Purpose T, Pressure Ulcer Risk Assessment Tool

Brief History of rest/bed rest/immobility. How immobility effects each body system – cardiovascular, respiratory, haematological, gastrointestinal, renal, musculoskeletal. Overview of research into immobility. What can be done?

UK prevalence of obesity, affect on NHS and patient population, concept of "warmth" in evidence and how weight stigma can affect patient/caregiver relationship, being plus sized and the effects on the pulmonary, cardiovascular, gastrointestinal, endocrine, muscular skeletal, integumentary systems, practical session using a weighted vest, empathy suit to mobilise and dress, summary and feedback.

Speakers, who are key experts in their fields detail aspects of pressure ulcers that have a human cost to them. The effect of pandemic on service delivery and restructure, how patient and carer feedback is incorporated into NICE guidelines and evidenced based experiences of patients living with pressure ulcers.

How do aspects of bed use affect the patient and caregiver? What affect does the bed have for delivery of care and patient outcomes? This course looks at heel travel, patient mobilisation, nursing intervention height, falls risk, push-pull forces, side rail protection and equipment standardisation.

Overview of the functions of skin, anatomy and physiology of skin, causes of damage to skin, time frame for skin breakdown, tensile strength of skin after damage, NHS Improvement definition of a pressure Ulcer, what should be recorded, what shouldn’t be recorded, categories of pressure ulcer, what costs pressure ulcers by category, what a support surface is, which surfaces are available to Trust staff – (use Trust internal protocol).

What causes skin damage? Measurement of pressure. What is a support surface? Different therapies – continuous low pressure, alternating pressure, hybrid, low air loss, air fluidised and fluid immersion simulation. Clinical evidence. What do we need to consider when choosing a therapeutic support surface?

Functions and purpose of skin, Structure of skin / anatomy and physiology, Causes of skin damage, Key NHS Pressure Ulcer related documents, Categorisation of pressure damage, NHS Improvement costs of pressure ulcer, What is a support surface and what is available in my Trust?