Australien
China
Japan
Neuseeland
Korea
Malaysia
Philippinen
Singapur
Belgien
Frankreich
Deutschland
Österreich
Irland
Italien
Niederlande
Polen
Russland
Spanien
Schweden
Schweiz
Großbritannien
Compliance with international best practice guidelines can effectively prevent most hospital-acquired pressure injuries (HAPIs) (Black et al., 2011; Padula et al., 2016) These guidelines include several nursing interventions that first were introduced in 1992 by the U.S. Agency for Healthcare Research & Quality (AHRQ), and have since been updated by the National Pressure Ulcer Advisory Panel (NPUAP) every 3–5 years (NPUAP, 2014; Panel on the Prediction and Prevention of Pressure Ulcers in Adults, 1992. AHCPR Publication No. 91-0047). Following admission, nurses should perform a daily skin check and risk assessment using a validated risk tool (Bergstrom, Braden, Laguzza, & Holman, 1987; Braden & Bergstrom, 1994). Patients determined to be high-risk receive additional measures: (a) repositioning every 2–4 hr; (b) managing skincare and incontinence; (c) improving nutrition; (d) using pressure-relieving support surfaces; and (e) reducing friction and shear (Agency for Healthcare Research and Quality, 2011; NPUAP, 2014). Many hospitals struggle to incorporate these guidelines into a daily routine given the intense amount of nursing time, costliness to implement, uncertain clinical effective-ness, and competing patient demands and hospital priorities.
Learn More about the Envella™ Air Fluidized Bed
Care Settings: Acute Care
Clinical Focus: Pressure Injury Management
Content Type: Journal Articles