Strength of Evidence = B) O On shallow Stage III pressure ulcers. (B) O To protect body areas at risk of friction injury . (C) O On non-exudating ulcers (B)
  • 11. Alginate Dressings O For the treatment of moderately and heavily exudating ulcers. (B) O In infected pressure ulcers when there is proper concurrent treatment of infection. (C)
  • 12. Foam Dressings O On exudative Category/Stage II and shallow Category/Stage III pressure ulcers. (B) O On painful pressure ulcers. (C) O On body areas and pressure ulcers at risk of shear injury. (B)
  • 13. Silver-Impregnated Dressings O For pressure ulcers that are infected or heavily colonized. (B) O For ulcers at high risk of infection (B)
  • 14. OBe aware that all patients are potentially at risk of developing a pressure ulcer
  • 15. Literature review O NICE. Prevention and management of pressure ulcers. 2014. Available in: guidance.nice.org.uk/cg179 O European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. 2009 O Guideline of Prevention and management of pressure ulcers. 2007. Servicio de Salud de las Islas Baleares. O Grupo Nacional para el Estudio y Asesoramiento en Ulceras por Presión y Heridas Crónicas (GNEAUPP). Directrices Generales sobre Tratamiento de las Úlceras por Presión. Logroño. CURRENTLY IN UPDATE O Pancorbo-Hidalgo Pedro L., García-Fernández Francisco P., Torra i Bou Joan-Enric, Verdú Soriano José, Soldevilla-Agreda J. Javier. Epidemiología de las úlceras por presión en España en 2013: 4.º Estudio Nacional de Prevalencia. Gerokomos . 2014 ; 25(4): 162-170.