Reply to Milagros Ortiz,
I agree with you that among the most significant problems we incur in the ICU are patients who obtain pressure ulcers while admitted that could have probably been prevented using different methods. The evidence base practice which has been put into place in the unit is to reposition the patient after a certain period of time. The problem with repositioning is that a patient can be repositioned every 2 hours or more frequently. Still, if they are in the ICU, they are most likely to have co-morbidity that will lead them to pressure ulcers no matter the prevention.
Reference
Holroyd, S., & Graham, K. (2014). Prevention and management of incontinence-associated dermatitis using a barrier cream. British Journal of Community Nursing, 19(Sup12), S32-8. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=103923702&site=ehost-live&scope=site
Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.
Reply to Jennifer Moglia,
I agree with you that prevention of pressure ulcers is a topic that is heard everywhere you work as a nurse. In the field of nursing, most facilities or hospitals have a skin assessment protocol. One of the elements essential in healthcare is skin integrity. Some of the protocols frequently used are two nurse skin assessments upon intake of the patient, skin assessments each shift, positioning patients every hour, proper skincare, and education to the patient.
References
Wilczweski, P., Grimm, D., Gianakis, A., Gill, B., Sarver, W., &Mcnett, M. (2012). Risk Factors Associated With Pressure Ulcer Development in Critically Ill Traumatic Spinal Cord Injury Patients. Journal of Trauma Nursing, 19(1), 5–10. doi: 10.1097/jtn.0b013e31823a4528 Retrieved by:https://web-b-ebscohost-com.chamberlainuniversity.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=4&sid=e008edde-0a14-41b0-a50e-9122d9830b27%40sessionmgr103 (Links to an external site.)