Pressure Ulcers in Adults: Prediction and Prevention. Clinical Practice GuidelineNo. 3. Quick Reference Guide No. 3. Preventing Pressure Ulcers: A Patient's Guide. Clinical Practice Guideline, 1992

摘要

Prevention of pressure ulcers in adults at risk is the overall goal of theguideline. Most can be prevented, and those Stage I ulcers that do form need not worsen. The guidelinemakes specific recommendations to identify adults at risk and to define early interventions for prevention. Recommendations target four goals: (1) identifying at-risk persons who need prevention and the specific factors placing themat risk; (2) maintainig and improving tissue tolerance to pressure in orderto prevent injury; (3) protecting against the adverse effects of pressure, friction, and shear; and (4) reducing theincidence of pressure ulcers through education. Interventions include risk factor identification by assessing mobility, nutritional factors, continence, andlevel of consciousmess. Treatments evaluated included those broadly conceptualized as pressure reduction and reliefand strategies to maintain tissue tolerance.