Patients in intensive care units are at risk for development of pressure ulcers because of severity of illness, the presence of multiple comorbid diseases, and complications of bed rest or other positioning restrictions. In addition, appliances such as cervical collars put patients at risk.
Nurses increasingly have become more vigilant about preventing hospital-related injury and infection among their patients.
Evaluate and understand the risk factors for each patient in your care.
Consider the risks of skin breakdown associated with positioning restrictions or appliance use. For example, elevation of the head of the bed to prevent ventilator-associated pneumonia may increase the risk of breakdown in the coccyx area in some patients.
Plan for early mobility for each patient when the patient’s condition is stable.
Use the standardized assessment and documentations required by your institution.
Consult knowledgeable nursing colleagues such as...