Beruflich Dokumente
Kultur Dokumente
Figure 10-5
Copyright 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Risk Factors for Development
of Pressure Ulcers
Immobility
Impaired sensory perception or cognition
Decreased tissue perfusion
Decreased nutritional status
Friction, shear
Increased moisture
Figure 10-6
Copyright 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Assessment for the Prevention of
Pressure Ulcers
Assessment of skin
Evaluate mobility
Evaluate circulatory status
Evaluate neurologic status
Evaluate nutrition, hydration
Braden scale
Stage II
Clean with sterile saline
Semipermeable occlusive dressings, hydrocolloid
dressings, or wet saline dressings provide moist
healing environment