Multi Service Pages  |  Pressure Injury Prevention and Management




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Pressure Injury Prevention and Management

Pressure injuries are a major cause of preventable harm for patients using health care services including hospital, residential care and home care. Injuries usually develop over 'bony' parts of the body due to sustained pressure, or pressure combined with shear and/or friction.

Pressure injuries cause physical symptoms, feelings of anger and blame, and reduce quality of life through pain, infection, delayed healing, altered body image, depression, and increased mortality and morbidity. The human toll on urihaumate (patients), carers and their families-whānau should not be underestimated.

Injuries also carry connotations of neglect and mismanagement on the part of health professionals. Evidence shows most pressure injuries are preventable – early identification of people at risk and subsequent effective management needs to be a high priority for all care providers to reduce harm.

There are key actions that are recognised and promoted to reduce the risk and impact of pressure injuries. For example, the SSKIN care bundle provides a useful approach to ensure that no prevention element is missed. The SSKIN care bundle includes the following:

Surface – provide a supportive and pressure relieving surface
Skin Inspection – undertake regular skin checks for discolouration and pain on bony prominences and under or around medical devices
Keep moving – change position often
Incontinence– keep skin dry and clean
Nutrition – eat healthily and drink plenty of fluids

Pressure injuries impact the New Zealand health system by increasing patients' length of stay, ACC treatment injury claims and care cost. (Health Quality & Safety Commission New Zealand 2020 (modified)).

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HealthCare Worker Resources

An e-learning training course on - pressure injury prevention and management is available on the Te Whāriki ā Toi learning site.  This e-learning course has nine lessons. This course is suitable for healthcare assistants and registered healthcare workers. Login using your existing Te Whāriki ā Toi login and password or create an account. If you have any difficulties with accessing the Te Whāriki ā Toi site, please contact online.learning@bopdhb.govt.nz.
Pressure Injury Classification System 


Posters

3054 ACC Pressure Injuries - A3 poster FA online print Bed
3054 ACC Pressure Injuries - A3 poster FA online print Chair
NPIAP (online store) Off loading/positioning to prevent pressure injuries posters)


Patient and their Family-Whãnau Resources


3054 ACC Pressure Injuries - English DL flyer online single
3054 ACC Pressure Injuries - English DL flyer FA online print version
ACC8139 Pressure Injuries - Maori online single
ACC8139 Pressure Injuries - Maori online spread
ACC8144 Pressure Injuries - Arabic online single
ACC8144 Pressure Injuries - Arabic online spread

ACC8146 Pressure Injuries - Burmese online single
ACC8146 Pressure Injuries - Burmese online spread
ACC8141 Pressure Injuries - Hindi online single
ACC8141 Pressure Injuries - Hindi online spread
ACC8139 Pressure Injuries - Korean online single
ACC8139 Pressure Injuries - Korean online spread

ACC8147 Pressure Injuries - Punjabi online single
ACC8147 Pressure Injuries - Punjabi online spread
ACC8140 Pressure Injuries - Samoan online single
ACC8140 Pressure Injuries - Samoan online spread
ACC8138 Pressure Injuries - Spanish online single
ACC8138 Pressure Injuries - Spanish online spread
ACC8142 Pressure Injuries - Tagalog online single
ACC8142 Pressure Injuries - Tagalog online spread
ACC8145 Pressure Injuries - Tokolauan online single
ACC8145 Pressure Injuries - Tokolauan online spread
ACC8143 Pressure Injuries - Tongan online single
ACC8143 Pressure Injuries - Tongan online spread
ACC8148 Pressure Injuries - Tuvaluan online single
ACC8148 Pressure Injuries - Tuvaluan online spread


Publications and Links

Supporting safer treatment (ACC)
Guiding principles for pressure injury prevention and management in New Zealand (MAY 2017) (ACC)
Taupā i te whara pēhanga Pressure injury prevention (HQ&SC)
Patient stories (HQ&SC)
2019 Guideline QRG E-Version (PPPIA) (E-version Download)
New Zealand Wound Care Society
Pressure Injuries (ACC) 
 Pan-Pacific Pressure Injury Alliance
New NPIAP Positioning Tips 

 

 

 

 

 

 



Last updated : Friday, August 14, 2020
Next review date : Saturday, August 14,2021


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.