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#BEDREST SKIN#
#BEDREST UPGRADE#

Transfers that do not cause further trauma to the skin (consider an electric bed to adjust bed height for easier transfers consider hoist to eliminate friction and shear when lifting to transfer).Slide sheets to reduce friction and shear when repositioning.Safe positions in bed and a repositioning schedule.Using a 24 hour approach, implement a range of pressure management strategies including:

Implementing a range of pressure management strategies 20, 11, 32 Avoid or limit the frequency and duration of commode / toilet / shower chair usage and optimise pressure management.The interdisciplinary team (including the tertiary team) and the client can determine the feasibility of sitting, sitting duration and a sitting schedule.įor example, depending on risk factors, resources and complications of bed rest experienced, for some clients this might include sitting to attend appointments only while for other clients, it might include sitting for 2 hours each day. short increments of sitting have been trialled with close monitoring of the skin,.effective pressure relieving or weight shift strategies determined and.optimised to reduce pressure loading to the affected area,.Arrange a seating assessment as soon as possible.

#BEDREST UPGRADE#

Upgrade the mattress (if required) to prevent additional skin breakdown.Optimising all support surfaces 20, 11, 32 Factors that are not necessarily the cause of the PI can still impair wound healing by reducing tissue tolerance or increasing pressure.

Address each of them with the person, carer and interdisciplinary team.

Identifying all possible contributing factors 20, 11, 32 This will include maximising the amount of paid and unpaid assistance received.

Have a plan in place that supports the person to spend increased time in bed.

This will often require bed rest, lying off the affected area, until the cause and contributing factors can be investigated and addressed.Īvoid prolonged bed rest and re-evaluate the pressure management plan with an interdisciplinary team. If the red mark, graze, blister, ulcer or injury on the skin is located over a bony prominence against the sitting surface, remove pressure immediately to prevent progression of the wound. Minimise sitting time and consider ‘bed rest’