A Nursing Assessment For Pressure Ulcers

1354 Words6 Pages
The evidence according the American College of Physicians defines a pressure ulcer as “localized injury to the skin and or underlying tissue, usually over a bony prominence, as a result of pressure alone or in combination with sheer.” Furthermore, almost 3 million adults in the United States suffer from pressure ulcers and experts estimate that 11 billion dollars are associated with the costs of post-pressure ulcer treatment. There are many risk factors for pressure ulceration; however, most concerning patient factors include: low body weight, mental status changes, immobility, impaired wound healing, incontinence, type one and type two diabetes, edema, altered circulation, low serum albumin, and malnutrition. Perhaps the most important step in prevention begins with a comprehensive integument nursing assessment for pressure ulcers. There are many pressure ulcer prevention interventions currently in practice; however, few of the interventions are supported by high quality evidence. For reference, the Braden scale assesses the general population and covers mobility, activity, sensory perception, skin moisture nutrition state, and friction/sheer on a scale from six to twenty- three and a low score indicates high risk for pressure ulceration development. The Waterlow also assesses the general population and looks at general build, height, skin condition, sex, age, continence, mobility, appetite, medication, and other risk comorbidities scaled on one to 64 and a high score

More about A Nursing Assessment For Pressure Ulcers

Open Document