Layering Linen to Prevent Pressure Ulcers: A Guide by Kelly Suttle, BSN, RN, CWOCN
This guide explains the importance of using layers of linen to reduce pressure and the risk of pressure ulcers. It discusses how excessive pressure can cause tissue damage and identifies factors that determine the severity of pressure.
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About Layering Linen to Prevent Pressure Ulcers: A Guide by Kelly Suttle, BSN, RN, CWOCN
PowerPoint presentation about 'Layering Linen to Prevent Pressure Ulcers: A Guide by Kelly Suttle, BSN, RN, CWOCN'. This presentation describes the topic on This guide explains the importance of using layers of linen to reduce pressure and the risk of pressure ulcers. It discusses how excessive pressure can cause tissue damage and identifies factors that determine the severity of pressure.. The key topics included in this slideshow are Pressure Ulcers, Pressure Ulcer Prevention, Linen Layers, Reduce Pressure, Tissue Damage,. Download this presentation absolutely free.
Presentation Transcript
1. LAYERS OF LINEN USED IN CONJUNCTION WITH PRESSURE ULCER PREVENTION KELLY SUTTLE BSN, RN, CWOCN
2. REDUCE THE PRESSURE, REDUCE THE RISK
3. 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
4. EXCESSIVE PRESSURE ON TISSUES Intensity of pressure Capillary closing pressure 30-40mmHg Interface pressures
5. 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
6. EXCESSIVE PRESSURE ON TISSUE Tissue tolerance Redistribution of pressure Tissue that is already damaged is higher risk for pressure ulcer
7. 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
8. ONE LAYER REUSABLE CHUX HOB FLAT flat side
9. ONE LAYER REUSABLE CHUX HOB 30 Flat Side
10. 2 LAYER REUSABLE CHUX HOB FLAT Flat Side
11. 2 LAYER REUSABLE CHUX HOB 30 Flat side
12. 3 LAYER REUSABLE CHUX HOB flat Hob 30 side view
13. Ambulatory Fitted sheet atop regular mattress DO NOT use underpad Place top sheet, tuck into foot of bed and miter corners UAB Hospital Bed Making Standard Standard Items on all beds: Items as needed: Needing Assistance or 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
14. 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
15. 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.
