layers of linen used in conjunction with pressure ulcer prevention kelly suttle bsn, rn, cwocn
TRANSCRIPT
![Page 1: LAYERS OF LINEN USED IN CONJUNCTION WITH PRESSURE ULCER PREVENTION KELLY SUTTLE BSN, RN, CWOCN](https://reader030.vdocument.in/reader030/viewer/2022020117/56649cea5503460f949b5bca/html5/thumbnails/1.jpg)
LAYERS OF LINEN USED IN CONJUNCTION WITH PRESSURE ULCER
PREVENTIONKELLY SUTTLE BSN, RN, CWOCN
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REDUCE THE PRESSURE, REDUCE THE RISK
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EXCESSIVE PRESSURE ON TISSUES
Pressure is the major causative factor for pressure ulcers. These factors determine if the pressure is enough to cause a pressure ulcer:
• Intensity of Pressure
• Duration of Pressure
• Tissue Tolerance
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EXCESSIVE PRESSURE ON TISSUES
• Intensity of pressure
• Capillary closing pressure 30-40mmHg
• Interface pressures
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EXCESSIVE PRESSURE ON TISSUE
• Duration of pressure
• Inverse relationship between duration and intensity of pressure
• High pressure for short periods of time
• Low pressure for long periods of time
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EXCESSIVE PRESSURE ON TISSUE
• Tissue tolerance
• Redistribution of pressure
• Tissue that is already damaged is higher risk for pressure ulcer
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• Blue= lower pressure
Green Yellow Red= high pressure
• PORTABLE PRESSURE MAPPING SYSTEM WAS USED ON TOP OF LINENS TO DEMONSTRATE HOW EXCESS LAYERS OF LINEN CAN CAUSE HIGHER INTERFACE PRESSURES
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ONE LAYER REUSABLE CHUX HOB FLAT
flat side
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ONE LAYER REUSABLE CHUX HOB 30
Flat Side
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2 LAYER REUSABLE CHUX HOB FLAT
Flat Side
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2 LAYER REUSABLE CHUX HOB 30
Flat side
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3 LAYER REUSABLE CHUX
HOB flat Hob 30 side view
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Ambulatory• Fitted sheet atop regular mattress
• DO NOT use underpad
• Place top sheet, tuck into foot of bed and miter corners
UAB HospitalBed Making Standard
Standard Items on all beds: Items as needed:
Needing Assistanceor Bed Bound
• Fitted sheet atop regular mattress
• Draw sheet folded in half placed over center of bed to assist with turning/positioning/lifting
• 1 of appropriate underpad**DO NOT layer - Change underpad as needed
• Place top sheet, tuck into foot of bed and miter corners
Low Air Loss Surface• NO fitted sheet
• 1 Driflo (blue back) disposable underpad
Bariatric on Low Air Loss
• 1 flat sheet for positioning
• 1 Driflo (blue back )disposable underpad
Pillowcase Blanket/Spread
Pillow
Fitted Sheet Flat Sheet
Underpads (choose 1 of appropriate pad) Reusable Disposable underpad Disposalbe Driflo underpad
Draw Sheet
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CONCLUSIONS
• These pressure maps show that excess linen can be a cause of pressure ulcers
• We are not really saving any time by “padding” our beds
• Excess linen on beds can increase linen costs
• This should be a component of a pressure ulcer prevention program
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REFERENCES
Messer, M. S. (2010). Pressure Ulcer Risk in Ancillary Services Patients. Wound Ostomy Continence Nursing, 153-158.Pieper, B. (2000). Mechanical Forces: Pressure, Shear, and Friction. In R. A. Bryant, Acute and Chronic Wounds: Nursing Management (pp. 221-64). St Louis: Mosby.Suttle, K., & Dockery, J. (2013, September). Using Shared Governance to Evaluate Appropriate Use of Underpads for Pressure Ulcer Prevention. Birmingham.