Abstract
Pressure ulcers (PU) cause significant morbidity in the frail elderly and neurologically impaired individuals. The cost of care may exceed $70,000 and treatment in the USA is estimated at $1.1 billion annually. New products and support surfaces are continually entering the marketplace. There has been heightened awareness of the problem and many evidence-based guidelines have been disseminated over the last decade. In spite of this there has been not been a dramatic decline in PU incidence worldwide.
Experts agree that not all PUs are avoidable. There are occasions when an ulcer develops in the face of good care. This chapter outlines the best practices for risk assessment and prevention. The tools and practices discussed can be applied to all care settings with the goal to reduce the incidence and, thereby, the prevalence of PUs.
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Other Useful Pressure Ulcer Prevention Resources
AHRQ Toolkit–Preventing Pressure Ulcers in Hospitals. http://www.ahrq.gov/research/ltc/pressureulcertoolkit/
AHRQ Guideline Synthesis on Preventing Pressure Ulcers. http://www.guideline.gov/syntheses/synthesis.aspx?id=25078
National Pressure Ulcer Advisory Panel. http://www.npuap.org/
IHI How to Guide Reducing Pressure Ulcers. http://www.ihi.org/knowledge
Implementation Guide to Prevention of Hospital Acquired Pressure Ulcers (HAPU). http://hrethen.org/images/phocadownload/hapu_final_508.pdf
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House, K.W., Johnson, T.M. (2014). Prevention of Pressure Ulcers. In: Thomas, MD, D., Compton, MD, G. (eds) Pressure Ulcers in the Aging Population. Aging Medicine, vol 1. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-700-6_3
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DOI: https://doi.org/10.1007/978-1-62703-700-6_3
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