You could be at risk of developing a pressure ulcer if:
- Your mobility has reduced
- Your skin is vulnerable
- Your appetite and food intake have reduced.
Signs to look out for are:
- Reddening of the skin over a bony area
- Pain over bony areas
- Red areas on light skinned people that do not pale when pressed
- Purple / bluish areas on dark skinned people
- Swelling, blisters, shiny areas, dry patches, cracks, calluses
- Hard or warm areas on your skin
- Broken or damaged skin.
Report any of the above to your GP or Practice Nurse / District Nurse immediately.
You can prevent pressure ulcers developing by:
- Moving and regularly changing your position to relieve the pressure.
- Keeping as active as you can
- Inspecting your skin daily
- Keeping your skin clean and moisturised
- Obtaining advice for protective creams should incontinence occur
- Eating a well-balanced diet
- Aiming to maintain a healthy weight for you
- Keeping hydrated.
Top tips
Skin inspection
- Check skin for any colour changes
- Moisturise skin after washing
- Avoid talc and perfumed soaps as they can irritate and dry your skin.
Keep moving
- Move/change position even if you do not feel uncomfortable
- Move every 2 hours when in bed
- Move every hour when in a chair
- Avoid dragging your skin by moving/lifting your body clear of surfaces.
Incontinence
- Make sure your skin is cleansed and gently patted dry
- Apply a barrier cream as suggested by your health professional
- You may need an assessment for specialist products. Ask your GP.
Nutrition and hydration
- If you are underweight, try to have small meals more often and choose higher calorie and protein options
- If you are overweight, try to reduce your weight through increasing your physical activity and following a healthy balanced diet.
Take a look at the Eat Well Guide for further advice:
Areas at risk of pressure damage
People at INCREASED RISK of skin pressure damage are those who:
- Are unable to move around without help
- Spend a long time in bed or chair
- Have lost feeling or sensation
- Are frail / elderly
- Have a serious illness
- Are taking certain medications
- Are incontinent
- Are under/over weight
- Are near the end of their life
- Have diabetes.
For further information:
www.nhs.stopthepressure
www.nhs.uk/Conditions/Pressure-ulcers
www.nice.org.uk
www.bda.uk.com/foodfacts/home
First Community provides front-line NHS community healthcare services in east Surrey and parts of West Sussex.
We provide first-rate care, through our first-rate people, offering first-rate value. For more information visit: www.firstcommunityhealthcare.co.uk
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First Community (Head Office)
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For office use only: Version 1 PFD_ASC007 Publication date: October 2020