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Best Practice in Pressure Injury Prevention Among Critical Care Patients.

Jenny G Alderden1, Faygah Shibily2, Linda Cowan3

  • 1University of Utah College of Nursing, 10 2000 East, Salt Lake City, UT 84112, USA.

Critical Care Nursing Clinics of North America
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Summary

Preventing pressure injuries in critical care requires ongoing risk assessment and tailored interventions. Key strategies include skin care, repositioning, nutrition, support surfaces, and early mobilization for optimal patient outcomes.

Keywords:
Critical carePressure injuryPrevention

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Area of Science:

  • Critical care nursing
  • Wound prevention
  • Patient safety

Background:

  • Pressure injuries are common in critical care.
  • Damage results from sustained pressure or pressure with shear.
  • Effective prevention strategies are crucial for patient well-being.

Purpose of the Study:

  • To describe best practices for pressure injury prevention in critical care.
  • To outline essential components of a comprehensive prevention program.
  • To address special considerations for at-risk populations.

Main Methods:

  • Review of current evidence-based practices.
  • Description of key preventive interventions.
  • Discussion of risk assessment and ongoing evaluation.

Main Results:

  • Comprehensive prevention involves skin assessment, skin care, repositioning, nutrition, support surfaces, and early mobilization.
  • Risk assessment and continuous evaluation are vital.
  • Special populations like older adults and individuals with obesity require tailored approaches.

Conclusions:

  • Implementing evidence-based preventive interventions is essential for reducing pressure injuries in critical care.
  • A multi-faceted approach considering individual patient needs is most effective.
  • Ongoing vigilance and adaptation of strategies are necessary for optimal outcomes.