Pressure ulcers & woundcare

Question 1

Risk factors for pressure ulcers?

Answer 1

Age over 70
Bedridden
Paralysis
Obesity
Incontinence
Poor nutrition
Reduced blood supply: DM, PVD, renal failure, HF

Question 2

Prevention of pressure ulcers?

Answer 2

Barrier creams

Reduce friction and redistribute pressure

• foam mattresses
• heel support
• cushions

Repositioning every 4-6 hrs

Skin assessment:

• skin integrity
• colour changes
• heat, firmness, moisture

Question 3

Investigation of pressure ulcers?

Answer 3

CRP, ESR
WCC
Swabs
Blood cultures
XR for bone involvement

Question 4

Management of a pressure ulcer?

Answer 4

Abx
Wound dressing
Pain relief
Debridement (remove slough etc)