Assessing a Patient For Pressure Ulcer Development Risk

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					Assessing a Patient For Pressure Ulcer Development Risk


Checking to see if a patient may be at risk for pressure
ulcers or bed sores is the responsibility of a nurse.They
occur as a result of various conditions such as immobility
and decreased sensory perception. It is important to
determine a patients risk to prevent pressure ulcer from
occuring. The braden scale can be used for this purpose.


Instructions
1


Determine your patients level of response to stimuli. You
may do this by exerting gentle pressure on some part of your
patients person. If they are unable to feel any pressure
related discomfort, then they may be at risk for developing
pressure ulcers. If your patient cannot respond to pain, he or
she may develop a wound and not know it until he or she
sees it.
2


Check to see your clients level of mobility. Determine if your
patient can change position on his or her own and his
preferred position.Do this by asking your patient if he or she
can change positions on his own and observe him or her
doing this. If your patient is bed ridden, chair fast or mostly
immobile, he or she is at risk for pressure ulcer
development. Patients need to be able to change position in
response to pain and to prevent shearing and friction from
breaking their skin.
3


Check your patients nutritional habits. Ask questions related
to your patients pattern of eating to find out if he is eating as
he should. Adequate nutrition is necessary for skin integrity.
A patient who doesnt consume adequate nutrients is at risk
for developing pressure ulcers.
4


Assess your patients bowel and bladder status. Check to
see if your patients is incontinent or continent. Incontinence
puts your patient at risk for developing pressure ulcers. Urine
contains urea which can break down skin. The moisture
content of eliminated contents from the bladder or bowels
also puts your patient at risk for pressure ulcers.

				
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Description: Assessing a Patient For Pressure Ulcer Development Risk