Pressure Ulcer Essay

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IDENTIFY THE BEST PRACTICE IN THE PREVENTION OF PRESSURE ULCER Tissue viability is defined in 2007 by the tissue viability society (TVS) as “A growing specialty that primarily considers all aspects of skin and soft tissue wounds including acute surgical wounds, pressure ulcers and all forms of leg ulceration. However, it is not just wound management, it also covers a wide range of organisational, political and socioeconomic issues as well as professional relationships and education”. According to European pressure ulcer advisory panel (EPUAP 2009), Pressure Ulcer (also known as pressure sore, bed sore, decubitus ulcer) is define as damage to the skin due to the pressure together with, or independently from a number of other factors such as shearing, friction and moisture. Pressure ulcers are caused by a combination of different factors explained as follow: “Pressure” in which when the normal body weight compress the skin in people who are more vulnerable or at high risk and damage blood supply to the area, which can lead to tissue damage. “Shearing” while moving from a bed, chair or slide down, forces operates over underlying tissues and results in soft tissue damage. “Friction” moving and handling with poor techniques can remove the top layer of the skin that can lead to risk of develop pressure ulcer. “Moisture” also plays important role to increase the risk of developing pressure ulcer that comes by perspiration, urinary or faecal incontinence or may be with excessive wound drainage. Pressure ulcers are normally occur on bony prominences such as the coccyx, hips, sacrum or heels. Pressure ulcer develop when continuously put pressure on the bony prominences due to which blood flow is effected and unable to circulate within the underlying tissues that can cause the lack of oxygen and nutrients supply to the tissue cells and constant pressure leads to the damage
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