Pressure Care Management

The prevention and management of pressure ulcers is critical to the on-going care of those with an impaired ability to reposition themselves or whose activity is limited to bed, chairs or wheelchairs.

A pressure ulcer can be described as a lesion caused by unrelieved pressure, friction or shear.  Pressure ulcers commonly occur on the sacrum, coccyx, buttocks and heel but can develop anywhere on the body including the head, shoulders, elbow, ears and nose.

At Living to the Max Occupational Therapy Services, we can undertake a comprehensive risk assessment using variable assessment scales depending on individual circumstances.  The assessment subsequently informs an individualised pressure ulcer prevention and/or redistribution program, focused on reducing the degree and duration of pressure.

Mobility is often the key to reducing the risk of pressure ulcer development.  Importantly, things to consider include:

  • Appropriate support surfaces and/or specialised equipment eg beds, chairs, wheelchairs, commodes
  • Repositioning to reduce the risk of pressure ulcer development. Repositioning should complement the use of appropriate support surfaces and/or specialised equipment
  • Documented turning regimes
  • Active rehabilitation and mobility (where possible)
  • Specialised pressure redistribution surfaces

Living to the Max Occupational Therapy Services can also provide on-going educational programs for health care workers.  These programs address things like:

  • Risk factors for pressure ulcers
  • Risk assessment tools and their application
  • Skin assessment and skin care
  • Positioning of and handling people at risk of developing pressure ulcers
  • Selection and use of appropriate support surfaces and specialised equipment
  • Development and implementation of individualised care programs
  • Positioning to decrease the risk of tissue damage
  • Involving patients and their carers in preventative strategies
  • Referrals to other professional and support services

We welcome your enquiry to discuss pressure care management.  Please contact us here or complete the online referral form

OTHER RESOURCES

Disability SA fact sheet – pressure management