G_CS_33 - Pressure Ulcer Prevention and Management Guidelines

The purpose of this guidance is to support the delivery evidenced based and to ensure :

  • Appropriate action is taken for the prevention of pressure ulcers for all patients who are identified to be at risk.
  • Key priorities are identified in the implementation of treatment for patients with existing pressure damage.

This Guidance reflects current best Practice in Pressure Ulcer Prevention and Management recommended by NICE Guidance (2014) EPUAP (2009).

In addition they incorporate the recommendations and the use of resources set out from Midlands and East Ambition One (2012) to support best practice aimed at the Elimination of avoidable Grade 2 3 and 4 pressure ulcers.

 The 5 principles of the SSKIN care bundle (Surface, Skin Inspection, Keep Moving, incontinence/moisture, nutrition and hydration) advocated by Midlands and East, provide the main framework for this guidance, supported by associated guidance and best practice.

  The implementation of this guidance must be underpinned by the practitioner's knowledge of pressure ulcer prevention and management strategies, of the underlying aetiology and risk factors associated with pressure ulcer development and the physiology of wound healing. This level of knowledge must be appropriate for the individual's role.

All pressure ulcers, Grade 1 2 3 and 4, identified for patients under LCHS care are reported via Datix. For patients who develop pressure ulceration under LCHS care all Grade 2s are investigated using a specific investigation tool to indicate outcomes. If found to be avoidable; then a full root cause analysis is undertaken.

Grade 3 & 4 pressure ulcers are categorised as serious incidents, therefore are reported onto STEIS and a full Root Cause analysis is undertaken.


Pressure ulcer incidence is also reported via the Safety Thermometer on a monthly basis.


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