Risk Factors
Name three (3) risk factors for developing a pressure injury.
What is obesity, poor nutrition, prior pressure injuries, dehydration, sensory impairment, smoking, low toe pressures, peripheral vascular disease?
Redness or skin breakdown, usually found beneath abdominal folds and in the groin area associated with moisture.
What is IAD?
Intact, non-blanching redness found on a bony prominence.
What is a stage 1 pressure injury?
This document is completed BD and assists staff to complete a full skin assessment and ensure relevant PI prevention equipment and referrals are in place.
What is the SSKIN bundle?
These devices reduce the risk of pressure injuries by keeping bed linen off the toes and feet.
What are bed cradles?
Greatest risk factor for pressure injury development.
What is immobility?
List 5 medical devices that should be checked and adjusted each shift to reduce the risk of them causing a pressure injury.
What are IDC, NGT, PICC, ETT, IVC, TEDs, drain tubes, splints/braces, pulse oximeter, oxygen tubing, NPWT, ICC?
A pressure injury stage that can appear as non-blanching bruising or a blood-filled blister. Often feels boggy on palpation.
What is an SDTI?
By typing in this phrase, staff can fill an automatic template to describe a newly found pressure injury.
What is .PressureInjury?
These devices have multiple adjustable valves to allow for a tailored fit. They are the gold standard PI prevention product prescribed by Occupational Therapists to prevent pressure injuries when patients are sitting out of bed.
What is a ROHO Cushion?
The amount of time needed for immobility to cause tissue ischaemia.
What is 20 minutes?
The two (2) most common anatomical areas for developing pressure injuries.
What are the sacrum and heels?
A pressure injury stage where the dermis has been damaged but subcutaneous tissue is not visible. May also present as an intact or broken serous filled blister.
What is a stage 2 pressure injury?
After completing the Braden Score, staff can use this box to assign a pressure risk score using their own clinical judgement.
What is the Clinician’s Risk Assessment?
This intervention should be recommended for offloading pressure from heels.
What is pillow/wedge?
Parallel frictional force that occurs as patients are dragged during repositioning as opposed to being lifted and moved.
What is shear?
This is known as a localised injury to the skin and/or underlying tissue, usually over a bony prominence as a result of pressure or of pressure in combination with friction and/or shear.
What is a pressure injury?
A pressure injury that has an obscured wound bed, may be obscured by slough or necrotic tissue.
What is an unstageable pressure injury?
This is the frequency in which the PRAT should be completed and repeated.
What is on admission (if indicated) and repeated weekly and/or on change of condition?
This may be administered prior to pressure area care to improve patient comfort and participation with regular repositioning.
What is analgesia?
These two locations are at an increased risk of developing a pressure injury when a patient has a cervical collar in situ.
What is mandible, occiput, clavicle, upper chest?
This term describes the development of a pressure injury because of a medical device.
What is a medical device related pressure injury (MDRPI)?
This PRAT score should be automatically assigned when a patient has an existing or history of pressure injuries.
What is high or very high?
The SSKIN bundle abbreviation relates to these words.
What is Skin, surface, keep moving, incontinence/moisture and nutrition?
This brochure can be given to patients and carers in conjunction with verbal education about pressure injury prevention.
What is the “Working together to prevent a pressure injury” brochure?