Patient Algorithm for Pressure Ulcer Self-Assessment
PRESSURE ULCER RISK ASSESSMENT:
DO ANY OF THESE APPLY TO YOU?
• Redness of skin over bony area
• Restricted mobility/activity
• Skin exposed to moisture
• Nutritional deficit
• Dehydration
YES
THERE IS A RISK OF PRESSURE
ULCER DEVELOPMENT/
DAMAGE
TO THE SKIN IS PRESENT
• Contact your local nurse or GP
• Follow professionals’ recommendations of prevention and care
UNDERTAKE PLANNED PREVENTION CARE IF THERE IS:
Restricted mobility/activity
• Change your position regularly
• Use preventive aids to offload pressure/shear/friction
• Use supportive mattress, cushion
Skin exposure to moisture
• Manage incontinence
• Keep your skin clean and dry
• Use linen and clothes made of natural materials
• Use protective products on your skin over bony areas
• Use preventative dressings over bony areas if recommended
Dehydration
• Make sure you have adequate fluid intake
• Monitor your fluid intake
Nutritional deficit
• Make sure you have adequate nutrition rich in protein, vitamins and minerals
• Use nutritional supplements as directed
Pain
• Apply non-pharmacological methods of pain management
• Take pain medication according to prescription
IF YOUR CONDITION CHANGES, REPEAT THE PRESSURE ULCER RISK ASSESSMENT AND/OR CONTACT YOUR LOCAL NURSE OR GP AS SOON AS POSSIBLE!
NO
THERE IS NO RISK OF PRESSURE ULCER DEVELOPMENT
IF YOUR CONDITION CHANGES, REPEAT THE PRESSURE ULCER RISK ASSESSMENT AND/OR CONTACT YOUR LOCAL NURSE OR GP AS SOON AS POSSIBLE!
