Problems encountered managing pressure ulceration of the sacrum

Beldon, Pauline

doi:10.12968/bjcn.2008.13.sup6.31843

Cited by 9 publications

(11 citation statements)

References 4 publications

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“…Pressure injuries can affect the patient's mobility, nutritional intake, psychological status and elimination can become problematic and prolong their length of hospital stay (3). Pressure injuries consume resources in the form of wound management, increased nursing care, physiotherapy, medications, nutritional support and other clinical services (4).…”

Section: Introductionmentioning

confidence: 99%

Taking the pressure off in the Emergency Department: evaluation of the prophylactic application of a low shear, soft silicon sacral dressing on high risk medical patients

Cubit

McNally

Lopez

2012

International Wound Journal

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Pressure injuries are key clinical indicators of care standard. In Australia, pressure injuries increase length of hospital stay by 4.31 and cost $285 million annually. This pilot study examined the effectiveness of sacral dressing in reducing the prevalence of pressure injuries in older, high-risk patients. A non randomised one-sample experimental design was used in this study comprising of four phases. Of the 51 patients recruited to the study, one patient developed a sacral pressure injury compared to six patients identified in a known group with similar demographics who were not approached to participate in the study. The results indicated that patients in the known group were 5.4 times more likely to develop a pressure injury than the intervention group. Findings suggest that applying a protective sacral dressing with a low shear backing as part of a simple standardised prevention injury prevention regime commencing in the Emergency Department was beneficial in the prevention of pressure injury in older 'at high risk' medical patients.

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Section: Introductionmentioning

confidence: 99%

Taking the pressure off in the Emergency Department: evaluation of the prophylactic application of a low shear, soft silicon sacral dressing on high risk medical patients

Cubit

McNally

Lopez

2012

International Wound Journal

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“…Current evidence clearly identifies specific patient characteristics that increase the risk of PI development in the ED . Broadly, any patient who is unable to effectively reposition is at risk; similarly, patients exposed to prolonged moisture at the skin‐surface interface because of incontinence are also at risk . An important issue for the ED clinician to consider is that of the time prior to the patient's admission to the ED.…”

Section: Specific Patient Groups Who Are At High Risk Of Developing Pmentioning

confidence: 99%

“…Raised body temperature increases metabolic demands and has been associated with decreased tissue tolerance to mechanical loads. Poor nutritional status has been linked to increased PI risk because of decreased tissue tolerance and decreased fat and muscle mass over bony prominences such as the sacrum, which intensifies soft tissue deformations …”

Section: Specific Patient Groups Who Are At High Risk Of Developing Pmentioning

confidence: 99%

Preventing pressure injuries in the emergency department: Current evidence and practice considerations

Santamaria

Creehan

Fletcher³

et al. 2019

International Wound Journal

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The emergency department (ED) is at the front line of hospital pressure injury (PI) prevention, yet ED clinicians must balance many competing clinical priorities in the care of seriously ill patients. This paper presents the current biomechanical and clinical evidence and management considerations to assist EDs to continue to develop and implement evidence‐based PI prevention protocols for the high‐risk emergency/trauma patient. The prevention of hospital‐acquired pressure injuries has received significant focus internationally over many years because of the additional burden that these injuries place on the patient, the additional costs and impact to the efficiency of the hospital, and the potential for litigation. The development of a PI is the result of a complex number of biomechanical, physiological, and environmental interactions. Our understanding of the interaction of these factors has improved significantly over the past 10 years. We have demonstrated that large reductions in PI incidence rates can be achieved in critical care and general hospital wards through the application of advanced evidence‐based prevention protocols and believe that further improvement can be achieved through the application of these approaches in the ED.

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“…Skin integrity is optimized in the pH of 4-6.8. 8 Studies have shown that the majority of hospital-acquired pressure injuries had an emergency stay of more than 2 hours. 9,10 This study emphasizes the role of preventative measures starting from emergency department admissions.…”

Section: Review Of the Classification And Risk Factorsmentioning

confidence: 99%

Pressure ulcer prevention and treatment: use of prophylactic dressings

Reid

Ayello²,

Alavi³

2016

CWCMR

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Abstract:The management of pressure ulcers is challenging for health care providers across disciplines. Pressure ulcers have significant impact on emotional and physical wellbeing, quality of life, and health care costs. The use of wound dressings could be an important and cost-effective strategy in preventing pressure ulcers. The main types of dressings that are examined for this purpose in the literature are foam, hydrocolloid, and films. Some small studies have shown a preventative role for sacral dressings with low-shear backings, though they raise concerns about over-hydration of the skin. Further research demonstrates the application of barrier films over bony prominences to have a prophylactic effect; however, adhesive dressings can also contribute to shearing forces on the skin. There is a vast body of research that examines the use of dressings to prevent pressure ulcers; however, there is limited high-level evidence, such as randomized control trials. A 2013 Cochrane review indicated that there is a paucity of high-level evidence to support the prophylactic use of dressings to prevent pressure ulcers; this paper will examine the emerging literature and consider its relevance to pressure ulcer prevention protocols.

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Problems encountered managing pressure ulceration of the sacrum

Cited by 9 publications

References 4 publications

Taking the pressure off in the Emergency Department: evaluation of the prophylactic application of a low shear, soft silicon sacral dressing on high risk medical patients

Taking the pressure off in the Emergency Department: evaluation of the prophylactic application of a low shear, soft silicon sacral dressing on high risk medical patients

Preventing pressure injuries in the emergency department: Current evidence and practice considerations

Pressure ulcer prevention and treatment: use of prophylactic dressings

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