Supporting Guidance
Standard 2.2 Preventing Pressure and Tissue Damage
This standard is about minimising the risk of people developing avoidable pressure ulcers. Pressure ulcers are one of the most frequently reported adult in-patient forms of clinical harm. An assessment of the range of factors which are known to increase risk of developing pressure ulcers is important in developing a plan of care which aims to minimise the risk of individuals developing pressure ulcers.
All healthcare staff in all settings
In relation to the standard criteria below (in bold) the following key questions need to be considered:
People are assessed for risk of pressure and tissue damage and if considered at risk, they receive further assessment and a plan of care is developed and implemented.
People are made aware of the risks of pressure and tissue damage and shown ways of preventing them. They and those caring for them are encouraged and advised on appropriate care procedures, including nutritional advice.
Appropriate beds, chairs and other equipment are made available to reduce the risks of pressure and tissue damage and specialist preventative equipment such as special mattresses and cushions are also available if necessary. All equipment is clean and properly maintained.
Correct moving techniques are encouraged, including regular turning and appropriate self-care, helping people to avoid pressure and tissue damage, increasing their well-being, independence and dignity.
Risk assessments are in place to identify if a person is at risk, their skin is checked at least once daily, and preferably when their personal hygiene is attended to.
Pressure Ulcer Reporting and Investigation (All Wales Guidance) 2014
All Wales Best Practice Statement on the Prevention and Management of Moisture Lesions (2014)