Pressure Sores

Question 1

Common occurrence can lead to prolonged?

Answer 1

• Rehab or hospital stay

Question 2

Contributing factors to Pressure Sores

Answer 2

• Impaired sensation
• Inability to make appropriate positional changes (most important)
• Loss of vasomotor control
• Spasticity
• Skin maceration
• Moisture / Urine
• Trauma
• Nutritional deficiencies
• poor general skin condition
• Secondary infections
• Inability for pt to be independent with self-direction of care secondary to: poor clinical education by staff
• Possible impairment as a result of a TBI component

Question 3

Supine

Answer 3

• Scapular Spine
• Olecranon
• Dorsal Vertebral Spine
• PSIS
• Sacrum
• Calcaneus

Question 4

Prone

Answer 4

• Zygomatic bone
• Tibial Crest
• Sternum
• ASIS
• Patella
• Metatarsals / Phalanges

Question 5

Sidelying

Answer 5

• Greater tuberosity of shoulder
• Greater Trochanter
• Head of fibula
• Maleoli

Question 6

Sitting

Answer 6

• Ischial Tuberosites

- Thoracic Spinal Processes

Question 7

Prevention is key

Answer 7

• Turning Schedule every 2 hours initially
• Skin inspections
• Alleviate any pressures noted
• Turn responsibility to pt (immediate)
• Educate pt and family
• Pressure Relief

Question 8

Pressure Relief

Answer 8

• Depressions and leans
• Tilt in space
• 1 min of relief every 15-30 minutes of sitting