Pressure ulcers Physical needs.

Physical needs

The physical needs of clients should be taken into account to prevent pressure ulcers. This includes proper hygiene, proper skin care routine, moisture management, proper nutrition, frequent repositioning, proper support surface help in mobility and toileting or incontinences. Maintaining proper hygiene especially on obese patients and those with a developed pressure ulcers is important to prevent infections (Boyko, Longaker and Yang, 2018). Minimizing magnitude of pressure is essential. Pressure reducing devices and support surfaces such as cushions, overlays and mattresses are used to reduce pressure and minimize shear (Mervis and Phillips, 2019).  Frequent repositioning helps to minimize pressure intensity and duration on specific areas and when repositioning the patient it is important to be gentle to avoid shear and friction on other areas (Moore and Cowman, 2015). Angle of inclination and specific positioning is relevant.

Proper skin routine and skin care assessment is important to pressure ulcers. Keeping skin clean and proper drying of the skin is important to avoid accumulation of moisture which may lead to maceration. Cleaning materials such as cloth and soap should be gentle to skin (Mervis and Phillips, 2019). Proper toileting or incontinences prevents certain areas from becoming moist and vulnerable to infection. Proper skin moisturizer is essential to prevent the skin from drying and breaking. Improper nutrition may also promote breakage of skin. Pressure ulcers is also associated with malnutrition, eating problems and weight loss are associated may promote skin. Adequate nutrition is important in maintaining healthy skin and also during wound healing (Mervis and Phillips, 2019).


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