Dressings and topical agents for preventing pressure ulcers

Moore, Zena; Webster, Joan

doi:10.1002/14651858.cd009362

Cited by 37 publications

(56 citation statements)

References 32 publications

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“…Maintaining skin integrity is the focus of health care professionals in daily practice, particularly in bedfast patients. Applying topical agents, like a cream or an ointment on skin, is one of the strategies to prevent PUs (). The replacement of a mixture of ad hoc skin care products (without silicone‐based emollients) for the implementation of a silicone‐based dermal nourishing emollient associated with a skincare regimen effectively decreases the incidence of PUs .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, French, Portuguese, or Spanish; incidence of PUs was the primary outcome; participants were adults (≥18 years) admitted in hospital wards and/or units. The review included 26 studies. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on‐screen inpatient care plan were effective in decreasing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Repositioning only was effective when supported by technological pressure‐mapping feedback or by a patient positioning system. Risk‐assessment tools are not effective in preventing PUs. PUs in the hospital context are still a worldwide issue related to patient safety. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. These results provide an overview of effective approaches that should be considered when establishing evidence‐based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.

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Section: Discussionmentioning

confidence: 99%

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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“…). Furthermore, the authors of a recent Cochrane Review who examined dressings and topical agents used in the prevention of PI recommended that more data about the effectiveness of silicone foam bordered dressings were required (Moore & Webster ). Thus, more rigorous testing of the dressing in a general medical‐surgical population is required.…”

Section: Introductionmentioning

confidence: 99%

Prophylactic dressing to minimize sacral pressure injuries in high‐risk hospitalized patients: a pilot study

Walker

Aitken

Huxley

et al. 2014

Journal of Advanced Nursing

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Citation: Walker, R., Aitken, L. M., Huxley, L. and Juttner, M. (2015). Prophylactic dressing to minimize sacral pressure injuries in high-risk hospitalized patients: A pilot study. Journal of Advanced Nursing, 71(3), pp. 688-696. doi: 10.1111/jan.12543 This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent ABSTRACTAim. In this paper we describe a trial protocol used to assess feasibility related to: study administration (recruitment, randomisation, retention, compliance, eligibility criteria, suitability of protocol instructions and data collection questionnaires); resource and data management (suitability of site, time and budget allocation, management of personnel and data); intervention fidelity (treatment dose, violations) and effect size.Background. Pressure injury can lead to increases in hospital length of stay and cost. The

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“…A patient who is positioned in almost any position has a variety of areas of the body that may be subjected to pressure, friction, and shear, such as the heels and sacrum, when the patient is positioned in the supine position. These areas are at a high risk for skin damage, and applying a prophylactic dressing to these areas may help to decrease the potential for injury 6 . Research has shown that when prophylactic dressings are applied to pressure areas, the incidence of pressure injuries is decreased, although the evidence is not specific to the perioperative environment 7‐10 …”

Section: Continuing Education: Guideline Implementation: Positioning mentioning

confidence: 99%

“…During the postprocedure skin assessment, the RN circulator found no redness present at these pressure points. There are multiple types of prophylactic dressings, including semipermeable film dressings, hydrocolloid dressings, and foam dressings 6 . The manufacturer's instructions should be used to determine the size of the prophylactic dressing, and the dressing should be replaced if it becomes damaged, displaced, loosened, or moist 11,12 .…”

Section: Continuing Education: Guideline Implementation: Positioning mentioning

confidence: 99%

Guideline Implementation: Positioning the Patient

Burlingame¹

2017

AORN Journal

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Every surgical procedure requires positioning the patient; however, all surgical positions are associated with the potential for the patient to experience a positioning injury. The locations and types of potential injuries (eg, stretching, compression, pressure injury) depend on the position. Factors that may increase the patient's risk for an injury are the length of the procedure and risk factors inherent to the patient (eg, weight, age, frailty). AORN's updated "Guideline for positioning the patient" provides guidance on injury prevention practices for all surgical positions including supine, Trendelenburg, reverse Trendelenburg, lateral, lithotomy, prone, and sitting positions and modifications of these positions. This article focuses on the key points of the guideline covering the use of prophylactic dressings, neurophysiological monitoring, and safely positioning the patient in the supine and prone positions. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

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Dressings and topical agents for preventing pressure ulcers

Abstract: To evaluate the effects of dressings and topical agents on the prevention of pressure ulcers, in people of any age without existing pressure ulcers, but considered to be at risk of developing a pressure ulcer, in any care setting.

Cited by 37 publications

References 32 publications

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Prophylactic dressing to minimize sacral pressure injuries in high‐risk hospitalized patients: a pilot study

Guideline Implementation: Positioning the Patient

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