Best Practice in Pressure Injury Prevention Among Critical Care Patients

Crit Care Nurs Clin North Am. 2020 Dec;32(4):489-500. doi: 10.1016/j.cnc.2020.08.001. Epub 2020 Oct 7.

Abstract

Pressure injuries are areas of damage to the skin and underlying tissue caused by pressure or pressure in combination with shear. Pressure injury prevention in the critical care population necessitates risk assessment, selection of appropriate preventive interventions, and ongoing assessment to determine the adequacy of the preventive interventions. Best practices in preventive interventions among critical care patients, including skin and tissue assessment, skin care, repositioning, nutrition, support surfaces, and early mobilization, are described. Unique considerations in special populations including older adults and individuals with obesity are also addressed.

Keywords: Critical care; Pressure injury; Prevention.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Critical Care*
  • Humans
  • Patient Positioning / nursing
  • Practice Guidelines as Topic*
  • Pressure Ulcer / nursing
  • Pressure Ulcer / prevention & control*
  • Risk Assessment
  • Skin Care / nursing