The Assessment and Prevention of Medical Device-Related Pressure Injuries in the Home Health Setting

Medical device-related pressure injuries (MDRPIs) pose a significant risk in the home health environment, where patients may lack continuous professional oversight. Devices commonly used in the home environment with the potential to cause a MDRPI include but are not limited to nasogastric tubes, feeding tubes, nasal cannulas, nasal cannula prongs, airway pressure masks, indwelling urinary catheters, sequential compression devices, dressings, bandages, and tracheostomies. When a medical device is used for an extended period, it can lead to unrelieved pressure or edema, cause friction and/or shearing that impairs sensation, reduces circulation, and alters the microclimate. MDRPIs are a type of pressure injury that is preventable and considered an adverse patient safety event. Through proper education, implementing regular monitoring, and utilizing protective measures, the incidence of MDRPIs can be effectively reduced. It is imperative for nurses to remain vigilant in preventing pressure injuries, especially in patients heavily reliant on medical devices.