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At a glance: pressure injuries

Lisa Williams1

  • 1Advanced Clinical Practitioner, Acute Response Team, The Rotherham NHS Foundation Trust, Rotherham, lisa.

British Journal of Nursing (Mark Allen Publishing)
|November 7, 2024
PubMed

Insights

Pressure injuries, or bed sores, are common skin issues in healthcare settings. Prevention strategies like repositioning and specialized care are vital to reduce incidence and improve patient outcomes.

Area of Science:

  • Healthcare Science
  • Clinical Nursing
  • Patient Safety

Background:

  • Pressure injuries (pressure ulcers or bed sores) are prevalent in healthcare settings, arising from prolonged pressure on skin and tissues.
  • Risk factors include pressure, moisture, friction, advanced age, post-surgical status, limited mobility, and chronic conditions.
  • These injuries prolong hospital stays and increase patient mortality risk.

Purpose of the Study:

  • To summarize the causes, risk factors, and prevention strategies for pressure injuries.
  • To highlight the importance of guidelines from bodies like the National Institute for Health and Care Excellence (NICE).
  • To emphasize the role of early detection and multidisciplinary care in managing pressure injuries.

Main Methods:

  • Review of existing literature and clinical guidelines on pressure injury prevention and management.
  • Analysis of contributing factors such as pressure, moisture, and friction.
  • Examination of preventative measures including repositioning, pressure-relieving devices, skin care, and nutritional support.

Main Results:

  • Effective prevention requires a multifaceted approach including regular repositioning, appropriate devices, diligent skin care, and nutritional support.
  • Systematic risk assessments and targeted interventions, as recommended by NICE, are crucial.
  • Early detection and integrated care from a multidisciplinary team significantly improve patient outcomes.

Conclusions:

  • Consistent application of evidence-based prevention strategies is essential to reduce the incidence of pressure injuries.
  • Improved patient care and reduced economic burden on healthcare systems like the NHS can be achieved through effective prevention and management.
  • Multidisciplinary collaboration and adherence to established guidelines are key to mitigating the impact of pressure injuries.

Keywords:
Nutritional supportPressure injuriesPreventionRepositioningRisk assessment

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