The nurse is teaching the unlicensed assistive personnel (UAP) in a nursing home about daily routine measures to reduce the incidence of pressure injuries within the agency. Which of the following should the nurse include in the teaching? (Select all that apply.) - Positioning a client in the 30-degree lateral position. - Rubbing reddened bony prominences. - Using a turn sheet to reposition clients. - Decreasing clients' fluid intake to decrease incidence of incontinence. - Use of pillow bridging when needed. - Turning clients at least every 2 hours.
Answer (2)
To reduce pressure injuries in a nursing home, UAP should be taught to position clients in a 30-degree lateral position, use a turn sheet for repositioning, use pillow bridging, and turn clients every 2 hours. Rubbing reddened areas and decreasing fluid intake should be avoided. These measures will help maintain skin integrity and promote better patient comfort.
;
To reduce the incidence of pressure injuries in a nursing home, the nurse should educate the unlicensed assistive personnel (UAP) on several key routine measures. Here's a detailed explanation of each relevant measure:
Positioning a client in the 30-degree lateral position:
This position helps to distribute weight and reduce pressure on bony prominences, which are common sites for pressure injuries. By keeping the person slightly tilted, it lessens direct pressure on the hip, a common area for pressure ulcers.
Using a turn sheet to reposition clients:
A turn sheet can reduce friction and shear while turning and repositioning patients. It aids caregivers in moving patients safely and comfortably, minimizing skin damage.
Use of pillow bridging when needed:
Pillow bridging involves placing pillows between bony areas to avoid direct contact and pressure. This technique helps in evenly distributing pressure and is especially useful for patients who require prolonged bed rest.
Turning clients at least every 2 hours:
Regular repositioning, such as turning individuals at least every two hours, is crucial. It prevents prolonged pressure in any one area, which is important to maintain blood flow and tissue health.
The other options mentioned in the question are not recommended:
Rubbing reddened bony prominences is generally discouraged because it can further irritate the skin and worsen potential breakdown.
Decreasing clients' fluid intake is not advisable, as adequate hydration is essential for maintaining skin integrity and overall health. Instead, managing incontinence through timely assistance and proper hygiene is more effective.
By implementing these practices, caregivers can significantly lower the risk of pressure injury development and provide better care for residents in nursing homes.
