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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.

Advances in Skin & Wound Care
|August 23, 2019
PubMed

Insights

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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