Thursday, July 25, 2024

TREATMENT OF PRESSURE AREAS

Table of Contents

REQUIREMENTS #

  1. A trolley with the following items:
    1. Top shelf
      1. A bowl
      2. Soap in a dish
      3. Barrier cream
      4. 2/3 hand towels
    2. Bottom shelf
      1. Jug of warm water
      2. Bucket for used water
      3. Mackintosh and dressing towel
      4. Bed linen

STEPS #

  1. Explain procedure to patient
  2. Assess patient’s skin
  3. Perform hand hygiene
  4. Set trolley and send to patient bedside
  5. Provide privacy
  6. Remove patient’s bedclothes and cover with a sheet
  7. Protect bed with long mackintosh and bath towel/blanket
  8. Pour water into the basin
  9. Roll patient onto the side, left/right lateral or prone, with head turned to one side
  10. Examine and note any abnormality
  11. Clean all pressure areas (back of the head, ears, hand, scapula, sacrum, elbows, hips, buttocks, knees, ankles, heels and toes) with soap and water in a soft towel with gloved hands
  12. Knead or rub in a circular motion all pressure areas with tip of fingers, or pad of one area at a time
  13. Rinse and dry skin with a soft dry towel
  14. Ensure skin is dry without any moisture
  15. Apply moisturizing cream or barrier cream
  16. Groom and dress patient in a clean clothing
  17. Position patient intermittently in any of the following positions at 30° angle: prone, supine, right or left lateral, right or left sim’s
  18. Remove long mackintosh and dressing towel
  19. Dispose off used items, decontaminate trolley and used linen
  20. Perform hand hygiene
  21. Document procedure and report findings
  22. Inform the appropriate officer of any abnormality