What are some nursing interventions for pressure ulcers?

What are some nursing interventions for pressure ulcers?


  • Keep the skin clean and dry.
  • Investigate and manage incontinence (Consider alternatives if incontinence is excessive for age)
  • Do not vigorously rub or massage the patients’ skin.
  • Use a pH appropriate skin cleanser and dry thoroughly to protect the skin from excess moisture.

How can hospital acquired pressure ulcers be reduced?

Strategies to reduce pressure ulcers in hospitalized patients include frequent skin monitoring, improving patients’ mobility and repositioning them in bed, and optimizing nutrition.

What are the four stages of a pressure ulcer?

The Four Stages of Pressure Injuries

  • Stage 1 Pressure Injury: Non-blanchable erythema of intact skin.
  • Stage 2 Pressure Injury: Partial-thickness skin loss with exposed dermis.
  • Stage 3 Pressure Injury: Full-thickness skin loss.
  • Stage 4 Pressure Injury: Full-thickness skin and tissue loss.

What contributes to pressure ulcers?

Pressure ulcers are caused by intrinsic and extrinsic factors. The intrinsic factors include immobilization, cognitive deficit, chronic illness (eg, diabetes mellitus), poor nutrition, use of steroids, and aging. There are 4 extrinsic factors that can cause these wounds—pressure, friction, humidity, and shear force.

How do you get a decubitus ulcer?

What causes a decubitus ulcer? Prolonged pressure is essentially the main cause of a decubitus ulcer with other factors such as moisture, poor circulation, and poor nutrition contributing. Lying on a certain part of your body for long periods may cause your skin to break down.

How long does it take to get a decubitus ulcer?

Findings from the three models indicate that pressure ulcers in subdermal tissues under bony prominences very likely occur between the first hour and 4 to 6 hours after sustained loading. However, research examining these timeframes in sitting patients is not available.

How do you describe a decubitus ulcer?

Purple or maroon localized discolored, intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer, or cooler as compared to adjacent tissue.

How long does it take a decubitus ulcer to heal?

Your doctor will likely recommend surgery. Recovery for this ulcer can take anywhere from three months to two years to completely heal.

What does Stage 2 pressure ulcer look like?

At stage 2, the skin breaks open, wears away, or forms an ulcer, which is usually tender and painful. The sore expands into deeper layers of the skin. It can look like a scrape (abrasion), blister, or a shallow crater in the skin. Sometimes this stage looks like a blister filled with clear fluid.

What is a Kennedy ulcer?

A Kennedy ulcer, also known as a Kennedy terminal ulcer (KTU), is a dark sore that develops rapidly during the final stages of a person’s life. Kennedy ulcers grow as skin breaks down as part of the dying process. Not everyone experiences these ulcers in their final days and hours, but they’re not uncommon.

What is a Stage 1 Kennedy ulcer?

The Kennedy Terminal Ulcer is described as a pear-, butterfly-, horseshoe-, or sometimes irregular-shaped red/yellow/black ulcer, similar in appearance to an abrasion or blister, that may occur suddenly. 1.