Risks:

  • Limited mobility (and inability to reposition)
  • Loss of sensation
  • Previous pressure injuries
  • Cognitive impairment
  • Nutritional deficiency

Skin assessment:

  • Skin integrity
  • Color changes
  • Variations in heat, firmness, moisture

Prevention & Management:

  • Pressure redistribution devices
  • Repositioning
  • Barrier creams
  • Floating heels
  • Patient education
  • Caregiver education

References:

National Institute for Health and Care Excellence (NICE). 2014. https://www.guidelinecentral.com/share/summary/540f17649b325#section-date