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    Prevention of Pressure Injury

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    Tamil

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    Prevention of Pressure Injury

    Uploaded by

    Tamil
    6 views13 pages

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    6 views13 pages

    Prevention of Pressure Injury

    Uploaded by

    Tamil

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 13

    PREVENTION OF

    PRESSURE INJURY
    DEFINITION OF PRESSURE
    INJURY
    A pressure ulcer is ‘a localized injury to the
    skin and/or underlying tissue usually over a
    bony prominence, as a result of pressure, or
    pressure in combination with shear’
    STAGES OF PRESSURE INJURY
    Stage-1-Nonblanchable Erythema
    The skin is intact, but shows a red or dark mark,
    often over bony areas. The skin marking does
    not fade when pressure is removed, although
    this might be difficult to see in people with
    darker skin. This stage could indicate people at
    risk of pressure ulcers.
    Stage-2-Partial thickness skin loss
    There is a dry, shallow, red pink wound
    without any dead tissue. Skin blistering
    (closed or open) would also fall in this
    category.
    Stage-3-Full thickness skin loss
    At this stage there is a deep wound that
    may expose subcutaneous fat (depending
    on location), but not tendons or muscles.
    There may be dead tissue present, but
    the deep wound is clearly visible.
    Stage-4-Full thickness tissue loss
    There is a very deep wound that goes
    through to the muscle or tendon and
    might expose the bone, or the bone can
    be felt. Depending on location, this wound
    may be shallower, as there may not be
    any subcutaneous issue (such as on the
    ear or the ankle).
    Unstageable: Depth Unknown
    There is a deep wound but it cannot be
    determined, as there is a lot of dead tissue
    or a scab present,full Eschar Present
    Deep Tissue Pressure Injury:
    Persistent non-blanchable deep red, maroon, or purple
    discoloration – Intact or non-intact skin with localized area or
    persistent non-blanchable deep red, maroon, purple
    discoloration, or epidermal separation revealing a dark wound
    bed or blood-filled blister. If necrotic tissue, subcutaneous tissue,
    granulation tissue, fascia, muscle, or other underlying structures
    are visible, this indicates a full-thickness pressure injury
    (unstageable, Stage 3 or Stage 4). Do not use DTPI to describe
    vascular, traumatic, neuropathic, or dermatologic conditions.
    Medical Device-Related Pressure Injury:
    (This describes the etiology.) Medical device-related pressure
    injuries result from the use of devices designed and applied for
    diagnostic or therapeutic purposes. The resultant pressure injury
    generally conforms to the pattern or shape of the device. The
    injury should be staged using the staging system.
    Mucosal Membrane Pressure Injury:
    Mucosal membrane pressure injury is found on mucous
    membranes with a history of a medical device in use at the
    location of the injury. Due to the anatomy of the tissue, injuries
    cannot be staged.
    PUSH SCORE
    Education
    Teach the individual and family about risk
    for pressure injury.
     Engage individual and family in risk
    reduction interventions.

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