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Pressure Injuries in the Pediatric Population: A National Pressure Ulcer Advisory Panel White Paper
Barbara Delmore1, Michelle Deppisch, Cynthia Sylvia
1Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU • Senior Nurse Scientist • Center for Innovations in the Advancement of Care • Clinical Assistant Professor • Hansjörg Wyss Department of Plastic Surgery • NYU Langone Health • New York, New York Michelle Deppisch, PT, CWS, FACCWS • Wound Care Regional Clinical Specialist • Mölnlycke Health Care • Norcross, Georgia Cynthia Sylvia, DNurs, MSc, MA, RN, CWCN • Managing Member • Cynthia Sylvia LLC • Charles Town, West Virginia Crystal Luna-Anderson, BSN, RN, CWON, CFCN • Wound Care Director, Hospital Division • Kindred Healthcare • Louisville, Kentucky Ann Marie Nie, MSN, RN, FNP-BC, CWOCN • Wound, Ostomy Care Nurse Practitioner • Children's Minnesota • Minneapolis, Minnesota.
Pediatric patients, particularly neonates, are highly susceptible to pressure injuries (PIs). Specialized prevention and treatment protocols are essential for this vulnerable population.
Area of Science:
- Pediatric dermatology
- Wound care science
Background:
- Neonates and infants are uniquely vulnerable to pressure injuries (PIs).
- Existing adult-focused protocols are insufficient for pediatric pressure injury prevention.
- Interprofessional collaboration is key for effective pediatric skin and wound management.
Purpose of the Study:
- To review the current understanding of pediatric pressure injuries.
- To identify specific factors contributing to pressure injury development in neonates and children.
- To provide evidence-based recommendations for prevention and treatment.
Main Methods:
- Literature review of pediatric pressure injury research.
- Analysis of anatomical and physiological factors in pediatric PI formation.
- Evaluation of existing risk assessment tools for pediatric use.
Main Results:
- Pediatric patients exhibit distinct vulnerabilities to pressure injuries compared to adults.
- Current risk assessment tools require adaptation for pediatric populations.
- Standardized, interprofessional approaches are crucial for successful pediatric PI management.
Conclusions:
- Pediatric pressure injury prevention demands tailored strategies.
- Further research is needed to refine pediatric-specific risk assessment and interventions.
- A unified, team-based approach enhances outcomes in pediatric pressure injury care.
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