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Repositioning In persons at risk, repositioning should be undertaken Repositioning use and frequency should be influenced by individual risk factors and the support surface being used Repositioning Technique Avoid positions that cause excess pressure (side-lying, semi-recumbent) and use positions that minimize pressure and shear (30 degree lateral and HOB elevation) Use transfer aids to avoid friction and shear Avoid positioning on bony prominences with signs of skin damage 8/7/2012 14
Mimura, et al (2009) In a series of positions with interface pressure measurements: ◦ Found that raising the knees 20 degrees shifted body weight to the posterior side of the thigh, thus lowering pressure and shear at the coccyx. ◦ Concluded that the knees should be raised before the head of the bed is raised. ◦ it was also recommended that the patients be turned to their side briefly, to release the surface pressure and shear forces. Peterson, et al (2008) Used 15 healthy volunteers to study the effects of HOB elevations of 0, 10, 20 30, 45, 60 and 75 degrees. ◦ Found that elevations of 30 degrees and higher caused peak interface pressures that were significantly greater than those experienced in the supine position. ◦ The lowest sacral pressures occurred in the 0 degree elevation with only slight increases in sacral pressure at 10 and 20 degrees. 8/7/2012 15
Page 1 and 2: The Braden Scale: Using Subscales t
Page 3 and 4: Predictive Value of Positive Result
Page 5 and 6: Risk Assessment + Consideration of
Page 7 and 8: PLANNING CARE BY RISK FACTORS Inter
Page 9 and 10: Managing Moisture Use commercial m
Page 11 and 12: Conceptual Schema for Etiologic Fac
Page 13: Support Surfaces in Patients at Ris
Page 17 and 18: Any particular device for heel elev
Page 19 and 20: Pressure Reduction Seating Systema
Page 21 and 22: Bottom Line Most pressure ulcers c
Page 23: Linda Laudato BSN, RN Gold STAMP Co

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