Comprehensive Management of Pressure Injury: A Review

Lyndsay A Kandi; India C Rangel; Nellie V Movtchan; Nicole R Van Spronsen; Erwin A Kruger

doi:10.1016/j.pmr.2022.06.002

Comprehensive Management of Pressure Injury: A Review

Phys Med Rehabil Clin N Am. 2022 Nov;33(4):773-787. doi: 10.1016/j.pmr.2022.06.002.

Authors

Lyndsay A Kandi¹, India C Rangel², Nellie V Movtchan¹, Nicole R Van Spronsen¹, Erwin A Kruger³

Affiliations

¹ Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ, USA.
² Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.
³ Division of Plastic and Reconstructive Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ, USA. Electronic address: Kruger.Erwin@mayo.edu.

PMID: 36243469
DOI: 10.1016/j.pmr.2022.06.002

Abstract

Pressure injuries (PIs) are a spectrum of localized tissue destruction that develops most often at a bony prominence. PIs are the result of a combination of extrinsic (eg, pressure, shear, friction, and moisture) and intrinsic (nutritional status, spasticity, decreased sensation, and vascular disease) factors. Given their complex etiology, management of PIs requires a multidisciplinary approach from a team of health care professionals. After addressing both extrinsic and intrinsic factors, local wound care is generally recommended for stages 1 to 2 PIs and surgical intervention for stages 3 to 4.

Keywords: NPIAP guidelines; Plastic surgery; Pressure injury; Pressure ulcer; Reconstruction.

Publication types

Review

MeSH terms

Health Personnel
Humans
Nutritional Status
Pressure Ulcer* / etiology
Pressure Ulcer* / therapy