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Prevention of pressure ulcers in the surgical patient
1AnMed Health Outpatient Wound and Foot Care Clinic, Anderson, SC, USA.
Insights
Pressure ulcers (PUs) are a significant healthcare concern. This review highlights surgical patient risk factors and emphasizes the need for strategic prevention plans in perioperative departments to mitigate PU development.
Area of Science:
- Healthcare Management
- Surgical Patient Care
- Wound Prevention
Background:
- Pressure ulcers (PUs) represent a critical healthcare challenge, necessitating evaluation of post-admission acquisition.
- Surgical environments introduce unique risk factors including patient positioning, anesthesia, and surgical duration, alongside intrinsic patient factors, all contributing to PU development.
Purpose of the Study:
- To review current practices for pressure ulcer prevention in surgical patients.
- To incorporate AORN (Association of periOperative Registered Nurses) recommended practices into PU prevention strategies.
Main Methods:
- Literature review of current practices and AORN guidelines.
- Analysis of risk factors in the operating room (OR) setting.
- Emphasis on strategic planning for PU prevention.
Main Results:
- Surgical patients are universally at risk for pressure ulcer development.
- Perioperative departments must implement proactive prevention strategies.
- AORN recommendations provide a framework for effective PU prevention.
Conclusions:
- All surgical patients require risk assessment for pressure ulcers.
- Strategic, evidence-based prevention plans are essential in perioperative settings.
- Implementing AORN recommended practices can significantly reduce PU incidence.
Abstract:
Pressure ulcers (PUs) are a serious health care problem, and it is crucial to assess how patients acquire pressure ulcers after admission to a health care facility. In the OR, factors related to positioning, anesthesia, and the duration of surgery, in addition to patient-related factors, all can affect PU development. This article reviews current practices, including AORN recommended practices, regarding pressure ulcer prevention efforts for surgical patients. All surgical patients should be considered at-risk for pressure ulcer development; therefore, perioperative departments should develop and implement strategic plans for pressure ulcer prevention.
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