1.1
The are three layers of Skin. The Epidermis, the Dermis and the Subcutaneous layer. The Skin is the bodies biggest Organ. Sizes varies. Skin also helps regulate Temperature, helps immune system. Also provides sensations of Touch, Heat, cold and pain in the sensory nerve endings. Pressure Sores are common where there is Less blood in the area affected during long periods of time.
1.2
Knees
Thighs
Ears
Toes
Back of Head
The Sacrum
Ankles
Hips
Shoulder blades
Lower back (base of spine)
1.3
There are various factors that put risk to the skin.. These are Drug Abuse, Dehydration, Smoking, Poor or Unhealthy Diet, Exposure to the Sun (UV).
1.4
It Is vital to minimise rubbing, dragging or any friction to a person during rolling and turning and repositioning. Shear forces will occur when the skin is pulled sideways over a Bone or muscle area whilst moving as this will stretch cutting or restricting blood flow to the skin. Also if the individual isn't checked and repositioned regularly.
1.5
Working in the care industry or even at home there are plenty of ways and equipment to help you and colleagues to prevent pressure sores. These are Slide Sheets, Hoists, Air flow Mattress, air Cushions also it is important to use Repositioning Documentation for regulate movement.
1.6
Sores That are open, or areas of the skin that are red or blanching should be reported to the Nurse or Healthcare professional looking after the individual. But if the skin is just slightly red in an isolated area it can be reported to the person in-charge and all the correct documentation should be completed.. E.g body map, skin bundles. Any changes to the skin should be reported
2.1
These are the different legislations and guidelines governing pressure sores. These are:
Care Standards Act 2000
European Pressure Ulcer Advisory Panel
The National Pressure Ulcer Advisory Panel
Human Rights Act
2.2
Every Healthcare professional has a duty of care to the individuals they care for..