Advanced Applications of Home-Based Primary Care-Virtual Workshop-Wound Management for HBPC Providers : Wound Prevention Strategies

Wound Management for HBPC Providers : Wound Prevention Strategies

Pdf Summary

The Home Centered Care Institute outlines essential strategies for wound prevention and management for Home-Based Primary Care (HBPC) providers. Key recommendations include:<br /><br />1. **Pressure Redistribution Devices**: These devices help reduce friction and pressure, which are crucial in preventing pressure ulcers. There are three groups of support surfaces:<br />   - **Group 1**: Used for patients who are immobile or have any staged pressure ulcer with additional risk factors. Options include powered and non-powered pressure-reducing mattresses and beds.<br />   - **Group 2**: For patients with Stage 2 pressure injuries or more severe ulcers that haven't improved with Group 1 surfaces. Similar products are used but for more advanced conditions.<br />   - **Group 3**: Reserved for severe cases (Stage 3 or 4), where specialized air-fluidized bed systems are used.<br /><br />2. **Incontinence Care**: It's critical to use absorptive products and barrier creams to protect the skin from moisture.<br /><br />3. **Interdisciplinary Collaboration**: Engaging various healthcare professionals (e.g., nurses, physical therapists, surgeons) can expedite wound healing.<br /><br />4. **Early Detection**: Early identification of pressure ulcers, particularly for individuals with darker skin who may not show early signs, is vital to prevent progression.<br /><br />5. **Education**: Patients, caregivers, and families should be educated on prevention and treatment strategies. <br /><br />6. **Braden Scale**: This scale helps in assessing the risk of pressure injuries by evaluating sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Scores ≤18 indicate risk, necessitating targeted interventions.<br /><br />7. **Weight Monitoring**: Regular weight checks are crucial as significant weight loss (10% or more over three months) indicates malnutrition and heightened risk for pressure injuries. <br /><br />8. **Nutrition**: Adequate protein, nutrient, and fluid intake are essential for wound healing. Recommend daily requirements are 35-40 calories/kg, 1.2-1.5 grams of protein/kg, and 30 ml of fluid/kg of patient’s current weight. Supplements like vitamin C and zinc may also aid in healing.<br /><br />These preventive measures can significantly reduce the incidence and severity of wounds in patients, ultimately improving their quality of life.

Keywords

Home-Based Primary Care

wound prevention

pressure redistribution devices

incontinence care

interdisciplinary collaboration

early detection

Braden Scale

weight monitoring

nutrition

patient education