Advanced Applications of Home-Based Primary Care - Virtual Workshop-Wound Prevention Strategies Tip Sheet

Wound Prevention Strategies Tip Sheet

Pdf Summary

The Home Centered Care Institute has outlined strategies aimed at preventing wounds in patients under home-based primary care (HBPC). Key strategies include using pressure redistribution devices such as pillows, foam or gel booties, and specialized mattresses that mitigate pressure on vulnerable areas of the body. These devices are categorized into three groups based on the severity of a patient's condition and corresponding financial coverage requirements. Group 1 includes items like powered air flotation beds for patients with impaired mobility or at risk of pressure ulcers. Group 2 is for patients with Stage 2 or higher pressure injuries that have not improved with Group 1 devices. Group 3 involves advanced systems like air-fluidized beds for severe cases requiring strict medical supervision.<br /><br />Incontinence care is emphasized through the use of absorptive products and barrier creams to protect skin from moisture damage. An interdisciplinary approach involving professionals like nurses, physical therapists, and surgeons aids quicker wound healing.<br /><br />Early detection of pressure ulcers, especially in individuals with darker skin tones who are at higher risk for severe tissue damage, is critical. The Braden Scale is recommended for assessing risk factors like sensory perception, moisture, and nutrition to prevent pressure injuries. Regular reassessment is advised following any clinical changes in the patient.<br /><br />Nutrition plays a vital role in wound prevention and healing. Adequate intake of calories, protein, and fluids is crucial, with suggested daily requirements specific to the patient's weight. Monitoring for malnutrition through weight comparison and additional supplements like vitamin C and zinc may also be beneficial.<br /><br />Lastly, education for patients, caregivers, and families is essential to engage them in prevention and treatment protocols, ensuring comprehensive care and better health outcomes.

Keywords

Home-based primary care

Wound prevention

Pressure redistribution devices

Incontinence care

Braden Scale

Nutrition

Interdisciplinary approach

Early detection

Patient education

Pressure ulcers