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Skin integrity in the pediatric population: preventing and managing pressure ulcers
1Multidisciplinary ICU, Children's Hospital, Boston, MA, USA. quigleys@a1.tch.harvard.edu
Insights
A new three-pronged approach for preventing and managing pressure ulcers in children has been developed. This strategy, including risk assessment and care algorithms, aims to standardize care for acutely ill pediatric patients.
Area of Science:
- Pediatric Nursing
- Wound Care
- Clinical Practice Guidelines
Background:
- Pressure ulcers pose a significant risk to acutely ill children.
- Variations in clinical practice can impact the prevention and management of pediatric pressure ulcers.
Purpose of the Study:
- To consolidate existing knowledge on pressure ulcers in pediatric populations.
- To introduce a standardized approach for pressure ulcer prevention and management at Children's Hospital, Boston.
Main Methods:
- Development of a comprehensive, multi-faceted strategy for pressure ulcer care.
- Implementation of specific algorithms for risk assessment, prevention, and treatment.
- Focus on acutely ill children with compromised skin integrity.
Main Results:
- The developed approach effectively reduces practice variations in pressure ulcer prevention and management.
- Standardized protocols enhance the consistency of care for pediatric patients.
Conclusions:
- The Skin Care Task Force recommends the Braden Q scale for pediatric risk assessment.
- A skin care algorithm for prevention and a pressure ulcer algorithm for staging and management are advised.
- This standardized approach improves outcomes for acutely ill children at risk of pressure ulcers.
Purpose:
To summarize clinical and empirical knowledge about pressure ulcers in infants and children and to describe an approach developed at Children's Hospital, Boston, to prevent and manage pressure ulcers.
Population:
Acutely ill children with potential or actual alteration in skin integrity due to pressure ulcers.
Conclusions:
The three-pronged approach for pressure ulcer prevention and management developed by the Skin Care Task Force at the Children's Hospital, Boston, decreases unnecessary variation in practice surrounding the prevention and care of pressure ulcers in acutely ill children.
Practice Implications:
The Skin Care Task Force recommends use of Braden Q for pediatric risk assessment, a skin care algorithm for prevention of pressure ulcers, and a pressure ulcer algorithm for staging and managing pressure ulcers.
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