Pressure Injury Risk Assessment Clinical practice guidelines on pressure injury prevention recommend a structured approach to pressure injury risk assessment through use of a risk assessment instrument, identification of additional risk factors (e.g., age, poor perfusion, poor oxygenation, skin conditions such as existing pressure injuries) and clinical judgment.
Approved by the ACP Board of Regents on 26 July 2014.
Sanford Schwartz, MD; Paul Shekelle, MD, Ph D; and Timothy Wilt, MD, MPH.
Informed by this, LTC homes data along with evidence from the clinical literature was used to create an alternate-form 7-item additive scale, the inter RAI PURS, with good distributional characteristics and c-statistic of 0.708.
Testing of the scale in CCC and HC longitudinal data showed strong association with development of a new pressure ulcer.
This challenge is complicated by the lack of a standardized method of measurement of wound healing in pressure ulcers.
Two tools for measurement of pressure ulcer wound healing are the Bates-Jensen Wound Assessment Tool (BWAT) and the Pressure Ulcer Score of Healing (PUSH).
The treatment of pressure ulcers can increase both direct and indirect patient care hours up to 50% and cost as much as ,000 per ulcer.
Assessment of pressure ulcer status and healing presents a challenge to nurses, having the primary responsibility for evaluation of pressure ulcers.
Adult patient pressure injury risk should be assessed using an instrument validated for the adult population.