Implementing best practices in clinical settings

Pressure injuries are a prevalent and worrying health problem that affects millions of people worldwide. These injuries can cause serious complications, including severe pain, infection, loss of mobility and, in extreme cases, even death. It is important to stress, however, that many cases of pressure injuries can be prevented with simple, effective measures.
In this post, we cover one way to implement a quality plan to prevent and treat pressure injuries in your organization, following the guidelines set by health authorities. By adopting these measures, you will help improve the quality of care delivered and ensure patient safety and well-being.
- Risk assessment: The first step in preventing pressure injuries is to perform a risk assessment on every patient with predisposing factors such as reduced mobility, immobility, incontinence and poor nutrition, among others. This assessment identifies the most vulnerable individuals and directs specific preventive strategies to each case.
- Repositioning: Mobility is a crucial factor in preventing pressure injuries. Patients who spend long periods in the same position must therefore be repositioned regularly, ideally every two hours. This helps relieve pressure on the highest-risk areas and reduces the chance of injuries forming.
- Support surfaces: Using appropriate support surfaces for the patient is essential. Good-quality mattresses and cushions adapted to individual needs are key to distributing pressure more evenly, reducing points of excessive pressure.
- Skin care: Patients' skin should be carefully inspected every day for early signs of pressure injuries. Keep the skin clean and dry, avoiding the buildup of moisture, which can encourage injuries to develop.
- Adequate nutrition: Adequate nutrition plays a fundamental role in preventing and healing pressure injuries. Make sure patients receive a balanced diet, rich in protein and the nutrients essential to support tissue regeneration.
- Team education: Train the entire care team to recognize risk factors, implement preventive measures and identify any sign of pressure injury early. Continuing education is essential for the prevention plan to work.
- Appropriate treatment: If a pressure injury is identified, it is essential to start treatment immediately, following established clinical guidelines. An interdisciplinary approach involving physicians, nurses, dietitians and physical therapists may be needed to promote proper wound healing.
By implementing these prevention and treatment measures, your organization will take an important step toward improving the quality of care delivered to patients and ensuring their safety. Remember that prevention is always the best strategy and that continuing team education is fundamental to the success of a quality plan against pressure injuries. Together, we can significantly reduce the impact of these injuries and provide a better quality of life for patients.
Frequently asked questions
What is the first step in preventing pressure injuries?
Performing a risk assessment on every patient with predisposing factors such as reduced mobility, immobility, incontinence and poor nutrition. This identifies the most vulnerable individuals and directs preventive strategies to each case.
How often should patients be repositioned?
Patients who spend long periods in the same position should be repositioned regularly, ideally every two hours, to relieve pressure on the highest-risk areas and reduce the chance of injuries forming.
Why is nutrition important in pressure injury prevention?
Adequate nutrition plays a fundamental role in prevention and healing. A balanced diet, rich in protein and essential nutrients, supports tissue regeneration.
What should be done when a pressure injury is identified?
Start treatment immediately, following established clinical guidelines. An interdisciplinary approach involving physicians, nurses, dietitians and physical therapists may be needed to promote proper wound healing.