The Bedfast and Immobile Are Major Risks for Bed Sores, Pressure Sores and Decubitus Ulcers
Mobility and activity limitations are strong independent predictors of pressure ulcers.
The recent NPUAP-EPUAP guideline states that if the individual is bedfast or chairfast and immobile, he/she is considered to be risk for pressure ulcers. Other factors (e.g., nutrition, moisture) may have an impact on risk status, but activity and mobility limitations are the primary considerations.
Turning or repositioning the immobile individual helps reperfuse ischemic skin, temporarily removing pressure from vulnerable tissues. Repositioning may include partial turns or small body movements that do not always remove pressure from the sacrum or heels rather than full turns of 30° or more that lift the sacrum from the bed.
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