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Pressure ulcers

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Pressure ulcers

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Pressure ulcers

  1. 1. Raquel Muñoz. Primary Care nurse CS Son Serra-La Vileta. Palma de Mallorca June 2015 PRESSURE ULCER Staging and management in adults
  2. 2. Outline O Categorisation O Dressings O Hydrocolloid O Alginate O Foam O Silver-Impregnated
  3. 3. Pressure ulcers O Pressure ulcers are caused when an area of skin are damaged as a result of being placed under pressure.
  4. 4. Pressure ulcers prevalence *Pancorbo-Hidalgo Pedro et al. Pressure ulcers epidemiology in Spain in 2013: results from the 4th National Prevalence Survey.
  5. 5. Category/Stage 1 O Intact skin with non-blanchable erythema of a localized area usually over a bony prominence
  6. 6. Category/Stage 2 O Partial thickness skin loss or blister. O Partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed
  7. 7. Category/Stage 3 O Full thickness skin loss (fat visible) O Subcutaneous fat may be visible but bone, tendon or muscle are not exposed.
  8. 8. Category/Stage 4 O Full thickness tissue loss with exposed bone, tendon or muscle. O Often include undermining and tunnelling
  9. 9. Categorisation
  10. 10. Hydrocolloid Dressings O On non-infected pressure ulcers. (Strength of Evidence = B) O On shallow Stage III pressure ulcers. (B) O To protect body areas at risk of friction injury . (C) O On non-exudating ulcers (B)
  11. 11. Alginate Dressings O For the treatment of moderately and heavily exudating ulcers. (B) O In infected pressure ulcers when there is proper concurrent treatment of infection. (C)
  12. 12. Foam Dressings O On exudative Category/Stage II and shallow Category/Stage III pressure ulcers. (B) O On painful pressure ulcers. (C) O On body areas and pressure ulcers at risk of shear injury. (B)
  13. 13. Silver-Impregnated Dressings O For pressure ulcers that are infected or heavily colonized. (B) O For ulcers at high risk of infection (B)
  14. 14. OBe aware that all patients are potentially at risk of developing a pressure ulcer
  15. 15. Literature review O NICE. Prevention and management of pressure ulcers. 2014. Available in: guidance.nice.org.uk/cg179 O European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. 2009 O Guideline of Prevention and management of pressure ulcers. 2007. Servicio de Salud de las Islas Baleares. O Grupo Nacional para el Estudio y Asesoramiento en Ulceras por Presión y Heridas Crónicas (GNEAUPP). Directrices Generales sobre Tratamiento de las Úlceras por Presión. Logroño. CURRENTLY IN UPDATE O Pancorbo-Hidalgo Pedro L., García-Fernández Francisco P., Torra i Bou Joan-Enric, Verdú Soriano José, Soldevilla-Agreda J. Javier. Epidemiología de las úlceras por presión en España en 2013: 4.º Estudio Nacional de Prevalencia. Gerokomos . 2014 ; 25(4): 162-170.

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