Why Nursing Homes should be extra careful about Pressure Injury Wounds

Pressure Ulcers can Indicate Nursing Home Abuse or Neglect
Date: March 25, 2022

In the article from Paige Legal Nurse Consulting, they explain the importance of pressure injury awareness. They break the article down into 4 parts including when a nurse should look for pressure injuries, how to prevent them, creating a care plan, and symptoms to be looking for in a patient.

When should nurses look for pressure injuries?

Every new patient should receive screening and action should be taken if symptoms are shown. Next, if a patient is being moved from one place to another, a screening should be conducted. Not only should nurses screen new patients that come in, but they should also be checking every patient during each shift and/or daily. The article explains that this may sound like a lot of screenings, but they do not require a ton of time. To make nurses’ jobs even easier, they should do this during their normal assessments of the patient.

Types of skin assessments to use

The two types of assessments are the Braden scale and the Norton scale. These are tests that allow the nurse to check if a wound is developing. This can be a part of the care plan.

Prevention

  • Support surfaces such as low air loss mattresses and padding for wheelchairs
  • Repositioning the patient every two hours
  • Reducing shear when repositioning
  • Specifically, inspect bony prominence points
  • Daily incontinence checks

Different Stages of a Pressure wound

Stage 1: is redness over bony prominence points

Stage 2: shows a break in the skin. The article explains that it looks similar to a rug burn. This stage is the brink of being at risk for the condition to get worse. Because this is where it starts to become serious, medical staff needs to take action immediately and implement preventative steps.

Victoria Cavallaro
Intern, Dougherty Leventhal & Price, LLP