Prevent pressure ulcers with proper nursing care
LTC Nursing Assistant Trainer, July 17, 2008
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Pressure ulcers, which are declining according to the OBRA regulations, can be prevented in most residents through a combination of risk-factor identification and proper nursing care. Causative factors of skin ulcers include the following:
• Pressure
• Arterial insufficiency
• Venous stasis
• Burns
• Diabetes (ischemic and neuropathic)
• Trauma
All “at risk” residents should have a systematic skin inspection at least once a day. In most cases, this can be done by a nursing assistant who reports his or her findings to the nurse. Licensed nurses should check high-risk residents’ skin weekly or according to facility policy. Keep in mind that the conditions of residents admitted to a healthcare facility are not static, so pressure ulcer risk requires routine reexamination. Accurate and complete documentation of all risk assessments ensures continuity of care and may be used as a foundation for the skin care plan.
This tip is from HCPro’s book The Long-Term Care Nursing Desk Reference.
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