1. Initial assessment of the state of the skin.
2. Senior Resident - General Care
3. Nutritional Assessment.
Initial assessment of the state of the skin: Identify the condition of skin, evaluating dryness, excoriation, erythema, maceration, fragility, temperature and induration, itching sensation or pain and bony prominences (sacrum, heels, ankles, elbows, and occiput) to identify early signs of injury.
General Care: Prevention should be started in all patients deemed at risk, but especially to the observation of non-bleaching erythema (localized skin redness that does not go away after 5 minutes without pressure) systems using pressure relief products hyper oxygenated protective skin type fatty acids and hydro cellular …show more content…
Incontinence doubles the risk of ulcers.
- Prevent friction, shearing and cutting (excessive dryness, lack of hygiene, malnutrition and dehydration, drag)
- Encouraging activity and patient movement, both active and passive
- Surfaces pressure relief decrease the incidence of occurrence of ulcers as pillows, cushions and mattresses of different materials and systems (sheepskin, latex, with alternating air pressure, etc.)
- Hydro cellular dressings, non-adhesive, specifically for heel, adaptable and / or cut-outs for nasal area around probes or nasal cannula.
- If the patient has dry skin, use moisturizers.
- No advised to massage over bony prominences lobbying, nor knead the muscles, thus only be achieved weaken the skin.
Nutritional assessment: Monitoring and evaluation of nutrition of the elderly patient will make the risk of ulcers decrease and if they appear, healing faster and with fewer complications.
- Controlling food intake adapting the diet to the individual wishes of the patient or health condition and stimulate fluid intake. The diet of the patient at risk of developing ulcers should ensure minimum intake of calories and protein as well as vitamins and minerals (such as folic acid, vitamin B12, iron and other trace