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Jurgielewicz Pressure Ulcer Prevention (Internal Factors…
Jurgielewicz Pressure Ulcer Prevention
Education
Measurement of wound
Wound nurses for support
Proper label of each wound
Wound description
Utilizing scale/score values to predict
Braden scale
Activity
Moisture
Mobility
Nutrition
Sensory perception
Friction/Shear
Mobility score
Assistance with lying to sitting
Assistance with sitting to standing
Assistance with transfer to chair
Assistance with standing
Assistance with walking
Assistance with rolling
Interventions
pillows/wedges to relieve pressure
Nutritional assessment
specialty bed/mattress that distributes pressure
Identifying patients that are high risk earlier
Turn and position every 2 hours
External factors
Any recent falls?
Temperature/humidity
Shear/friction
Fecal/urine Incontinence
Internal Factors
Mobility/immobility
Cognition
Skin changes
Lack of nutrition and dehydration
Age
Acute/chronic illiness