Module 8 - Pressure Management
Team work
"Due to the complex array of risk factors, pressure ulcer prevention must be proactive, engaging a multidisciplinary approach in all clinical settings (Maugham et al, 2004) (Prentice and Stacey, 2001). This should involve implementing institution-wide prevention programs, as opposed to any one strategy. It is important that a holistic approach is used which addresses all phases of care (Stacey, 2004).
The patient with SCI needs to be at the centre of pressure ulcer prevention strategies, and it is important to promote an overall healthy lifestyle that includes elements of nutrition, exercise and general daily activity. These appear to be the protective factors for the development of pressure ulcers (Krause and Broderick, 2004) (Clark et al, 2001)."
- "Skin Care and Pressure Area Prevention in Patients with Spinal Cord Injury", a consensus document produced by the NSW State Spinal Cord Injury Service (SSCIS), 2008.
As well as consulting with relevant health professionals, the client's carer and the supplier are part of the process in delivering an optimal pressure management outcome to the client.
Formulating Trials
- Set up trial equipment correctly
- Review the whole system with the trial equipment, and adjust other components if required
- Provide instruction/education/user information for trial items
- Facilitate client's/carer's compliance by promoting the benefits of the trial items in meeting their identified needs
- Seating protocol applies to clients returning to sitting for the first time after plastic surgery or with a conservatively healed pressure ulcer. For other clients, skin checks of pressure risk areas are highly recommended. Within reason and available resources, skin checks are to be conducted after 20-30 minutes of the trial set-up. If there are no signs of skin damage (redness and non-blanching), repeat skin check at hourly increment intervals. Stop the trial if skin shows any sign of damage.